Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis.

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-07-01 DOI:10.1080/16549716.2024.2371184
Rodrigo K Arce Cardozo, Osvaldo Fonseca-Rodríguez, Yercin Mamani Ortiz, Miguel San Sebastian, Frida Jonsson
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Abstract

Background: The COVID-19 pandemic prompted varied policy responses globally, with Latin America facing unique challenges. A detailed examination of these policies' impacts on health systems is crucial, particularly in Bolivia, where information about policy implementation and outcomes is limited.

Objective: To describe the COVID-19 testing trends and evaluate the effects of quarantine measures on these trends in Cochabamba, Bolivia.

Methods: Utilizing COVID-19 testing data from the Cochabamba Department Health Service for the 2020-2022 period. Stratified testing rates in the health system sectors were first estimated followed by an interrupted time series analysis using a quasi-Poisson regression model for assessing the quarantine effects on the mitigation of cases during surge periods.

Results: The public sector reported the larger percentage of tests (65%), followed by the private sector (23%) with almost double as many tests as the public-social security sector (11%). In the time series analysis, a correlation between the implementation of quarantine policies and a decrease in the slope of positive rates of COVID-19 cases was observed compared to periods without or with reduced quarantine policies.

Conclusion: This research underscores the local health system disparities and the effectiveness of stringent quarantine measures in curbing COVID-19 transmission in the Cochabamba region. The findings stress the importance of the measures' intensity and duration, providing valuable lessons for Bolivia and beyond. As the global community learns from the pandemic, these insights are critical for shaping resilient and effective health policy responses.

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在玻利维亚科恰班巴实施的 COVID-19 检疫政策是否成功缓解了病例?
背景:COVID-19 大流行在全球范围内引发了不同的政策应对措施,而拉丁美洲则面临着独特的挑战。详细研究这些政策对卫生系统的影响至关重要,尤其是在政策实施和结果信息有限的玻利维亚:描述 COVID-19 检测趋势,并评估检疫措施对玻利维亚科恰班巴这些趋势的影响:利用科恰班巴省卫生局 2020-2022 年期间的 COVID-19 检测数据。首先估算了卫生系统各部门的分层检测率,然后使用准泊松回归模型进行间断时间序列分析,以评估检疫对缓解激增期病例的影响:公共部门报告的检测比例最高(65%),其次是私营部门(23%),检测次数几乎是公共社会保障部门(11%)的两倍。在时间序列分析中,与没有实施或减少实施检疫政策的时期相比,实施检疫政策与 COVID-19 阳性率斜率下降之间存在相关性:这项研究强调了当地卫生系统的差异以及严格检疫措施在遏制科恰班巴地区 COVID-19 传播方面的有效性。研究结果强调了措施强度和持续时间的重要性,为玻利维亚及其他国家提供了宝贵的经验。随着全球社会从这一流行病中吸取教训,这些见解对于制定有弹性和有效的卫生政策应对措施至关重要。
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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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