Community engagement in COVID-19 responses: Evidence from qualitative interface with community opinion leaders in Enugu, Nigeria
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.
Abramowitz, S., McLean, K., McKune, S., Bardosh, K., Fallah, M., Monger, J., Tehoungue, K., & Omidian, P. (2015). Community-centered responses to Ebola in Urban Liberia: The view from below. PLoS Neglected Tropical Diseases, 9(4), 1-18.
ACAPS. (2020). COVID-19 in Nigeria: Vulnerabilities to COVID-19 and containment measures.
AFENET. (2020). Using community engagement for effective case isolation and contact tracing. http://afenet.net/index.php/news/news/757-using-community-engagement-for-effective-case-isolation-and-contact-tracing
Agwu, P. (2020). Coronavirus: Local community initiative is essential as we ease lockdowns in Nigeria.
Agwu, P., Okoye, U., Ekoh, P., Chukwu, N., Onalu, C., Igwe, I., Onuh, P., Amadi, G., & Nche, G. (2020). A systematic review of drivers and interventions against sex work migration in Edo State, Nigeria. International Journal of Sociology and Social Policy, 40 (7/8), 733-764. https://doi.org/10.1108/IJSSP-03-2020-0097
Barker, K., Ling, E., Fallah, M., VanDeBogert, B., Kodl, Y., Macauley, J., Viswanath, K., & Kruk, M. (2020). Community engagement for health system resilience: evidence from Liberia’s Ebola epidemic. Health Policy and Planning, 35(4), 416-423.
CLEEN foundation. (2020). COVID-19: People wear face masks to avoid harrassment by security agents. https://prnigeria.com/2020/07/05/covid-19-face-masks-cleen/
Creswell, J. W. (2013). Qualitative inquiry & research design: Choosing among the five approaches. SAGE Publications, Inc, Thousand Oaks, California
Dixit, S., Ogundeji, Y., & Onwujekwe, O. (2020). How well has Nigeria responded to COVID-19? https://brookings.edu/blog/future-development/2020/07/02/how-well-has-nigeria-responded-to-covid-19/
Ebenso, B., & Otu, A. (2020). Can Nigeria contain the COVID-19 outbreak using lessons from recent epidemics? The Lancet. https://doi.org/10.1016/S2214-109X(20)30101-7
European Centre for Disease Prevention and Control. (2020). COVID-19 situation update worldwide, as of 8 October 2020.
Enwereji, E., & Ezema, M. (2020). Addressing the challenges that affect COVID-19 prevention in the rural areas of Abia State, Nigeria. International Journal of Community Medicine and Public Health, 7(10), https://dx.doi.org/10.18203/2394-6040.ijcmph20204345
Kavanagh, M., Erondu, N., Tomori, O., Dzau, V., Okiro, E., Maleche, A., Aniebo, I., Rugege, U., Holmes, C., & Gostin, L. (2020). Access to lifesaving medical resources for African countries: COVID-19 testing and response, ethic, and politics. Lancet,
Kemp, S. (2020). Digital 2020: Nigeria. https://datareportal.com/reports/digital-2020-nigeria
National Commission for Mass Literacy, Adult and Non-formal Education. (2018). 38% of Nigerians are illiterates. https://www.vanguardngr.com/2018/12/38-of-nigerians-are-illiterates/
National Institutes of Health. (2011). Community engagement.
NCDC. (2020). COVID-19 in Nigeria. https://covid19.ncdc.gov.ng/
Nelson, E. (2020). Coronavirus in Nigeria: A case for community engagement.
Nnama-Okechukwu, C., Chukwu, N., & Nkechukwu, C. (2020). COVID-19 in Nigeria: Knowledge and compliance with preventive measures. Social Work in Public Health, 35(7), 590-602. https://doi.org/10.1080/19371918.2020.1806985
O’Mara-Eves, A., Brunton, G., Oliver, S., Kavanagh, J., Jamal, F., & Thomas, J. (2012). Community engagement in public health interventions to reduce health inequalities: mapping the evidence against policy objectives. The Lancet, 380(59),
O’Mara-Eves, A., Brunton, G., Oliver, S., Kavanagh, J., Jamal, F., & Thomas, J. (2015). The effectiveness of community engagement in public health interventions for disadvantaged groups: a meta-analysis. BMC Public Health, 15(129),
Ogbonna, A. (2018, February 6). Buhari declines assent to three bills passed by NASS. Vanguard. https://www.vanguardngr.com/2018/02/buhari-declinesassent-three-bills-passed-nass/
Ogundipe, S., & Olawale, G. (2020, October 9). COVID-19: Nigeria may record surge in cases–PTF. Vanguard.
Okwor, L. (2020, July 5). Enugu COVID-19 surge: It's time we took responsibility. https://www.msn.com/en-za/news/other/enugu-covid-19-surge-it-e2-80-99s-time-we-took-responsibility/ar-BB16lyHa
Onalu, C., Chukwu, N., & Okoye, U. (2020). COVID-19 response and social work education in Nigeria: matters arising. Social Work Education, 39(8), 1037-1047.
Onwujekwe, O., Orjiakor, C., & Agwu, P. (2020). Coronavirus: corruption in health care could get in the way of Nigeria’s response.
Onyishi, J., Ejike-Alieji, E., Ajaero, C., Mbaegbu, C., Ezeibe, C, Onyebueke, U., Mbah, P., & Nzeadibe, C. (2020). COVID-19 pandemic and informal urban governance in Africa: A political economy perspective. Journal of Asian and African Studies, 00(0), 1-25.
Padgett, D. K. (2008). Qualitative methods in social work research (2nd ed). California: Thousand Oaks.
Ramsbottom, A., O’Brien, E., Ciotti, L., & Takacs, J. (2017). Enablers and barriers to community engagement in public health emergency preparedness: A literature review. Journal of Community Health, 43(3), 1-9. https://link.springer.com/article/10.1007/s10900-017-0415-7
Statista. (2020). Social network user penetration in Nigeria from 2017-2025.
The Economic Times. (2020). Counter misinformation, superstition on coronavirus: PM to social workers. https://economictimes.indiatimes.com/news/politics-and-nation/counter-misinformation-superstition-on-coronavirus-pm-to-social-workers/articleshow/74893933.cms
Trading Economics. (2020). Nigeria–Access to electricity, rural (% of rural population). https://tradingeconomics.com/nigeria/access-to-electricity-rural-percent-of-rural-population-wb-data.html#:~:text=Access%20to%20electricity%2C%20rural%20(%25%20of%20rural%20population)%20in%20Nigeria,compiled%20from%20officially%20recognized%20sources
van Niekerk, L., Ongkeko, A., Hounsell, R., Msiska, B., Mathanga D., Mothe, J., Juban, N., Awor, P., & Balabanova, D. (2020). Crowdsourcing to identify social innovation initiatives in health in low- and middle-income countries. Infectious Diseases of Poverty, 9(138), https://doi.org/10.1186/s40249-020-00751-x
Zhu, J., & Cai, Y. (2020). Engaging the communities in Wuhan, China during the Covid-19 outbreak. Global Health Research and Policy, 5(35), https://doi.org/10.1186/s41256-020-00162-3
Agwu, Prince; Ugwu, Chinweoke Methodius; and Eke, Chidera Florence
Community engagement in COVID-19 responses: Evidence from qualitative interface with community opinion leaders in Enugu, Nigeria.
ASEAN Journal of Community Engagement, 4(2), 416-434.
Available at: https://doi.org/10.7454/ajce.v4i2.1115