COVID-19 In Bangladesh Research Articles

Depressive symptoms among cigarette smokers and non-smokers during the first wave of COVID-19 pandemic: Preliminary findings from Bangladeshi male university students

University students may be particularly vulnerable to develop mental disorders, including depression, due to sudden and unexpected changes in their daily life during the COVID-19 pandemic. The present study aimed to assess depression among male smokers and non-smokers university students during the first wave of COVID-19 in Bangladesh. A web-based cross-sectional survey was conducted among 444 university male students using convenient and snowball sampling with a 1:1 ratio of male smokers and non-smokers from July to October, 2020. The prevalence estimates of moderate to severe depression were 53.6 % and 22.1 %, respectively among male smokers and non-smokers with an overall prevalence rate of 37.9 %. The participants who smoked cigarette were 4.05 times more likely to have depression compared to those who did not smoke (AOR = 4.05; 95 % CI = 2.60–6.30, p < 0.001). The following factors were found to be associated with depression: being smokers, having family members who lost jobs due to the impact of COVID-19, and having food scarcity due to COVID-19. The findings suggest mental health awareness and psychosocial support programs with a special focus on quitting smoking behavior among university students.

The Impact of the Stimulus Packages on the Economy during COVID-19 in Bangladesh: A Mixed-Method Approach

With the unexpected onset of COVID-19, governments across the world responded with a range of preventive measures, including the imposition of lockdowns. To mitigate the adverse effects of lockdowns arising from supply chain shocks and employment loss, governments worldwide chose to implement policies to stimulate their economies and keep them working. This study assesses the impact and effectiveness of four of these packages in Bangladesh, employing a mixed-method approach. These packages include “salary support for workers in export-oriented RMG industries”, “working capital loans for affected industries and service sectors”, “working capital loans for cottage, micro, small, and medium enterprises”, and initiatives for “revitalizing the rural economy and job creation”. Each package was examined individually because of their differences in beneficiary groups, implementation methods, and individual objectives. Quantitative analysis involved propensity score matching (PSM), the difference in difference model (DID), and structural equation modelling (SEM). Stakeholders, including policy implementers, Bangladesh Bank officials, policy analysts, academics, workers, and beneficiaries, contributed to the qualitative analysis through extensive key-informant interviews, providing a comprehensive assessment of intervention outcomes. Ultimately, the results show that the packages achieved their socio-economic relief objectives for beneficiaries. The research examined both positive impacts and challenges in their implementation. It suggests that all four packages successfully achieved their goals, such as providing social and economic support, sustaining livelihoods, addressing marginalized groups’ needs, ensuring survival for large industries and small businesses, and promoting employment. In order to better address future shocks, establishing a beneficiary database integrated with the national system is recommended for smoother policy rollout. Despite acknowledged limitations, including challenges in beneficiary identification, data availability, and time constraints, the study’s unbiased estimations provide valuable insights to guide future policy directions in similar situations.

Navigating Emergency Online Learning: A Comparative Study of University Students in Bangladesh and Indonesia During the COVID-19 Pandemic

The present study compares the university student’s experiences of learning in virtual mode during unprecedented impacts of the COVID-19 in Bangladesh and Indonesia with a focus on the enjoyment, performance, satisfaction, and cost of online learning.This was quantitative cross-sectional research conducted by using an online survey with the participation of 438 and 529 university students in Bangladesh and Indonesia. The findings reveal that university students in Bangladesh have little more comfortable with online learning compared to those in Indonesia. The students in both countries have no problem with adaptation to avant-garde online learning platforms. University students in Bangladesh appear little more satisfied with online teaching while those in Indonesia tend to be less satisfied. University students either in Bangladesh or in Indonesia consider online learning as an expensive learning mode. The present study depicts an early online remote learning experience of university students during the COVID-19 pandemic. Due to the nature of the descriptive comparative study focusing on Bangladesh and Indonesia, the results of this study may not be generalised. Specific factors underlying their experiences are in need of further investigation. In future endeavours, lectures are urged to actively harness proper technologies, mix between conventional and virtual learning or blend synchronous and asynchronous learning to provide more enjoyable and interesting online learning thus the students can be more satisfied.

