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Handling Distrust on Risk Communication in Nigeria: A Strategy to Strengthening the COVID-19 Outbreak Response

Published online by Cambridge University Press:  26 July 2021

Olayinka Stephen Ilesanmi ,
Priscilla Onaopemipo Akosile ,
Aanuoluwapo Adeyimika Afolabi Open the ORCID record for Aanuoluwapo Adeyimika Afolabi [Opens in a new window]  and
Victor Okoliko Ukwenya
Olayinka Stephen Ilesanmi
Affiliation:
Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
Priscilla Onaopemipo Akosile
Affiliation:
Synergycare Development Initiative, Yenagoa, Bayelsa State, Nigeria
Aanuoluwapo Adeyimika Afolabi*
Affiliation:
Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
Victor Okoliko Ukwenya
Affiliation:
Department of Human Anatomy, School of Health Technology, Federal University of Technology, Akure, Ondo State, Nigeria
*
Corresponding author: Aanuoluwapo Adeyimika Afolabi, Email: afoannade@gmsil.com.
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Abstract

Background:

This study aimed to assess the level of trust in the Coronavirus disease 2019 (COVID-19) risk communication efforts in Nigeria.

Methods:

We conducted a descriptive cross-sectional study among community members aged 15 years and above in Ondo State in October, 2020. Data were collected using an interviewer-administered questionnaire, and analyzed using SPSS version 22. Descriptive statistics were summarized using frequencies. Trust was ranked from “1” suggesting “Low level of trust” to “7” denoting “High level of trust”. We conducted Chi-square test between respondents’ level of trust in the Nigeria Centre for Disease Control (NCDC) and socio-demographic characteristics. The level of significance was set at p < 0.05.

Results:

Among the 691 respondents, 244 (35.3%) were aged 21 to 29 years, and 304 (51.4%) accessed COVID-19 information through the NCDC. Overall, 205 (41.8%) had high level of trust in the NCDC, and 51 (51.5%) individuals aged 30-39 years had high level of trust in the NCDC (χ2 = 17.455; p = 0.001). Also, 114 (48.5%) persons who lived with children below 18 years had high level of trust in the NCDC (χ2 = 8.266; p = 0.004).

Conclusion:

Policy-makers should prioritize the involvement of young and educated persons in COVID-19 risk communication strategies.

