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Social Determinants of Covid‐19 Pandemic Control

Participatory Learnings From Everyday Experiences in Cape Town, South Africa

Bibliographic Data

ID19507705
AuthorsFrederick Marais (0000-0001-8408-4982, Health through Physical Activity, Lifestyle and Sport (HPALS) Research Centre, Sports Science Institute of South Africa University of Cape Town (UCT) Cape Town South Africa), Erna Louisa Prinsloo (0000-0001-8170-8622, Citizen Researcher Cape Town South Africa), Christi Niesing (0000-0003-2226-0439, The Africa Unit for Transdisciplinary Health Research (AUTHeR) North‐West University Potchefstroom South Africa, corresponding author), Petra Bester (0000-0002-8440-7638, The Africa Unit for Transdisciplinary Health Research (AUTHeR) North‐West University Potchefstroom South Africa)
Year2024
Volume27
Issue5
Pagese70030-e70030
Publication date2024-10-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.70030
PMID39285634
OpenAlexW4402574420
LanguageEN
References cited15

INTRODUCTION: As countries adapted their disaster responses to the COVID-19 pandemic, South Africa responded with an alert-level risk approach based on epidemiological principles that impacted all societal levels. We explored the everyday experiences of people in Cape Town whose basic needs were met and who could report on the realities of the COVID-19 pandemic control. Gaining insight into their perspectives contributes to knowledge that can inform policies and practices for managing future public health crises. METHODS: Community-Based Participatory Research principles guided the design and a series of facilitated dialogues with 18 research participants. The thematic analysis was deepened through two colloquiums with members of an overarching research consortium and a participant reflection workshop. FINDINGS: The pandemic impacted individuals, their interpersonal relationships, workplaces and communities, leading to societal processes such as stigma, virtue signalling and the subversion of mandates. The public health response had mixed reactions, with useful information about preventive measures being diluted by COVID-19 denialism and fake news. Health and other authorities were frequently perceived as out of touch with, and unresponsive to, the everyday realities of local communities. CONCLUSIONS: Our study demonstrates the connectedness of people and the need to maintain and re-establish severed connections. A holistic approach to health care and promotion from social determinants of health and a community-engaged perspective may significantly increase the outcomes of public health responses. PARTICIPANT AND PUBLIC CONTRIBUTION: People with everyday experience of the COVID-19 pandemic-including community members, healthcare workers, case managers, carers and researchers-collaborated on the study design, interview schedule, data interpretation, analysis and refinement of this article

Citizen journalism · Community engagement · Health care · Interpersonal communication · Pandemic · Participant observation · Participatory action research · Political science · Public engagement · Public health · Public relations · Qualitative research · Social science · Sociology · Thematic analysis · COVID-19 and Mental Health · Focus Groups and Qualitative Methods · Medicine · Nursing · Viral Infections and Outbreaks Research

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  • Determinants of Social Distancing Among South Africans From 12 Days Into the Covid-19 Lockdown

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Highly citedNo

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