Safety measures and sanitation facilities of the fruit vendors during COVID-19 in Bangladesh: a cross-sectional study

This study aimed to find the factors affecting the fruit vendor’s safety measures and sanitation facilities during COVID-19 in Bangladesh. A quantitative research design was used to conduct this study. Random sampling techniques were executed to collect data from 416 fruit vendors through a field survey. The study reveals that 87% of the fruit vendors took safety measures during COVID-19. Most of them had better sanitation facilities at home compared to their workplaces. Their safety measures and sanitation facilities were associated with socioeconomic backgrounds. Age, type of house, place of business, and receiving financial support influenced fruit vendors’ safety measures. Sanitation facilities at home were affected by their sex, schooling, types of houses, and working hours. Types of houses, family income, and business duration impacted the workplace's sanitation facilities. Their socio-demographic and economic situations affected fruit vendors' safety measures and sanitation facilities during COVID-19. Fear of death and government market mechanisms also might have played a significant role in measuring the different steps against Coronavirus infection. Health and hygiene rules prescribed by the authorities should be followed strictly to avoid dire situations during the pandemic. Both government and non-government initiatives should be given the utmost priority to create sanitation awareness, whether about personal cleanliness or workplace hygiene and paired with financial support.

The Association of Cytokines IL-2, IL-6, TNF-α, IFN-γ, and IL-10 With the Disease Severity of COVID-19: A Study From Bangladesh.

Introduction Clinically, the early prediction of the severity of COVID-19 is often challenging, as a dramatic change in severity can occur without warning. The severity of COVID-19 disease is associated with an increased level of inflammatory mediators, including cytokines. This study aimed to evaluate the association of the levels of cytokines interleukin (IL)-2, IL-6, tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), and IL-10 with the severity of COVID-19 in Bangladesh. Materials and methods This cross-sectional study included a total of 60 confirmed cases of COVID-19, comprising 30 severe cases (Group A) and 30 non-severe cases (Group B), and 10 healthy individuals (Group C) attending Bangabandhu Sheikh Mujib Medical University (BSMMU) from March 2021 to February 2022. The cytokine assay was performed using the human Th1/Th2/Th17 cytokine kit BD cytometric bead array (CBA) on the BD Accuri C6 Plus flow cytometer. Statistical analysis was conducted using IBM SPSS Statistics for Windows, Version 23 (Released 2015; IBM Corp., Armonk, New York). Results The mean ages of the patients in Groups A, B, and C were 60.73±5.97, 57.13±7.68, and 48.10±9.13 years, respectively, with a male predominance in all groups. The mean IL-2, IL-6, IL-10, and TNF-α levels had a positive correlation with the increased age group and male gender, although it was not statistically significant. The mean IL-6 and IFN-γ levels were significantly higher among severe cases (216.95±147.78 and 0.98±0.95 pg/mL, respectively) compared to non-severe cases (94.29±128.79 and 0.41±0.61 pg/mL, respectively) and healthy individuals (1.08±1.97 and 0.15±0.28 pg/mL, respectively). Furthermore, the anti-inflammatory cytokine IL-10 was also significantly higher among severe cases (17.92±21.87 pg/mL) compared to non-severe cases (5.38±6.73 pg/mL) and healthy individuals (1.62±1.65 pg/mL). Conclusion IL-6, IFN-γ, and IL-10 have a significant association with the severity of COVID-19 disease. Clinicians treating patients with COVID-19 can consider the level of these cytokines as biomarkers of severity.

