An Analysis of Factors Behind Variations in COVID-19 Infections Between Urban and Rural Areas of Zimbabwe in 2020
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Abstract:
The purpose of this study is to examine the answers provided by Zimbabwean
medical professionals to a questionnaire regarding the variables driving the
disparities in COVID-19 infections in Zimbabwe's urban and rural areas in 2020.
The objective is to create appropriate, context-specific disease prevention and
control plans at the district and provincial levels. A questionnaire survey
study design consisting of closed-ended questions was utilized to collect data
from medical professionals in Zimbabwe, specifically nurses and doctors, at the
district and provincial levels. Microsoft Excel was used to examine the data.
The findings show that urban areas had a higher number of COVID-19 cases in
2020 compared to rural ones. According to the results of the survey, a few
other important factors that were linked to the urban COVID-19 outbreak were
population density, ease of access to ports of entry, and the use of public
transportation. A greater number of COVID-19 infections may have been recorded
in urban than rural regions as a result of incorrect patient addresses found in
a number of COVID-19 infection data. Out of the total of 27 respondents,
twenty-one strongly agreed that the COVID-19 outbreak was caused by population
density, while the remaining respondents agreed. The opinion that being close
to points of entry, including airports and land borders, facilitated the spread
of COVID-19 was strongly agreed and agreed upon by 20/27 and 7/27 respondents,
respectively. The claim that the method of public transportation contributed to
the spread of COVID-19 in metropolitan areas was agreed and strongly agreed
upon by 9/27 and 14/27 respondents, respectively. 8/27 respondents strongly
agreed that the reason there were more COVID-19 instances in urban provinces
than in rural provinces was because there were more entertainment venues or
places in urban areas than in rural ones. This viewpoint was agreed upon by
12/27 respondents. The results of the study suggest that the COVID-19 outbreak
in Zimbabwe's urban provinces may have been facilitated by factors such as
population density, accessibility to ports of entry, use of public
transportation, and the availability of more leisure options in urban regions
than in rural ones.
References:
[1] Murewanhema, G., Burukai, T., Mazingi, D.,
Maunganidze, F., Mufunda, J., Munodawafa, D., Pote, W., 2020, A Descriptive
Study of the Trends of Covid-19 in Zimbabwe from March-June 2020: Policy and
Strategy Implications. Pan Afr Med J, [online] 37(Suppl 1), p.33.
Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796830/. [Accessed 21 Jun. 2024].
[2] Ghebreyesus, T. A., 2020, WHO
Director-General’s Opening Remarks at the Media Briefing on Covid-19-11 March
2020, Geneva: World Health Organization, Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-march-2020 [Accessed 21 Jun. 2024].
[3] Government of Zimbabwe, 2020, Zimbabwe
Covid-19 Operational Plan May-July 2020, Harare, Zimbabwe: Ministry of
Health and Child Care.
[4] Zimbabwe Covid-19 Situation Report
31/12/2020, 2020. [Internet] 31 Dec. Available at: https://reliefweb.int/report/zimbabwe/zimbabwe-situation-report-31-dec-2020 [Accessed 7 May 2024].
[5] World Health Organization, 2024. Coronavirus
disease (COVID-19) Update. [online] Available at: https://www.who.int/countries/zwe [Accessed 6 May 2024].
[6] Post, L., Wu, S., Soetikno, A., Ozer, E.,
Liu, Y., Welch, S., Hawkins, C., Moss, C., Murphy, R., Mason, M., Havey, R.,
Lundberg, A., 2024, Updated Surveillance Metrics and History of the Covid-19
Pandemic (2020-2023) in Latin America and the Caribbean: Longitudinal Trend
Analysis. JMIR Public Health Surveill, 10:e44398. Doi: 10.2196/44398.
Available at: https://publichealth.jmir.org/2024/1/e44398 [Accessed 21 Jun. 2024].
[7] Negri, S., 2022, International Health Law, Yearbook
of International Disaster Law Online, 5(1), pp. 510-522.
