Background The past three years have seen an increasing gap in health inequalities in Nigeria’s health systems, with many women having trouble accessing health care due to persistent social determinants of health. Studies indicate that the amplified impact of the pandemic is due to the lack of contextual focus on response plans. This study used an interpretive phenomenological analysis to analyze women’s experiences with healthcare as the pandemic progressed in Nigeria. Methods Semi-structured interviews were conducted between August to November 2022. It was supplemented with three focus group discussions with mothers. The mothers were purposively recruited for their experiences with health care during the pandemic. The analysis of the interviews followed the interpretive phenomenological analysis approach. Results Twenty-four women aged 15 to 49 years with children between 0 and 5 years participated in this study. These women reported mixed experiences during the pandemic, with many attributing positive health behaviours to the pandemic. Following analysis, four themes emerged: i) Influence of diversity of Healthcare Practices and Beliefs on health-seeking behaviour; ii) Unpacking Systemic Barriers to Seeking Timely and Appropriate Health Care Services; iii) Women’s fear of contracting COVID-19; iv) Socioeconomic Burden for Holistic Health Care Delivery. Conclusion Health planners must examine contextual factors that drive health usage, especially potentially changing gender dynamics ahead of the next pandemic. This paper examined women’s decision to seek or not seek care, the type of care they received, and where they went for care. Women felt that the pandemic affected their decision to seek or not seek care. However, while they learned new behaviours that are now integrated into their daily lives, they also indicate that some behaviours are habitual and have persisted through the pandemic.
Globally, there continues to be a surge in infectious disease outbreaks. While old diseases are re-emerging, new ones are also emerging. This speed of emergence and re-emergence is accelerated by human development, changes in demographics, population, and the environment. We continue to see new patterns of disease infections from their natural hosts to humans, with pathogens now travelling beyond traditional vector areas and spreading to previously unaffected environments. Lessons from Ebola tell us that women and children will be disproportionately affected by infectious disease outbreaks. A mother’s health-seeking behaviour has direct implications for the health of her children and the entire family. The way women reach health decisions could be the deciding factor in whether they or their children live. The broad objective of this review of the literature is to explore, identify, and map gaps in the literature on factors resulting from infectious diseases outbreak that could impact women’s health care decision-making. The review will compare health-seeking behaviour in sub-Sahara Africa during outbreak and non-outbreak periods, to generate a comparative analysis of the health behaviour of women of reproductive age and factors impacting on their health-seeking behaviour when there is an outbreak versus no outbreak. It is anticipated to be of interest to sub-Saharan Africa governments, national and international policymakers, and researchers, seeking to expand their attention to mothers and their children’s needs in emergency preparedness.
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