Evaluation of the socioeconomic impact of Covid-19 in Bangladesh: an analysis from a gender perspective

Evaluation of the socioeconomic impact of Covid-19 in Bangladesh: an analysis from a gender perspective

The impact of comorbidity on the quality of life of people who recovered from COVID-19 in Bangladesh

ObjectivesCOVID-19 affects the quality of life (QoL) in a reverse way after recovery, which might be multiplied by the comorbid non-communicable diseases. This study explored the relationship between comorbidities and the QoL of people who recovered from COVID-19 in Bangladesh. MethodsThe cross-sectional study was conducted among 3244 participants between June 2020 and November 2020 using a pre-tested questionnaire through over-the-phone interviews. The WHOQOL-BREF was used to explore the QoL among the study participants. A multivariable linear regression model was conducted to identify the effects of the number of comorbidities on QoL scores of all four domains. ResultsOf 3244 patients who recovered from COVID-19, over one-third (39.4%) had one or more chronic diseases, such as hypertension, diabetes mellitus, ischemic heart disease, bronchial asthma/chronic obstructive pulmonary disease, chronic kidney disease, and cancer. Around 46.85% of the participants aged above 40 years presented with one to two chronic diseases, and 16.33% had three or more chronic diseases. Among all comorbidities, the participants with cancer and chronic kidney disease were found to have relatively lower scores in all four domains than other comorbidities. The lowest QoL scores were observed in the psychological domain. Those with three or more simultaneous chronic comorbidities had the lowest QoL score in all four domains: physical, psychological, social relationship, and environmental. ConclusionsPersons who recovered from COVID-19 with comorbidities undergo a lower QoL. Therefore, special attention is required to these vulnerable groups to ensure their smooth recuperation.

Impacts on psychological status and quality of life of people positive with COVID-19 in Bangladesh

Impacts on psychological status and quality of life of people positive with COVID-19 in Bangladesh

Factors influencing consumers’ continuance usage intention toward Food Delivery Apps during COVID-19 in Bangladesh

The aim of this research is to identify the factors that are crucial to formulating consumers’ attitude toward using food delivery apps (FDAs) continuingly during the coronavirus pandemic. Due to the pandemic, the catering enterprises changed their way of doing business significantly and gone through a digital transformation to survive. Consequently, this marked a shift in consumers’ attitude towards FDAs. To understand the shift and how consumers’ technological and mental perceptions are contributing to continuance usage intentions, a hypothetical model was proposed using variables from Unified Theory of Acceptance and Use of Technology (UTAUT), Expectancy Confirmation Model (ECM) and the Task-Technology fit Model. A structured questionnaire was used to collect feedback from the repeat users of the FDAs through online social media sites and food review groups. In total 198 valid responses were gathered and analyzed. Structural Equation Modeling (SEM) through AMOS 26 was utilized to test the proposed model fit. Some items in the constructs had to be dropped off to make the model fit. Initially four hypotheses were proposed. Among them only two were validated. The outcomes show that satisfaction and social influence have significant positive impact in determining continuance usage intention toward FDAs among Bangladeshi consumers. While perceived Task-technology fit and trust have non-significant relationship with consumers’ continuance intention. These insights might prove helpful for both online food aggregators and catering businesses in designing marketing plan and formulating effective strategies to build a sustainable consumer base. Future research can extend the model by adding more variables to understand relevant technology’s continuance usage intention. This paper is a unique contribution to the existing literature on FDA continuance intention on coronavirus emergency because no previous studies were undertaken to investigate Bangladeshi consumers. So, this is an original piece of work according to the best of the researchers’ knowledge

Blended Learning Experience during COVID-19 in Bangladesh: Rethinking the Barriers in the context of Higher Secondary Level Learners