[8] Soetikno, A. G., Lundberg, A. L., Ozer, E. A.,
Wu, S. A., Welch, S. B., Mason, M., Liu, Y., Havey, R. J., Murphy, R. L.,
Hawkins, C., Moss, C. B., Post, L. A., 2024. Updated Surveillance Metrics and
History of the Covid-19 Pandemic (2020-2023) in the Middle East and North
Africa: Longitudinal Trend Analysis. JMIR Public Health Surveill, 10: e53219.
Doi: 10.2196/53219. PMID: 38568184.
[9] United Nations, 2023. Global Perspective
Human Stories. [online] Available at: https://news.un.org/en/story/2023/05/1136367# [Accessed 6 Mar. 2023].
[10] Uddin, M., Shawpnil, K., Mugdha, S. B.,
Ahmed, A., 2023, A Statistical Synopsis of COVID‐19 Components and Descriptive
Analysis of their Socio‐Economic and Healthcare Aspects in Bangladesh
Perspective. Journal of Environmental and Public Health, 2023(1):
9738094. Available at: http://dx.doi.org/10.1155/2023/9738094 .
[11] Silwangani, B., Munodawafa, D., Chadambuka,
A., 2020, COVID-19 Infections and Deaths Between Rural and Urban Provinces of
Zimbabwe, 2020: A Spatial Variations Analysis. Texila Int J Public Health,
11(3): Art029, Doi: 10.21522/TIJPH.2013.11.03.Art029.
[12] Mazikana, A. T., 2023, The Good Part of Using
a Questionnaire: Advantages and Disadvantages. SSRN, 12 Mar. Available
at: https://ssrn.com/abstract=4386399 or http://dx.doi.org/10.2139/ssrn.4386399
[13] Fincham, J.E., 2008, Response Rates and
Responsiveness for Surveys, Standards, and the Journal. Am J Pharm Educ,
72(2): Article 43.
[14] Murewanhema, G.,
Mutsigiri-Murewanhema, F., 2021, Drivers
of the Third Wave of Covid-19 in Zimbabwe and Challenges for Control:
Perspectives and Recommendations, Pan Afr Med J, 40: 46. Doi:
10.11604/pamj.2021.40.46.31237. PMID: 34795827; PMCID: PMC8571916.
[15] Gaskin, D. J., Zare, H., Delarmente, B. A.,
2021, Geographic Disparities in Covid-19 Infections and Deaths: The Role of
Transportation. Transport Policy, 102: 35-46. doi:
10.1016/j.tranpol.2020.12.001. PMID: 33293780; PMCID: PMC7714661.
[16] Zhang, Y., Zhang, A., Wang, J.,
2020, Exploring the Roles of High-Speed Train, Air
and Coach Services in the Spread of Covid-19 in China. Transp Policy,
94: 34-42. Doi: 10.1016/j.tranpol.2020.05.012. PMID: 32501380; PMCID:
PMC7248624.
[17] ZimStat, 2022, Population and Housing Census.
[18] Boterman, W., 2023, Population Density and
Sars-Cov-2 Pandemic: Comparing the Geography of Different Waves in the
Netherlands, Urban Stud, 60(8): 1377-1402.
[19] Connolly, C., Keil, R., Ali, S. H., 2021, Extended
Urbanisation and the Spatialities of Infectious Disease: Demographic Change,
Infrastructure and Governance. Urban Stud, 58(2): 245-263. Doi:
10.1177/0042098020910873.
[20] Alirol, E., Getaz, L., Stoll, B., et al.,
2011, Urbanisation and Infectious Diseases in a Globalised World, Lancet
Infect Dis, 11(2): 131-141.
[21] Teller, J., 2021, Urban Density and Covid-19:
Towards an Adaptive Approach. Build Cities, 2(1): 150-165.
[22] Ganasegeran, K., Jamil, M. F. A., Ch’ng, A. S.
H., Looi, I., Peariasamy, K. M., 2021, Influence of Population Density for
Covid-19 Spread in Malaysia: An Ecological Study. Int J Environ Res Public
Health, 18(18): 9866. Doi: 10.3390/ijerph18189866.
[23] Uddin, M., Ahmed, A., 2023, Covid-19’s
Economic and Healthcare Correlations to Leading Affected Countries: A
Statistical Assessment. Available at: http://dx.doi.org/10.21522/TIJPH.2013.11.02.Art029 .
