Protective Behaviors and Secondary Harms Resulting from Nonpharmaceutical Interventions During the COVID-19 Epidemic in South Africa: Multisite, Prospective Longitudinal Study [open pdf - 398KB]
From the Abstract: "In March 2020, South Africa implemented strict nonpharmaceutical interventions (NPIs) to contain the spread of COVID-19 [coronavirus disease 2019]. Over the subsequent 5 months, NPI policies were eased in stages according to a national strategy. COVID-19 spread throughout the country heterogeneously; the disease reached rural areas by July and case numbers peaked from July to August. A second COVID-19 wave began in late 2020. Data on the impact of NPI policies on social and economic well-being and access to health care are limited. [...] We aimed to determine how rural residents in three South African provinces changed their behaviors during the first COVID-19 epidemic wave. [...] 'Conclusions': South Africans complied with stringent, COVID-19-related NPIs despite the threat of substantial social, economic, and health repercussions. Government-supported social welfare programs appeared to buffer interruptions in income and health care access during local outbreaks. Epidemic control policies must be balanced against the broader well-being of people in resource-limited settings and designed with parallel support systems when such policies threaten peoples' income and access to basic services."
2021 Guy Harling, Francesc Xavier Gómez-Olivé, Joseph Tlouyamma, Tinofa Mutevedzi, Chodziwadziwa Whiteson Kabudula, Ruth Mahlako, Urisha Singh, Daniel Ohene-Kwofie, Rose Buckland, Pedzisai Ndagurwa, Dickman Gareta, Resign Gunda, Thobeka Mngomezulu, Siyabonga Nxumalo, Emily B Wong, Kathleen Kahn, Mark J Siedner, Eric Maimela, Stephen Tollman, Mark Collinson, Kobus Herbst. Posted here with permission. Document is under a Creative Commons license and requires proper attribution and noncommercial use to be shared: [https://creativecommons.org/licenses/by/4.0/]
Public Health and Surveillance: https://publichealth.jmir.org/
JMIR Public Health and Surveillance (2021), v.7 iss.5