'Better to die of disease than die of hunger': the experience of Igwes (traditional rulers) in the fight against the COVID-19 pandemic in rural South-east Nigeria

Abstract

Introduction: The COVID-19 pandemic has had serious health and socioeconomic impacts on people all over the world. It was expected that Africa would be the hardest hit; consequently, Nigeria and other African nations worked with non-government organisations to institute a framework for controlling the spread of the disease and the resultant economic woes. The measures, however, largely focused on urban centres, whereas the spread of the virus and the disease transcended imported urban cases to spread through the rural community. This study explored the experiences of traditional rulers, who are closest to rural people, in the fight against COVID-19. Methods: A qualitative research design was adopted and data were collected from eight Nigerian traditional rulers through interviews. The collected data were coded inductively using NVivo v12 and were then analysed thematically. Results: Findings showed that the traditional rulers adopted measures such as the use of town criers to raise awareness among rural people about COVID-19. Findings also revealed that the protection measures led to increased economic hardship for rural people in Nigeria. Doubt about the existence of the virus and widespread poverty were found to be the major hindrances in the fight against the pandemic. Conclusion: It is recommended that traditional rulers collaborate with the government to make free protective equipment available for poor rural people, and collaborate with youths and religious leaders to properly fight the 'infodemic' through continuous community education and awareness-raising.

Keywords

• COVID-19
• disease control
• infodemic
• Nigeria
• public health
• socioeconomic hardship