Exploring the Barriers in Maintaining the Health Guidelines Amid the COVID-19 Pandemic: A Qualitative Study Approach.

Due to the Irretrievable impacts of the COVID-19 pandemic on society, this study aimed to analyze the barriers and reasons for the Iranian people's implementation of public health measures during the COVID-19 pandemic in 2021. The study explores the barriers and reasons for non-compliance by Iranian people in following and maintaining the health guidelines to combat the spread of the coronavirus in 2021. This research is qualitative and recorded participants' feedback from the Ardabil province of Iran. The study used a purposeful sampling method and lasted from April to May 2021 to collect the data through semi-structured interviews with 45 participants based on their gender, education, employment status, and marital status. The researchers analyzed the qualitative content until the required data-target through interviews implementation. This study incorporated MAXQDA version 10 to analyze the data and followed Goba and Lincoln's criteria to ensure quality research results. After analyzing the data, two main categories (internal and external barriers) and seven subcategories were obtained. The internal barriers exhibited further classified subcategories, such as mental, belief, and awareness barriers. The results indicated that external barriers included social, political, managerial, and economic barriers. The study results designated that a set of internal and external factors might cause individuals' non-compliance with health guidelines and standard SOPs in the advent of the pandemic COVID-19. Recognition of such factors, identified following the social, cultural, and political context and individuals' characteristics during the COVID-19 outbreak, can be used effectively to plan educational and management programs. As a result, elimination and eradication of obstacles and the relevant dimensions may facilitate disease control. Moreover, the high prevalence and spread of the disease can be managed by reducing the influence of factors preventing proper health behaviors.