Digital and Physical Social Exclusion of Older People in Rural Nigeria in the Time of COVID-19

Ekoh, Prince Chiagozie; George, Elizabeth Onyedikachi; Ezulike, Chigozie Donatus

doi:10.1080/01634372.2021.1907496

Cited by 34 publications

(46 citation statements)

References 31 publications

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“…Investigations into how pandemic information and knowledge arrive at, and are interpreted by, the community were achieved through enquiring into the perceptions and understandings of COVID-19 [59,63,65,66,68,72,76,78,81]. Information access and its effect on perception and experience were linked to education and geography, with educated, urban, younger populations having better access to technology and social media [64,65], yet the perceived or reported reliability of information sources was not described in depth. Rural, low-income populations were associated with lower literacy rates and poorer access to health information sources [65].…”

Section: Resultsmentioning

confidence: 99%

“…Kwaghe et al described the accommodations for interviewing that were put in place for one participant who was in quarantine isolation at the time of the interview, shifting to a telephone interview rather than conducting it face-to-face, like the other respondents [68]. Amir and Ekoh et al also referred to abiding by standard COVID-19 regulations in their Methods sections [60,64], while Samuelsen and Toé denoted adjustments in travel and the use of local field assistants during strict lockdowns [76]. Sumesh et al also included a sub-section on future considerations for changes to interview methods, to accommodate qualitative data collection during pandemic conditions [80].…”

Section: Discussionmentioning

confidence: 99%

“…Most studies in this review observed the psychosocial and economic impacts of the COVID-19 pandemic in LMIC communities around the world [57][58][59][60]63,64,[66][67][68]71,78,80]. The public health literature on pandemics and epidemics of infectious origin is rife with accounts of how these catastrophic disruptions to ordinary life are met by disarray and uncertainty, spawning fear and heightened anxiety [19,20] and often resulting in marginalization and stigma, as communities grapple with unknowns and avoid risks [8,[100][101][102][103][104].…”

Section: Social and Psychological Effectsmentioning

confidence: 99%

“…Elderly Nigerians, in the wake of bans on religious gatherings (weddings, births, deaths), lamented the lack of a spiritual buffer as afforded by the rituals of collective prayer: "I can't even go to church to pray to God so that he will protect us from all these things. The whole world is paying for their sins" [64].…”

Section: Impacts Of Social and Mobility Restrictionsmentioning

confidence: 99%

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Community-Level Experiences, Understandings, and Responses to COVID-19 in Low- and Middle-Income Countries: A Systematic Review of Qualitative and Ethnographic Studies

Raymond

Ward

2021

IJERPH

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(1) Background: COVID-19 disruptions offer researchers insight into how pandemics are at once biological and social threats, as communities struggle to construct meaning from novel challenges to their ontological status quo. Multiple epistemes, in which public health imperatives confront and negotiate locally derived knowledge and traditions, vie for legitimacy and agency, resulting in new cultural forms. (2) Methods: To investigate the context and construction of community responses, a systematic review of qualitative literature was conducted with the aim of evaluating those insights provided by empirical, social field research in low- and middle-income countries since the onset of COVID-19. Six scholarly databases were searched for empirical, qualitative, field-based, or participatory research that was published in peer-reviewed journals between December 2019 and August 2021. (3) Results: Twenty-five studies were selected for data extraction, following critical appraisal for methodological rigor by two independent reviewers, and were then analyzed thematically. Faced with unprecedented social ruptures, restrictions in social and physical mobility, and ever-looming uncertainties of infection, financial insecurity, stigma, and loss, communities worldwide reacted in multiple and complex ways. Pervasive misinformation and fear of social rejection resulted in noncompliance with pandemic sanctions, resistance, and increased isolation, allowing the spread of the disease. The meaning of, and understandings about, COVID-19 were constructed using traditional, religious, and biomedical epistemologies, which were occasionally in conflict with each other. Innovations and adaptations, through syntheses of traditional and biomedical discourses and practice, illustrated community resilience and provided models for successful engagement to improve public health outcomes. (4) Conclusion: Local context and community engagement were indispensable considerations when enacting effective public health interventions to meet the challenges of the pandemic.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Social and Psychological Effectsmentioning

confidence: 99%

Section: Impacts Of Social and Mobility Restrictionsmentioning

confidence: 99%

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Community-Level Experiences, Understandings, and Responses to COVID-19 in Low- and Middle-Income Countries: A Systematic Review of Qualitative and Ethnographic Studies

Raymond

Ward

2021

IJERPH

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“…Social support from family and friends may also become even more limited as the movement restrictions and economic hardship increase, and this is more difficult in Nigeria where family and friends are the major sources of care and support for older persons (Agbawodikeizu et al, 2021;Ekoh et al, 2020;Ekoh et al, 2021;Oginyi et al, 2017;Olanrewaju et al, 2018;Ebimgbo et al, 2019). Family members of older persons in displacement may not be able to visit and spend time with them, causing the older persons to feel isolated.…”

Section: Introductionmentioning

confidence: 99%

More invisible and vulnerable: the impact of COVID-19 on older persons in displacement in Durumi IDP camp Abuja, Nigeria

Ekoh

Agbawodikeizu

George

et al. 2021

QAOA

Self Cite

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Purpose The novel coronavirus disease (COVID-19) pandemic has further intensified the vulnerability of older persons in displacement and rendered them more unseen. This study aims at exploring the impact of COVID-19 on older people in displacement. Design/methodology/approach Data were obtained using semi-structured interviews from 12 older persons at Durumi IDP camp Abuja, while observing strict infection control measures. The data were inductively coded with Nvivo and analysed thematically. Findings Findings revealed that the economic and psychosocial fallout of the COVID-19 pandemic has increased older persons in displacement poverty, psychological stress and placed them at risk of ageism, social isolation and may subsequently lead to secondary displacement, thereby losing all progress, development and resilience built after initial displacement. Social implications This paper concluded by encouraging the need for all stakeholders to pay more attention to this invisible yet vulnerable group to ensure no one is left behind as people fight through this pandemic and its social implications. Originality/value To the best of the authors’ knowledge, this study is the first to explore the impact of COVID-19 on older people in displacement in Nigeria. This is because they have been relatively invisible to research endeavours.

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Barriers and Facilitators to Technology Among Older Adults During COVID-19 Pandemic: A Systematic Review Using Thematic Analysis

Keohane

Swarbrick

Helal

2022

Lecture Notes in Computer Science

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Digital and Physical Social Exclusion of Older People in Rural Nigeria in the Time of COVID-19

Cited by 34 publications

References 31 publications

Community-Level Experiences, Understandings, and Responses to COVID-19 in Low- and Middle-Income Countries: A Systematic Review of Qualitative and Ethnographic Studies

Community-Level Experiences, Understandings, and Responses to COVID-19 in Low- and Middle-Income Countries: A Systematic Review of Qualitative and Ethnographic Studies

More invisible and vulnerable: the impact of COVID-19 on older persons in displacement in Durumi IDP camp Abuja, Nigeria

Barriers and Facilitators to Technology Among Older Adults During COVID-19 Pandemic: A Systematic Review Using Thematic Analysis

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