Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis

Background The COVID-19 pandemic prompted varied policy responses globally, with Latin America facing unique challenges. A detailed examination of these policies’ impacts on health systems is crucial, particularly in Bolivia, where information about policy implementation and outcomes is limited. Obj...

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Main Authors: Rodrigo K. Arce Cardozo, Osvaldo Fonseca-Rodríguez, Yercin Mamani Ortiz, Miguel San Sebastian, Frida Jonsson
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2371184
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author Rodrigo K. Arce Cardozo
Osvaldo Fonseca-Rodríguez
Yercin Mamani Ortiz
Miguel San Sebastian
Frida Jonsson
author_facet Rodrigo K. Arce Cardozo
Osvaldo Fonseca-Rodríguez
Yercin Mamani Ortiz
Miguel San Sebastian
Frida Jonsson
author_sort Rodrigo K. Arce Cardozo
collection DOAJ
description Background The COVID-19 pandemic prompted varied policy responses globally, with Latin America facing unique challenges. A detailed examination of these policies’ impacts on health systems is crucial, particularly in Bolivia, where information about policy implementation and outcomes is limited. Objective To describe the COVID-19 testing trends and evaluate the effects of quarantine measures on these trends in Cochabamba, Bolivia. Methods Utilizing COVID-19 testing data from the Cochabamba Department Health Service for the 2020–2022 period. Stratified testing rates in the health system sectors were first estimated followed by an interrupted time series analysis using a quasi-Poisson regression model for assessing the quarantine effects on the mitigation of cases during surge periods. Results The public sector reported the larger percentage of tests (65%), followed by the private sector (23%) with almost double as many tests as the public-social security sector (11%). In the time series analysis, a correlation between the implementation of quarantine policies and a decrease in the slope of positive rates of COVID-19 cases was observed compared to periods without or with reduced quarantine policies. Conclusion This research underscores the local health system disparities and the effectiveness of stringent quarantine measures in curbing COVID-19 transmission in the Cochabamba region. The findings stress the importance of the measures’ intensity and duration, providing valuable lessons for Bolivia and beyond. As the global community learns from the pandemic, these insights are critical for shaping resilient and effective health policy responses.
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spelling doaj-art-c010bd83c68d49caa047c9e04a8777592025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23711842371184Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysisRodrigo K. Arce Cardozo0Osvaldo Fonseca-Rodríguez1Yercin Mamani Ortiz2Miguel San Sebastian3Frida Jonsson4Umea UniversityUmea UniversitySan Simon UniversityUmea UniversityUmea UniversityBackground The COVID-19 pandemic prompted varied policy responses globally, with Latin America facing unique challenges. A detailed examination of these policies’ impacts on health systems is crucial, particularly in Bolivia, where information about policy implementation and outcomes is limited. Objective To describe the COVID-19 testing trends and evaluate the effects of quarantine measures on these trends in Cochabamba, Bolivia. Methods Utilizing COVID-19 testing data from the Cochabamba Department Health Service for the 2020–2022 period. Stratified testing rates in the health system sectors were first estimated followed by an interrupted time series analysis using a quasi-Poisson regression model for assessing the quarantine effects on the mitigation of cases during surge periods. Results The public sector reported the larger percentage of tests (65%), followed by the private sector (23%) with almost double as many tests as the public-social security sector (11%). In the time series analysis, a correlation between the implementation of quarantine policies and a decrease in the slope of positive rates of COVID-19 cases was observed compared to periods without or with reduced quarantine policies. Conclusion This research underscores the local health system disparities and the effectiveness of stringent quarantine measures in curbing COVID-19 transmission in the Cochabamba region. The findings stress the importance of the measures’ intensity and duration, providing valuable lessons for Bolivia and beyond. As the global community learns from the pandemic, these insights are critical for shaping resilient and effective health policy responses.http://dx.doi.org/10.1080/16549716.2024.2371184pandemicpolicyhealth serviceevaluationlatin americatime-series
spellingShingle Rodrigo K. Arce Cardozo
Osvaldo Fonseca-Rodríguez
Yercin Mamani Ortiz
Miguel San Sebastian
Frida Jonsson
Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
Global Health Action
pandemic
policy
health service
evaluation
latin america
time-series
title Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
title_full Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
title_fullStr Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
title_full_unstemmed Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
title_short Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? an interrupted time series analysis
title_sort did the covid 19 quarantine policies applied in cochabamba bolivia mitigated cases successfully an interrupted time series analysis
topic pandemic
policy
health service
evaluation
latin america
time-series
url http://dx.doi.org/10.1080/16549716.2024.2371184
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