[24] Wang, K. Y., 2014, How Change of Public
Transportation Usage Reveals Fear of the Sars Virus in a City. PLoS One,
9(3): e89405. Doi: 10.1371/journal.pone.0089405.
[25] Sabat, I., Neuman-Böhme, S., Varghese, N. E.,
et al., 2020, United but Divided: Policy Responses and People’s Perceptions in
the Eu During the Covid-19 Outbreak, Health Policy, 124(9): 909-918. Doi:
10.1016/j.healthpol.2020.06.009.
[26] De Vos, J., 2020, The Effect of Covid-19 and
Subsequent Social Distancing on Travel Behavior, Transp Res Interdiscip
Perspect, 5: 100121. Doi: 10.1016/j.trip.2020.100121.
[27] Laurencin, C. T., McClinton, A., 2020, The
Covid-19 Pandemic: A Call to Action to Identify and Address Racial and Ethnic
Disparities. J Racial Ethn Health Disparities, 7(3): 398-402. Doi:
10.1007/s40615-020-00756-0.
[28] Shen, J., Duan, H., Zhang, B., et
al., 2020. Prevention and Control of Covid-19 in Public
Transportation: Experience from China, Environ Pollut, 266(Pt 2):
115291. Doi: 10.1016/j.envpol.2020.115291.
[29] Troko, J., Myles, P., Gibson, J.,
et al., 2011, Is Public Transport a Risk Factor for Acute
Respiratory Infection? BMC Infect Dis, 11: 16. Doi:
10.1186/1471-2334-11-16.
[30] Chen, Y., Wang, A., Yi, B., et
al., 2020, The Epidemiological Characteristics of
Infection in Close Contacts of Covid-19 in Ningbo City, Chin J Epidemiol,
Doi: 10.3760/cma.j.cn112338-20200304-0025.
[31] Zhao, S., Zhuang, Z., Ran, J., et al., 2020, The
Association between Domestic Train Transportation and Novel Coronavirus
(2019-Ncov) Outbreak in China from 2019 to 2020: A Data-Driven Correlational
Report, Trav Med Infect Dis, 33: 101568. Doi:
10.1016/j.tmaid.2020.101568.
[32] Ge, Y., Martinez, L., Sun, S., et al., 2021, Covid-19
Transmission Dynamics Among Close Contacts of Index Patients with Covid-19: A
Population-Based Cohort Study in Zhejiang Province, China, JAMA Intern Med,
181(10): 134350. Doi: 10.1001/jamainternmed.2021.4686.
[33] Varshney, K., Glodjo, T., Adalbert, J., 2022,
Overcrowded Housing Increases Risk for Covid-19 Mortality: An Ecological Study.
BMC Res Notes, 15(1): 126. Doi: 10.1186/s13104-022-06015-1.
[34] Memish, Z. A., Assiri, A., Turkestani, A., et
al., 2015, Mass Gathering and Globalization of Respiratory Pathogens during the
2013 Hajj, Clin Microbiol Infect, 21(6): 571.e571-8.
[35] Bourouiba, L., 2020, Turbulent Gas Clouds and
Respiratory Pathogen Emissions: Potential Implications for Reducing
Transmission of Covid-19, JAMA, 323(18): 1837-8.
[36] Loh, N. W., Tan, Y., Taculod, J., et al.,
2020, The Impact of High-Flow Nasal Cannula (HFNC) on Coughing Distance:
Implications on its use During the Novel Coronavirus Disease Outbreak, Can J
Anaesth, 67(7): 893-4.
[37] Azuoko, U. G., Chukumati, C. N., 2022, Overcrowding
in Public Places: Lessons Learnt from Covid-19 Era, Niger J Health Promot,
15.
[38] Ngarivhume, T., Van't Klooster, C. I., de
Jong, J. T., Van der Westhuizen, J. H., 2015, Medicinal Plants Used by
Traditional Healers for the Treatment of Malaria in the Chipinge District in
Zimbabwe. J Ethnopharmacol, 159: 224-37. Doi: 10.1016/j.jep.2014.11.011.