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Tytuł pozycji:

COVID-19 testing acceptability and uptake amongst the Rohingya and host community in Camp 21, Teknaf, Bangladesh

Tytuł :
COVID-19 testing acceptability and uptake amongst the Rohingya and host community in Camp 21, Teknaf, Bangladesh
Autorzy :
Catherine R. McGowan
Nora Hellman
Sayem Chowdhury
Abdul Mannan
Katherine Newell
Rachael Cummings
Pokaż więcej
Temat :
COVID-19
Infectious diseases
Forcibly Displaced Myanmar Nationals
FDMN
Sentinel testing
Rohingya
Special situations and conditions
RC952-1245
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Źródło :
Conflict and Health, Vol 14, Iss 1, Pp 1-5 (2020)
Wydawca :
BMC, 2020.
Rok publikacji :
2020
Kolekcja :
LCC:Special situations and conditions
LCC:Medical emergencies. Critical care. Intensive care. First aid
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
1752-1505
Relacje :
http://link.springer.com/article/10.1186/s13031-020-00322-9; https://doaj.org/toc/1752-1505
DOI :
10.1186/s13031-020-00322-9
Dostęp URL :
https://doaj.org/article/b38567beccc2467bbe666b706e28a7e3
Numer akcesji :
edsdoj.b38567beccc2467bbe666b706e28a7e3
Czasopismo naukowe
Abstract Facility-based sentinel testing for COVID-19 was implemented in May 2020 to monitor the prevalence of COVID-19 amongst the Rohingya and host community in Cox’s Bazar, Bangladesh. In response both to low uptake of testing across all camps, and rumours of an outbreak of an influenza-like illness in May/June 2020, the International Organization for Migration (in partnership with ACAPS) undertook a qualitative study to collect accounts from the Rohingya relating to testing and treatment, and to explore the possibility that what was thought to be an outbreak of influenza may have been COVID-19. The report provided rich descriptions of the apprehension around testing and offered some clear recommendations for addressing these. We developed a testing ‘script’ in response to these recommendations, deploying it alongside a survey to determine reasons for declining a test. We compared testing uptake before deploying the testing script, and after (controlling for the total number of consultations), to generate a crude measure of the impact of the script on testing uptake. We coded reasons for declining a test thematically, disaggregated by status (Rohingya and host community) and sex. Despite the small sample size our results suggest an increase in testing uptake following the implementation of the script. Reasons provided by patients for declining a test included: 1) fear, 2) the belief that COVID-19 does not exist, that Allah will prevent them from contracting it, or that their symptoms are not caused by COVID-19, 3) no permission from husband/family, and 4) a preference to return at a later time for a test. Our findings largely mirror the qualitative accounts in the International Organization for Migration/ACAPS report and suggest that further testing amongst both populations will be complicated by fear, and a lack of clarity around testing. Our data lend force to the recommendations in the International Organization for Migration/ACAPS report and emphasise that contextual factors play a key role and must be considered in designing and implementing a health response to a novel disease.
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