Keywords

COVID-19coronavirusdistrustrisk communicationNigeria
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e27
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Gu, S, Chen, Y, Wu, Z, et al. Alterations of the gut microbiota in patients with coronavirus disease 2019 or H1N1 influenza. Clin Infect Dis. 2020;20(71):2669-2778.CrossRefGoogle Scholar
World Health Organization. Novel coronavirus – China. https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/. Accessed March 12, 2021.Google Scholar
Afolabi, AA, Ilesanmi, OS. Dealing with vaccine hesitancy in Africa: the prospective COVID-19 vaccine context. Pan Afr Med J. 2021;38:3.CrossRefGoogle ScholarPubMed
World Health Organization. Coronavirus disease 2019 (COVID-19) situation report – 59. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200319-sitrep-59-covid-19.pdf?sfvrsn=c3dcdef9_2. Accessed February 12, 2021.Google Scholar
World Health Organization. Coronavirus disease (COVID-19) (2020). https://covid19.who.int/. Accessed February 20, 2021.Google Scholar
Ilesanmi, O, Afolabi, A, Fakayode, O, et al. Assessment of training of community pharmacists towards the prevention of COVID-19 in a north central state of Nigeria. J Pharm Care. 2020;8(4):164-169.Google Scholar
Ilesanmi, OS, Afolabi, AA. Reopening of educational institutions amid the COVID-19 outbreak: Nigeria’s preparation for the mitigation of school-associated COVID-19 risks. Ann Ibadan Postgrad Med. 2021;19:S39-S40.Google ScholarPubMed
Dixit, S, Ogundeji, YK, Onwujekwe, O. How well has Nigeria responded to COVID-19? https://www.brookings.edu/blog/future-development/2020/07/02/how-well-has-nigeria-responded-covid-19/. Accessed March 10, 2021.Google Scholar
World Health Organization. General information on risk communication. https://www.who.int/risk-communication/background/en/. Accessed March 29, 2020.Google Scholar
Bouckaert, G, van de Walle, S. Comparing measures of citizen trust and user satisfaction as indicators of ‘good governance’: difficulties in linking trust and satisfaction indicators. Int Rev Adm Sci. 2003;69:329.Google Scholar
Lalot, F, Heering, MS, Rullo, M, et al. The dangers of distrustful complacency: low concern and low political trust combine to undermine compliance with governmental restrictions in the emerging COVID-19 pandemic. Group Process Intergroup Relat. 2020. doi: 10.1177/1368430220967986 CrossRefGoogle Scholar
Jegede, AS. What led to the Nigerian boycott of the polio vaccination campaign? PLoS Med. 2007;4(3):e73.CrossRefGoogle Scholar
Ilesanmi, OS, Afolabi, AA, Uchendu, O. The prospective COVID-19 vaccine: willingness to pay and perception of community members in Ibadan, Nigeria. PeerJ. 2021;9:e11153.CrossRefGoogle ScholarPubMed
Vinck, P, Pham, PN, Bindu, KK, et al. Institutional trust and misinformation in the response to the 2018–19 Ebola outbreak in North Kivu, DR Congo: a population-based survey. Lancet Infect Dis. 2019;19(5):529-536.CrossRefGoogle Scholar
Richardson, ET, McGinnis, T, Frankfurter, R. Ebola and the narrative of mistrust. BMJ Global Health. 2019;4:e001932.CrossRefGoogle ScholarPubMed
Voice of America. Editorials. 11/4/03 – Nigeria’s polio crisis - 2003-11-05. https://editorials.voa.gov/a/a-41-a-2003-11-05-10-1-83094342/1477850.html. Accessed 12 March 2021.Google Scholar
Britannica. Ondo state, Nigeria. https://www.britannica.com/place/Ondo-state-Nigeria. Accessed March 12, 2021.Google Scholar
Nigeria Centre for Disease Control. 2021. COVID-19 Nigeria. https://covid19.ncdc.gov.ng/. Accessed March 12, 2021.Google Scholar
Israel, GD. Determining sample size. https://www.tarleton.edu/academicassessment/documents/Samplesize.pdf. Accessed March 12, 2021.Google Scholar
World Health Organization. COVID-19 Facilitator guide (2020). https://www.mohfw.gov.in/pdf/FacilitatorGuideCOVID19_27%20March.pdf. Accessed May 15, 2021.Google Scholar
IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp; 2013.Google Scholar
Kowitt, SD, Schimdt, AM, Hannan, A, et al. Awareness and trust of the FDA and CDC: results from a national sample of US adults and adolescents. PLoS One. 2017;12(5):e0177546.CrossRefGoogle ScholarPubMed
Brown, J. Bowen family systems theory and practice: illustration and critique. Aust NZ J Fam Ther. 1999;20:94-103.CrossRefGoogle Scholar
Ha Wong, JY, Wai, AKC, Zhao, S, et al. Association of individual health literacy with preventive behaviors and family well-being during COVID-19 pandemic: mediating role of family information sharing. Int J Environ Res Public Health. 2020;17(8838).CrossRefGoogle Scholar
Nivette, A, Ribeaud, D, Murray, A, et al. Non-compliance with COVID-19-related public health measures among young adults in Switzerland: insights from a longitudinal cohort study. Soc Sci Med. 2020;268:113370.CrossRefGoogle ScholarPubMed
National Population Commission (NPC) [Nigeria] and ICF. 2018 Nigeria DHS key findings. Abuja, Nigeria and Rockville, Maryland: NPC and ICF; 2019.Google Scholar
Blair, RA, Morse, BS, Tsai, LL. Public health and public trust: survey evidence from the Ebola virus disease epidemic in Liberia. Soc Sci Med. 2017;172:89-97.CrossRefGoogle ScholarPubMed
Brewer, NT, Chapman, GB, Rothman, AJ, et al. Increasing vaccination: putting psychological science into action. Psychol Sci Public Interest. 2017;18(3):149-207.CrossRefGoogle ScholarPubMed
Tillemann, T. Building trust in the time of COVID-19. https://thehill.com/opinion/technology/486008-building-trust-in-a-time-of-covid-19. Accessed March 12, 2021.Google Scholar
Sanni, T. Revisiting Nigeria’s social contract. https://www.vanguardngr.com/2020/03/revisiting-nigerias-social-contract/. Accessed March 12, 2021.Google Scholar
Charron, N, Rothstein, B. Does education lead to higher generalized trust? The importance of quality of government. Int J Educ Dev. 2016;50:59-73.CrossRefGoogle Scholar
Gidado, S, Oladimeji, AM, Roberts, AA, et al. Public knowledge, perception and source of information on Ebola virus disease - Lagos, Nigeria. PLoS Curr. 2015;7:ecurrents.outbreaks.0b805cac244d700a47d6a3713ef2d6db.Google ScholarPubMed
Winters, M, Jalloh, MF, Sengeh, P, et al. Risk communication and Ebola-specific knowledge and behavior during 2014–2015 outbreak, Sierra Leone. Emerg Infect Dis. 2018;24(2):336-344.CrossRefGoogle ScholarPubMed