The blended learning approach played a vital role to continue educational activities during COVID-19 pandemic in Bangladesh. The traditional face to face classroom teaching -learning system was totally disrupted during pandemic time. The educational activities were continued through different online platforms during pandemic time. Online instructions became popular and effective throughout the pandemic. Teaching -learning activities in different educational institutions in Bangladesh experiences manifold barriers at that time. The present paper aimed at rethinking the barriers of blended learning approach during COVID-19 in HSC level learners of Bangladesh. Randomly selected 360 respondents have been surveyed through a semi-structured survey questionnaire. This paper revealed that blended learning approach faced the problem of poor internet connection, challenge in two way communication, financial constraint, difficulties in presenting online presentation, submitting assignment, lack of experience regarding activity through internet, online group works, online apathy, fear in using internet, noisy environment etc. Finally, this study proposed some recommendations to overcome the barriers of blended learning approach in new normal situation in Bangladesh perspective.

Performance of chest X-ray scoring in predicting disease severity and outcomes of patients hospitalised with COVID-19 in Bangladesh.

Evaluation of potential outcomes of COVID-19-affected pneumonia patients using computed tomography scans may not be conceivable in low-resource settings. Thus, we aimed to evaluate the performance of chest X-ray scoring in predicting the disease severity and outcomes of adults hospitalised with COVID-19. This was a retrospective chart analysis consuming data from COVID-19-positive adults who had chest X-ray availability and were admitted to a temporary COVID unit, in Bangladesh from 23rd April 2020 to 15th November 2021. At least one clinical intensivist and one radiologist combinedly reviewed each admission chest X-ray for the different lung findings. Chest X-ray scoring varied from 0 to 8, depending on the area of lung involvement with 0 indicating no involvement and 8 indicating ⩾75% involvement of both lungs. The receiver operating characteristic curve was used to determine the optimum chest X-ray cut-off score for predicting the fatal outcomes. A total of 218 (82.9%) out of 263 COVID-19-affected adults were included in the study. The receiver operating characteristic curve demonstrated the optimum cut-off as ⩾3 and ⩾5 for disease severity and death, respectively. In multivariate logistic regression analysis, a chest X-ray score of ⩾3 was found to be independently associated with disease severity (aOR: 8.70; 95% CI: 3.82, 19.58, p < 0.001) and a score of ⩾5 with death (aOR: 16.53; 95% CI: 4.74, 57.60, p < 0.001) after adjusting age, sex, antibiotic usage before admission, history of fever, cough, diabetes mellitus, hypertension, total leukocytes count and C-reactive protein. Using chest X-ray scoring derived cut-off at admission might help to identify the COVID-19-affected adults who are at risk of severe disease and mortality. This may help to initiate early and aggressive management of such patients, thereby reducing their fatal outcomes.

Determinants of the Effect of COVID-19 in Bangladesh: Binary Logistic Regression Analysis Based on an Online Survey

Determinants of the Effect of COVID-19 in Bangladesh: Binary Logistic Regression Analysis Based on an Online Survey

Demography, Clinical Profile and Outcome of COVID-19 Patients in the east-southern region of Bangladesh

