ABSTRACT
Across Africa, the deployment of digital solutions such as track and trace apps and vaccine passports to tackle COVID-19 largely failed in their public health objectives. Yet, in the process, these material interventions revealed and unleashed new potentialities of governance throughout the continent. This article examines these developments and their significance through historical and theoretical lenses. Since colonialism, African states have been built partially through responses to public health emergencies. Such emergencies have enabled authorities to experiment with and enact logics of control, extraction and legitimation. By interrogating the relationship between epidemics, power and technological artefacts, this article argues that COVID-19 constituted an exceptional event that both unmasked pre-existing logics of governance but also enabled experiments with novel techniques through digital technology. Digital techno-opportunist interventions did little to curb the spread of COVID-19, but such interventions nevertheless have ramifications and implications that extend beyond this moment. While the political outcomes of the rupture caused by COVID-19 are not yet fully known, and are subject to resistance and reimagination from below, the political opportunity of 'crisis' reveals distinctly new ways in which states and corporations are combining to pursue logics of control, extraction and legitimation across Africa in a digital age.
ABSTRACT
BACKGROUND: Authorities in Somalia responded with drastic measures after the first confirmed COVID-19 case in mid-March 2020, closing borders, schools, limiting travel and prohibiting most group functions. However, the impact of the pandemic in Somalia thereafter remained unclear. This study employs a novel remote qualitative research method in a conflict-affected setting to look at how some of the most at-risk internally displaced and host populations were impacted by COVID-19, what determined their responses, and how this affected their health and socio-economic vulnerability. METHODS: We conducted a remote qualitative study, using Katikati, a 1-to-1 conversation management and analysis platform using short message service (SMS) developed by Lark Systems with Africa's Voices Foundation (AVF), for semi-structured interviews over three months with participants in Mogadishu and Baidoa. We recruited a gender balanced cohort across age groups, and used an analytical framework on the social determinants of health for a narrative analysis on major themes discussed, triangulating data with existing peer-reviewed and grey literature. RESULTS: The remote research approach demonstrated efficacy in sustaining trusted and meaningful conversations for gathering qualitative data from hard-to-reach conflict-affected communities. The major themes discussed by the 35 participants included health, livelihoods and education. Two participants contracted the disease, while others reported family or community members affected by COVID-19. Almost all participants faced a loss of income and/or education, primarily as a result of the strict public health measures. Some of those who were heavily affected economically but did not directly experienced disease, denied the pandemic. Religion played an important role in participants' beliefs in protection against and salvation from the disease. As lockdowns were lifted in August 2020, many believed the pandemic to be over. CONCLUSIONS: While the official COVID-19 burden has remained relatively low in Somalia, the impact to people's daily lives, income and livelihoods due to public health responses, has been significant. Participants describe those 'secondary' outcomes as the main impact of the pandemic, serving as a stark reminder of the need to broaden the public health response beyond disease prevention to include social and economic interventions to decrease people's vulnerability to future shocks.
ABSTRACT
Radio shows which invite audience participation via short message service (SMS)-interactive radio-SMS-can be designed as a mixed methods approach for applied social research during COVID-19 and other crises in low and middle income countries. In the aftermath of a cholera outbreak in Somalia, we illustrate how this method provides social insights that would have been missed if a purely qualitative or quantitative approach were used. We then examine the strengths and limitations associated with interactive radio-SMS through an evaluation using a multimethod comparison. Our research contributes an application of a mixed methods approach which addresses a specific challenge raised by COVID-19, namely utilizing media and digital technologies for social research in low and middle income countries.