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Enhancing Awareness And Uptake Of Home-based Care Services During The Coronavirus Disease 2019 Pandemic In Zambia.

Home
Research Domains
Health Sciences
Health Services And Systems
Family Care
Enhancing Awareness And Uptake Of Home-based Care Services During The Coronavirus Disease 2019 Pandemic In Zambia.

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Enhancing awareness and uptake of home-based care services during the coronavirus disease 2019 pandemic in Zambia.

Kelvin Mwangilwa¹, Cephas Sialubanje^1,2, Nyuma Mbewe¹

¹Zambia National Public Health Institute, Lusaka, Zambia.

Journal of Public Health in Africa

|January 22, 2026

View abstract on PubMed

Summary

This summary is machine-generated.

Home-based care for COVID-19 in Zambia improved health system capacity. Increased awareness and addressing financial barriers are key to boosting acceptance of this vital public health strategy.

Keywords:

COVID-19 Zambia awareness healthcare utilisation

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Area of Science:

Public Health
Health Systems Management
Infectious Disease Management

Background:

The COVID-19 pandemic strained healthcare systems globally, highlighting workforce shortages.
Home-based care emerged as a critical strategy to manage mild to moderate COVID-19 cases, reducing the burden on healthcare facilities.
This approach aimed to maintain quality of care while optimizing resource allocation.

Purpose of the Study:

To evaluate the implementation and acceptance of the COVID-19 home management model in Zambia.
To identify factors influencing the uptake of home-based care for COVID-19 patients.

Main Methods:

A comparative cross-sectional study was conducted in 11 Zambian districts with high home-based management rates.
Data were collected from 566 individuals with confirmed COVID-19 eligible for home care.

home-based care

socio-economic factors

Multivariable logistic regression analysis identified determinants of acceptance.

Main Results:

Sixty percent of participants were female, with a median age of 28 years.
Awareness of the home management model (AOR=5.11), income between 600-1000 kwacha (AOR=2.64), and perceived effectiveness (AOR=7.88) significantly increased acceptance odds.
Formal employment was associated with reduced odds of acceptance (AOR=0.38).

Conclusions:

Home-based care is an effective strategy for alleviating health system pressure during pandemics.
Enhancing public awareness and addressing socio-economic factors are crucial for increasing the adoption of home-based care models in Zambia.
The findings offer practical insights for policymakers and program managers to strengthen community-based healthcare.