Time to Recovery and Predictors among COVID-19 Patients Under Home-Based Isolation and Care Services in Addis Ababa,Ethiopia.
| dc.contributor.advisor | Asfaw,Zeytu Gashaw(PhD) | |
| dc.contributor.advisor | Wondimagegnehu,Abigiya(MPH, PhD Fellow) | |
| dc.contributor.author | Bizuneh,Ayele | |
| dc.date.accessioned | 2025-08-13T07:38:34Z | |
| dc.date.available | 2025-08-13T07:38:34Z | |
| dc.date.issued | 2024-06 | |
| dc.description.abstract | Background: The COVID-19 pandemic has significantly impacted health systems globally. Ethiopia has recorded over 7,574 COVID-19-related deaths and nearly 500,000 confirmed cases. While 81.3% of cases in Ethiopia have been handled via home-based isolation and Care (HBIC), there are still uncertainties about the health consequences for patients receiving this type of care. Objectives: The objective of this study was to investigate the recovery experience of COVID-19 patients under home-based isolation and care services in Addis Ababa between January 17, 2023 and June 23, 2023. This includes time to recovery, recovery incidence rates, and associated factors. Methods: This retrospective cohort study was conducted in Addis Ababa from January 20,2024 to June 23, 2024. The study population comprised 272 COVID-19 patients who received HBIC from January 17 to June 23, 2023. Secondary data from the Ethiopian Public Health Institute and Armauer Hansen Research Institute was analyzed using Kaplan-Meier survival estimates and Cox regression model. Results: The analysis revealed an overall median recovery time of 7 days among COVID-19 patients within the HBIC. Specifically, vaccinated individuals had median recovery time of 7 days, while unvaccinated individuals had median recovery time of 8 days. The findings also indicated incidence density rates of 11.64, 13.19, and 10.34 recoveries per 100 person-days for the overall, vaccinated patients, and unvaccinated patients, respectively. Factors associated with time to recovery among COVID-19 patients under HBIC were: being vaccinated (AHR: 1.62, 95% CI: 1.18-2.23), Aged 30-39 (AHR: 2.13, 95% CI: 1.27-3.58), Absence of comorbidities (AHR: 1.87, 95% CI: 1.16-3.01), Prior infection (AHR: 2.11, 95% CI: 1.37-3.22), using public transport (AHR: 0.45, 95% CI: 0.32-0.65), smoking history (AHR: 0.44, 95% CI: 0.22-0.86), absence of mask use (AHR: 0.39, 95% CI: 0.28-0.55), lack of hand hygiene practice (AHR: 0.72, 95% CI: 0.53-0.99), and BMI ≤18.5 Kg/M2 (AHR: 0.67, 95% CI: 0.48-0.95) or 25-29.9 Kg/M2 (AHR: 0.38, 95% CI: 0.15-0.96). Conclusion: This study revealed the median time, rate and associated factors under home based isolation and care service. The relatively shorter median time among vaccinated groups indicate the viability of vaccination in recovery trajectories. The varying recovery rate with the different covariates and significant association of those covariates with time to recovery indicates the need for considering tailored interventions in those patients. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6621 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | COVID-19 | |
| dc.subject | Home-Based | |
| dc.subject | Isolation | |
| dc.subject | Care | |
| dc.subject | Time to Recovery | |
| dc.subject | Recovery Rate | |
| dc.title | Time to Recovery and Predictors among COVID-19 Patients Under Home-Based Isolation and Care Services in Addis Ababa,Ethiopia. | |
| dc.type | Thesis |