Introduction: In Bangladesh, the first confirmed case of COVID-19 was detected on March 8 2020, about 3 months after the initial outbreak in late December 2019 in Wuhan, China. Both affected cases and deaths have increased exponentially during this global pandemic. Demographic and clinical data on COVID-19 in Bangladesh is still deficient. Our study aims to evaluate the demographic, clinical profile and outcome of COVID-19 Patients in the east-southern region of Bangladesh. Methodology: It was a cross sectional study. All RT-PCRpositive patients who tested in the RT-PCR lab of Comilla Medical College on 10 days of each month from July to December 2020 were included in this study. Ten days in each month were selected by lottery. After getting the verbal consent, selected patients were interviewed over the telephone by the investigator team, and their information was recorded accordingly in a preformed data sheet. Results: A total of 606 COVID-19 RT-PCR-positive patients were interviewed. The mean age was 40.39 ± 15.42 years; 62.8% were male, and 17.3% of patients had positive contact history with COVID-19 patients. Predominant presenting symptoms were fever (71.8%), cough (41.3%), breathlessness (22.8%), fatigue (18.3%), anorexia (26%) and diarrhea (4.1%). Hypertension (13.1%), diabetes mellitus (16.1%), ischemic heart disease (IHD) (2.8%) and chronic kidney disease (CKD) (0.4%) were frequent comorbidities. 72% of the patients were mild, 16% moderate , 7% severe, and 5% critically ill. 78% took home treatment and 5% were in ICU. 97.2% recovered and 2.8% died. Older age (p= 0.001), male sex (p= 0.007), smoking (p= 0.001), breathlessness (p=0.001) and presence of comorbidities (p= &lt; 0.05) were significantly associated with mortality. 33.8% had post- COVID symptoms, including fatigue 26.7% and shortness of breath 13.2%. Conclusion: Younger age groups were more affected than older age groups. Majority of the patients did not have a history of contact with COVID-19 patients. Most of the patients had mild symptoms. About one fourth were hospitalized, among them 5% got treatment in ICU. Most of the patients recovered, and 2.8% died. Death was more common in patients with multiple comorbidities. One third of recovered patients had post-COVID symptoms. J Bangladesh Coll Phys Surg 2023; 41(4): 298-304

The impact of COVID-19 on hepatitis B and C virus prevention, diagnosis, and treatment in Bangladesh compared with Japan and the global perspective

AimThis study aimed to assess the effect of COVID-19 on hepatitis-related services in Bangladesh and compared the situation with same study conducted in Japan and globally.MethodsWe conducted an online cross-sectional questionnaire survey among the clinicians of four societies associated with liver disease in Bangladesh from October to December 2022. The questionnaire included the same questions as a survey conducted in Japan and globally.ResultsA total of 83 clinicians from 8 divisions in Bangladesh participated; 66.3% were heads of departments/institutions. Except for HCV treatment initiation, more than 30% of clinicians reported a 76–99% decline in all services. Compared to Japan and the global survey, there was a significantly higher decline in all HBV and HCV services in Bangladesh. To resume services back to pre-COVID-19 levels, Patient anxiety and fear (Bangladesh Survey: 80.7% vs Japan Survey: 67.4% vs Global Survey: 37.9%, p < 0.0001), loss of space due to COVID-19 (Bangladesh Survey: 63.9% vs Japan Survey: 34.7% vs Global Survey: 19.4%, p < 0.0001) were the main challenges. As part of the mitigation strategy, usage of telemedicine (Bangladesh Survey: 83.1% vs. Japan Survey: 67.3% vs Global Survey: 78.6% p < 0.0001), COVID-19 benefits, such as increased laboratory testing platforms (Bangladesh Survey: 77.1% vs Japan Survey: 17.9% vs Global Survey: 41.8%, p < 0.0001) was reported significantly higher in Bangladesh than in Japan and global survey.ConclusionAll the services-related to HBV and HCV were highly affected during greatest impact month of COVID-19 in Bangladesh and the decline level was higher than Japan and global survey. Repeated countermeasures of COVID-19 and constrained healthcare-system were the probable reasons in Bangladesh. Positive impact resulting from COVID-19 countermeasures should be utilized in the national hepatitis program in Bangladesh.

Support and Barrier of Online Occupational Therapy Education During Covid-19 in Bangladesh: A Cross Sectional Study

