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Factors Affecting Self-reported Compliance to the COVID-19 Health Protocol
Wiwin Winarti1, Sherin Alinda Zulfa1
1Faculty of Health Science, Department of Nursing, Universitas Pembangunan Nasional Veteran Jakarta, West Java, Indonesia.
Acta Medica Philippina
|August 2, 2026
Summary
Public adherence to COVID-19 health protocols is significantly influenced by perceived sanctions. Intensifying community health promotion is crucial for boosting compliance with these vital public health measures.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- COVID-19 poses significant health risks due to severe disease potential and rapid aerosolized droplet transmission.
- Government interventions included a Task Force, social restrictions, and mandated health protocols to manage the pandemic.
Purpose of the Study:
- To identify factors associated with compliance with health protocols during the COVID-19 pandemic.
- Investigate the relationship between knowledge, demographics, perceived sanctions, and adherence to health guidelines.
Main Methods:
- Cross-sectional study design with 173 participants recruited via incidental sampling.
- A questionnaire assessed demographics, COVID-19 knowledge, perceived penalties, and health protocol behavior.
- Validity and reliability confirmed with r=0.339 and Cronbach's alpha=0.78.
Main Results:
- Over half (51.4%) of participants demonstrated good compliance with health protocols.
- A significant association was found between compliance levels and the perception of sanctions (p=0.000, r=0.452).
- No significant relationship was observed between demographics, health knowledge, and adherence to protocols (p>0.05).
Conclusions:
- Perceived sanctions are the primary driver of public compliance with health protocols.
- Enhanced community-based health promotion is recommended to improve adherence to public health measures.
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