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International Journal of Health Policy and Management، جلد ۱۱، شماره ۹، صفحات ۱۸۰۱-۱۸۱۳
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Recovered but Constrained: Narratives of Ghanaian COVID-19 Survivors Experiences and Coping Pathways of Stigma, Discrimination, Social Exclusion and Their Sequels |
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| چکیده انگلیسی مقاله |
Background
Research about the coronavirus disease 2019 (COVID-19), its epidemiology and socio- economic impact on populations worldwide has gained attention. However, there is dearth of empirical knowledge in low- and middleincome settings about the pandemic’s impact on survivors, particularly the tension of their everyday life arising from the experiences and consequences of stigma, discrimination and social exclusion, and how they cope with these behavioral adversities.
Methods
Realist qualitative approach drawing data from people clinically diagnosed positive of COVID-19, admitted into therapy in a designated treatment facility, and subsequently recovered and discharged for or without follow-up domiciliary care. In-depth interviews were conducted by maintaining a code book for identifying and documenting thematic categories in a progression leading to thematic saturation with 45 participants. Data were transcribed and coded deductively for broad themes at the start before systematically nesting emerging themes into the broad ones with the aid of NVivo 12 software.
Results
Everyday lived experiences of the participants were disrupted with acts of indirect stigmatization (against relatives and family members), direct stigmatization (labeling, prejudices and stereotyping), barriers to realizing full social life and discriminatory behaviors across socio-ecological structures (workplace, community, family, and social institutions). These behavioral adversities were associated with self-reported poor health, anxiety and psychological disorders, and frustrations among others. Consequently, supplicatory prayers, societal and organizational withdrawal, aggressive behaviors, supportive counseling, and self-assertive behaviors were adopted to cope and modify the adverse behaviors driven by misinformation and fearful perceptions of the COVID-19 and its contagious proportions.
Conclusion
In the face of the analysis, social campaigns and dissemination of toolkits that can trigger behavior change and responsible behaviors toward COVID-19 survivors are proposed to be implemented by health stakeholders, policy and decision makers in partnership with social influencers, the media, and telecoms. |
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| کلیدواژه‌های انگلیسی مقاله |
Stigmatization,
Discrimination,
Social Exclusion,
COVID-19,
Coping Strategy,
Ghana |
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| نویسندگان مقاله |
Roger A. Atinga |
Department of Public Administration and Health Services Management,
University of Ghana Business School, Accra, Ghana
Nafisa Mummy Issifu Alhassan |
Ghana Health Service,
Abokobi Health Centre, Accra, Ghana
Alice Ayawine |
Faculty of Health and Allied Sciences,
Catholic University College of Ghana, Sunyani, Ghana
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| نشانی اینترنتی |
https://www.ijhpm.com/article_4093_493bb7c270a49461cec20689d178a857.pdf |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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