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. 2021 Jun 15:14:2233-2239.
doi: 10.2147/IDR.S309909. eCollection 2021.

Analysis of Facility and Home Isolation Strategies in COVID 19 Pandemic: Evidences from Jodhpur, India

Pankaj Bhardwaj  1 , Nitin Kumar Joshi  1 , Manoj Kumar Gupta  1 , Akhil Dhanesh Goel  1 , Suman Saurabh  1 , Jaykaran Charan  2 , Prakash Rajpurohit  3 , Suresh Ola  4 , Pritam Singh  5 , Sunil Bisht  5 , N R Bishnoi  6 , Balwant Manda  5 , Kuldeep Singh  7 , Sanjeev Misra  8
Affiliations

Analysis of Facility and Home Isolation Strategies in COVID 19 Pandemic: Evidences from Jodhpur, India

Pankaj Bhardwaj et al. Infect Drug Resist. .

Erratum in

Abstract

Purpose: Jodhpur administration directed its efforts to control and mitigate COVID 19 infection by implementing and monitoring facility isolation (FI) and home isolation (HI) measures. This study is conducted with a hypothesis that there is no difference in the quality of life and cost-effectiveness of mildly symptomatic or asymptomatic patients in HI and FI.

Patients and methods: A mixed-method study was conducted in Jodhpur in September 2020. The purposive sampling technique was used and data from 120 individuals admitted in HI and FI were collected. The information about the status and functioning of isolation facilities was collected from various sources. Multi-stakeholder interactions with 15 personnel engaged in managing isolation facilities were done. EQ-5D version (EQ-5D-5L) which consists of the EQ-5D descriptive system and the EQ visual analog scale (EQ-VAS) was used to assess health-related quality of life.

Results: The strength of HI strategy is demonstrated by its ability to provide psychological and social support with minimal logistic requirements but the issue of sufficient household infrastructure, adequate family and societal support for implementing this strategy is of concern. The strength of FI strategy includes its ability to provide support to patients who have issues of sufficient household infrastructure, adequate family and societal support, but this strategy poses a threat of increasing human resource constraints and financial load on the health system. The respondents from HI obtained a mean EQ-5D index score of 0.90 and a mean VAS score of 85, whereas it was 0.80 and 78.5, respectively, for FI. The cost estimated for home isolation was Rs 549 (7.43 US $) per person, whereas it was Rs 2440 (33.02 US $) for facility Isolation.

Conclusion: Though HI seems advantageous in terms of a better quality of life and cost-saving over FI, both the strategies are context-specific having their own trade-offs.

Keywords: COVID 19; cost savings; patient isolation; public health; quality of life.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Management strategy adopted by Jodhpur administration for COVID 19 cases (Provided as separate high resolution PDF file).
See this image and copyright information in PMC

References

    1. Jodhpur Municipal Corporation website. Jodhpur city; 2021. Available from: http://jodhpurmc.org/Presentation/TopMenu/Jodhpur_City.aspx. Accessed January21, 2021.
    1. COVID 19 India website. Rajasthan state; 2021. Available from: https://www.covid19india.org/state/RJ. Accessed January21, 2021.
    1. Medical, Health & Family Welfare Department, Government of Rajasthan website. Novel Corona virus (COVID-19); 2021. Available from: http://www.rajswasthya.nic.in/For%20Hospitals.htm. Accessed January22, 2021.
    1. Centers for Disease Control and Prevention website. Legal authorities for isolation/quarantine; 2021. Available from: https://www.cdc.gov/sars/legal/fs-legal.html. Accessed January22, 2021.
    1. Centers for Disease Control and Prevention website. Isolation and quarantine factsheet; 2021. Available from: https://www.cdc.gov/sars/quarantine/fs-isolation.html. Accessed January22, 2021.

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