The novel Coronavirus (COVID-19) pandemic has imposed significant challenges on medical education worldwide. During the pandemic in Bangladesh, Occupational Therapy students were participated in their class through online. The study aimed to identify support and barrier of online Occupational Therapy education during COVID-19 in Bangladesh.&#x0D; A cross-sectional online survey was performed to conduct the study through email. Self-developed structured questionnaire were used for data collection. Descriptive analyses were used to analyze survey results.&#x0D; Data were obtained from 112 responses where males were 34% and females were 66%. The study found that 75 (67%) participants had own devices and 37 (33%) participants responded that they were borrow the device from others during online study. Result revealed that students got support from the institution likes 80.4% (90) participants responded that they got regular online classes, 31.2% (35) said that teachers were supportive, 17.9% (20) participants responded that they got both review class and installment facilities. In family site 100.0% (112) Participant responded that they got internet support, 49.10% (55) quite space, 42.0% (47) care and 33.0% (37) got device support and encouragement. Online education barriers from the family found that 59.80% (67) participants responded that they had no family barrier, whereas 17.0% (19) faced financial barriers, 6.2% (7) internet connectivity, and a lack of parent’s knowledge about online education. On the other hand, 63.4% (71) of the participants responded that they had not faced any institutional barriers whereas 16.1% (18) participants have faced internet problems and 10.7% (12) practical class.&#x0D; Participants recommended that necessary steps should be taken to improve internet speed and provide free internet package and lecture method up-gradation for future online education program.

Role of E-Governance amid the Pandemic in Providing Healthcare, Education, and Social Services (HESS) in Bangladesh

COVID-19 has imposed a severe impact on health, economics, society, trade &amp; commerce, administration, and all aspects of human existence. In this regard, digital governance, i.e., electronic governance (e-governance), is now playing a significant role in tackling the drastic effects of COVID-19 in Bangladesh. E-governance refers to the process of using information and communication technology in the field of delivering public services. The principal aim of this study was to figure out what role e-governance plays in health, education, and social services (HESS) in Bangladesh during the pandemic. This research, in precise, focused on the impact of e-governance on the government's decision-making, emergency health care management, education management, and social welfare in Bangladesh during the COVID-19 pandemic. The study was done using a qualitative method. The findings of the study reveal the significant implications of e-governance in the management of health issues, education issues, and social issues during the pandemic. In particular, the findings of the study demonstrate the contribution of electronic learning, telemedicine, one-stop service centers, and emergency helpline services (999) in terms of addressing the devastating effects of the pandemic in Bangladesh. Moreover, the study incorporated both practical and managerial contributions. As a result, the authors believe that this study's contribution is crucial and practical for determining what the actual effects of e-governance were in Bangladesh during the pandemic.

Exploring media consumption and mental health among young adults during the second wave of COVID-19 in Bangladesh

BackgroundThis study examined the association between media exposure and mental health during the second wave of lockdown among the general population of Bangladesh. MethodsA total of 449 adult participants were enrolled in the study to evaluate their levels of exposure to total media, electronic media, and social media. Mental health was assessed using a 7-item generalized anxiety disorder (GAD-7) scale. A multivariate logistic regression model was constructed to explore the relationships between media exposure levels and anxiety. The models included covariates such as sex, daily working hours, health problems, media distraction, and income from social media. ResultsThe results showed that 44.5%, 39.2%, and 16.3% of participants reported low, medium, and high levels of exposure to different media during the COVID-19 period, respectively. Additionally, 96.4%, 2.7%, and 0.9% of participants had low, medium, and high levels of exposure to electronic media, respectively, and 89.1%, 10.5%, and 0.4% of participants had low, medium, and high levels of exposure to social media, respectively. The overall prevalence of anxiety was 25.38% among the respondents. Participants with high levels of total media exposure were significantly more likely to experience anxiety, with an odds ratio of 2.75 (95% CI = 1.40–5.14, p < 0.01). Females were 2.26 times more likely to experience anxiety than males (95% CI = 1.37–3.74, p < 0.01), and participants with health problems were also more likely to develop anxiety compared to those who did not. ConclusionOur results show a positive relationship between increased media exposure and anxiety levels, providing useful insights for both academics and public health practitioners.

Clinical manifestations and outcomes of COVID-19 in maintenance hemodialysis patients of a high infectious epidemic country: a prospective cross-sectional study.

