'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.

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.

Digital and Physical Social Exclusion of Older People in Rural Nigeria in the Time of COVID-19.

As the use of digital technology becomes more widespread across the globe, older people remain among the group with the lowest access and usage. The digital divide may lead to double exclusion as the COVID-19 pandemic has led to limited physical social contact as experts' recommendation of continuous social distancing and lack of access and usage of internet communication will leave older people socially isolated. The aim of this study is to explore how older people in rural Nigeria may be digitally excluded and its impact during the COVID-19 pandemic. Qualitative data was obtained from 11 older people using interviews. The collected data was then transcribed and analyzed thematically. Findings show that older people in rural Nigeria were digitally excluded. However, the older people argued that the digital exclusion is not the reason for their social isolation and loneliness. The study concluded by suggesting how caregivers and social workers can assist rural older people through activity schedule and radio programs designed for older people.

Exploring the Impact of COVID-19 Pandemic on Economic Activities and Well-being of Older Adults in South-eastern Nigeria: Lessons for Gerontological Social Workers.

The novel COVID-19 pandemic and its containment measures such as lockdown and physical distancing are remarkedly affecting older adults' economic activities and well-being in ways deserving of urgent attention. To strengthen caregiving and promote targeted care for older adults during and after the pandemic, this paper investigates the impact of the coronavirus on the economic activities and well-being of older adults in Enugu and Anambra states, Nigeria. Hermeneutic phenomenology was adopted and 16 older adults aged between 60 and 81 years, with a majority of them still working as farmers and traders were phone-interviewed. Findings highlighted four key lessons for gerontological social workers including 1) the fear that impact of the containment measures could kill the older adults faster than the virus; 2) the measures generate a feeling of neglect and marginalization of healthcare needs among older adults; 3) altered positive health-seeking behavior among the older adults; 4) and concern about the absence of functional policy and plan to address the welfare of older adults. Therefore, the central focus of the gerontological social workers and Nigerian polity should not be on how to reduce the spread of the disease alone, but on an application of caution in instituting and implementing the measures.

COVID-19 in Rural Nigeria: Diminishing Social Support for Older People in Nigeria.

Social support provided by family, friends and neighbors has been essential for the survival and wellbeing of older people in Nigeria. However, the reduced social contact between older people and their social network because of the social distancing recommendations and other non-pharmaceutical approaches to protect them from COVID-19 may threaten their social support. Our study investigated the impact of the COVID-19 pandemic on rural older people in Nigeria using qualitative data collected from 11 older adults residing in rural Nigeria through in-depth interviews. The collected data was translated and transcribed, coded using Nvivo12 and analyzed thematically. Findings show that the COVID-19 pandemic has led to a reduction in both material support in the forms of food and money, and intangible support in the forms of assistance, communication and care, due to limited social contact. Furthermore, the economic consequence of the pandemic may have severe implications for the health and wellbeing of older people. Social workers should therefore advocate the distribution of food and care supplies to rural older people to cushion the economic impact of diminishing social support, and also creatively help them maintain social connectedness.