Community engagement in COVID-19 responses: Evidence from qualitative interface with community opinion leaders in Enugu, Nigeria

Prince Agwu, C. Ugwu, Chidera Florence Eke, Fhi, Uyo Nigeria AHNi
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引用次数: 3

Abstract

Successful stories of community engagement existed during the Ebola disease outbreak in Liberia, indicating that a combination of government and community efforts are needed in addressing pandemics or epidemics. However, for communities to rise to the challenge of containing and combatting the spread of any disease, they must be communicated most effectively and supported by the government. Therefore, our study investigates how applicable successful community engagement has been in the charge against the Coronavirus disease 2019 (COVID-19) in Nigeria. Through telephone interviews, we sourced data from 12 community opinion leaders in Enugu State, Nigeria. After conducting a thematic analysis of responses, we discovered that the Nigerian government had several gaps in engaging the grassroots in the charge against COVID-19. These gaps comprise the lack of effective inclusion strategies of rural communities and the uneducated, weak accountability, poor database of citizens, weak accountability of security agents, weak primary healthcare system, and the dearth of grassroots-targeted communication. The effects of these gaps majorly manifested in the compromise and disregard of safety measures, which most likely put Nigeria at risk of increased cases of COVID-19 or poor response to disease outbreaks in the future. We concluded that the government must improve its accountability records while effectively interfacing with the grassroots during disease outbreaks and co-producing strategies.
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社区参与COVID-19应对:来自尼日利亚埃努古社区意见领袖定性界面的证据
利比里亚埃博拉疫情爆发期间存在社区参与的成功案例,这表明在应对大流行病或流行病方面需要政府和社区共同努力。然而,社区要迎接遏制和抗击任何疾病传播的挑战,就必须最有效地与他们沟通,并得到政府的支持。因此,我们的研究调查了成功的社区参与在尼日利亚应对2019冠状病毒病(COVID-19)方面的适用情况。通过电话采访,我们从尼日利亚埃努古州的12位社区意见领袖那里获得了数据。在对响应进行专题分析后,我们发现尼日利亚政府在让基层参与抗击COVID-19方面存在一些差距。这些差距包括缺乏针对农村社区和未受教育人群的有效包容战略、问责制薄弱、公民数据库薄弱、安全人员问责制薄弱、初级卫生保健系统薄弱以及缺乏针对基层的沟通。这些差距的影响主要表现在对安全措施的妥协和无视,这很可能使尼日利亚面临COVID-19病例增加或未来对疾病暴发反应不力的风险。我们的结论是,政府必须改善其问责记录,同时在疾病暴发和共同生产战略期间有效地与基层接触。
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12
审稿时长
12 weeks
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