The outbreak of COVID-19 poses great challenges for patients on maintenance haemodialysis. Here, we reported the clinical characteristics and laboratory features of maintenance haemodialysis (MHD) patients with COVID-19 in Bangladesh. Altogether, 67 MHD patients were enroled in the study from two dedicated tertiary-level hospitals for COVID-19 after the prospective cross-sectional execution of selection criteria. Data were collected from medical records and interviews. Different statistical analysis was carried out in the data analysis. The mean age was 55.0±9.9 years, with 40 males (59.7%). The mean dialysis duration was 23.4±11.5 months. The most common symptoms were fever (82.1%), cough (53.7%), and shortness of breath (55.2%), while the common comorbid condition was hypertension (98.5%), followed by diabetes (56.7%). Among MHD patients, 52.2% to 79.1% suffered from severe to critical COVID-19, 48 patients (71.6%) had 26-75% lung involvement on high resolution computed tomography of the chest, 23 patients (34.3%) did not survive, 20 patients (29.9%) were admitted to ICU, and nine patients (13.4%) needed mechanical ventilation. Patients who did not survive were significantly older (mean age: 63.0 vs. 50.86 years, P=0.0001), had significantly higher cardiovascular risk factors (69.6% vs. 43.2%, P=0.04), severe shortness of breath (82.6% vs. 40.9%, P=0.0001), and longer hospital stays (mean days: 17.9 vs. 13.0, P=0,0001) compared to the survivor group. The white blood cell count, C-reactive protein, lactate dehydrogenase, pro-calcitonin, and thrombocytopenia were significantly (P<0.0001) higher, while the albumin level was significantly lower (P=0.0001) in non-survivor compared to patients who survived. Maintenance haemodialysis patients had severe to critical COVID-19 and had a higher risk of non-survival if they were older and had comorbidities such as hypertension and diabetes. Therefore, MHD patients with COVID-19 need close monitoring to improve their outcomes.

Individual-level preventive measures during the first wave of COVID-19 pandemic among Bangladeshi residents

COVID-19 causes mild to severe respiratory illness in humans. Government and non-government authorities along with telecommunication, print and electronic media undertook extensive advertising campaign regarding protective measures against COVID-19 to raise the public awareness. Therefore, this web-based cross-sectional study was conducted to evaluate peoples' responses towards COVID-19 during the first wave of COVID-19 in Bangladesh. We performed univariate and multivariate analyses to estimate the association between demographic characteristics, awareness, and individual preventive measures. The overall awareness level of the majority of the respondents (89%, n=920) was good, but the overall score for individual-level preventive measures during lockdown was poor to moderate. The relation between a good level of awareness and a higher level of educational status was found statistically significant (aOR 5.87, 95% CI: 1.58-21.86). Service holders were two times more likely to follow COVID-19 prevention practices than students (aOR 2.08, 95% CI: 1.24-3.51). Despite having adequate knowledge on awareness, many respondents were reluctant to follow preventive measures during the lockdown. The outcomes of this study highlight the requirement for stringent execution of preventative measures by law enforcement agencies to stop the transmission of the COVID-19 virus.

Study on the Aftermath of Natural Ways to Cure COVID-19 in Bangladesh

COVID-19, caused by SARS-CoV-2, expanded worldwide because of its easier transmission process, which emerged as respiratory infections, multi-organ disorders, and asymptomatic effects. Though several vaccines have been invented to prevent the virus affection, still lots of people are affecting from mild to severe Covid. In this study, we mainly focus on the natural ways that helped the patients to cure COVID-19 in the recent post-covid scenario. Our goal is to find the effectiveness of protein-rich foods and physical activities that may reduce the risks and boost immunity to fight off SARS-CoV-2. This study was conducted in Bangladesh and data was collected from 208 cured people through face-to-face interviews, phone calls, and social media. It was found that protein-rich foods such as sea fish, river fishes, pigeon meat, lemon, ceevit, and physical activities such as walking, jogging, and pushing up were associated with a lower recovery period. Males has the higher recovery period after being cured than females.