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1.
Global Health, Humanity and the COVID-19 Pandemic: Philosophical and Sociological Challenges and Imperatives ; : 329-351, 2023.
Article in English | Scopus | ID: covidwho-20245042

ABSTRACT

Mike Asukwo's brightly textured cartoons captured the colorless realities of the Covid pandemic in Nigeria and circulated along with global pandemic discourses as local visual archives of Nigeria's postcolonial disenchantment. Social media is particularly central to the aesthetic value of Asukwo's political cartoons in producing and constraining the expression of civic agency among Nigerians. His cartoons demonstrate how everyday media practices such as the decoding and reproduction of popular culture texts online can challenge hierarchical systems of control. This chapter examines the conditions under which cultural netizens like Asukwo and his online audience make sense of the state's response to the Covid-19 pandemic, highlighting how Nigeria's crisis of infrastructure manifests in cartoons to accentuate the messiness of political leadership. The chapter concludes on the ambivalent valences of the social web and the digital public sphere it fosters, underscoring how social media documents the pandemic perspectives of members of the digital class in Nigeria. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. All rights reserved.

2.
International Research Journal of Innovations in Engineering and Technology ; 7(4):208-215, 2023.
Article in English | ProQuest Central | ID: covidwho-20244711

ABSTRACT

Organizations, societies, and economies are the scope of sustainability in every community. The growing realization of electronically-enabled business as critical drivers of sustainable economic growth and development especially during crisis is no doubt propelling nations into harnessing the benefits of enterpreneural transformation in the 21st century and post covid-19 era. Teleworking and Telecommuting are technologies that have the ability to enable ubiquitous digital service transmissions needed to combat and curtail the prevalence of pandemics such as Covid-19. Capabilities of telecommuting can be effectively utilized to address the challenges associated with Covid-19 presently and in the post covid-19 era including threats in war-turned geographical spaces. However, there is the paucity of such knowledge, orientation and awareness amongst entrepreneurs, industries and companies in developing countries like Nigeria. This lacuna, if properly bridged will help unpack the link between production, consumption and service delivery in an emerging economy. This paper examines the notional impact of the concept of telecommuting and teleworking as a mechanism for a sustainable economic transformation and global repositioning of the work force beyond the covid crisis. Furthermore, it analyzes and juxtaposes the readibility of business environments to ensure their employee's safety in the work place and remote working, thus providing continuity to economic, productive and business activity. This conceptual study uses the interpretive paradigm, through deductive analysis to draw the conclusion that there is a very poor level of deployment of telecommuting and teleworking models in countries like Nigeria during crisis and pandemics and therefore recommends that organizations adopt this mechanism to propel safety of the workforce and reduce cost. With the approval for the operation of the 5G network in the Nigerian telecommunications space, entrepreneurs can explore the gains to sustain remote working or working from home in the post-covid-19 era.

3.
South African Journal of Science ; 119(5/6):29-37, 2023.
Article in English | Academic Search Complete | ID: covidwho-20244602

ABSTRACT

The article focuses on evaluating the effectiveness of non-pharmaceutical interventions (NPIs) and travel restrictions in containing the spread of SARS-CoV-2. Topics include the effectiveness of NPIs in delaying and containing the spread of the virus, the usefulness of travel restrictions in the early stages of an outbreak, and the importance of data sources such as surveys and smartphone location data in studying the impact of NPIs on human mobility.

4.
Engineering, Construction and Architectural Management ; 30(6):2206-2230, 2023.
Article in English | ProQuest Central | ID: covidwho-20240822

ABSTRACT

PurposeThe COVID-19 health crisis has brought about a set of extra health and safety regulations, and procedures to the construction industry which could influence projects' economic performance (EP). The aim of this paper is to examine the effect of adopting COVID-19 safety protocols on construction sites on the economic performance (EP) of construction projects.Design/methodology/approachEmploying the survey method using a structured questionnaire, data were collected from small- and large-sized construction projects in Nigeria and analysed using partial least squares structural equation modelling (PLS-SEM) technique.FindingsThe findings reveal that job re-organization and sanitization have negative significant effects on EP, while social distancing and specific training have no effect on EP. Furthermore, project size moderates the relationship between job re-organization, sanitization, specific training and EP with the stronger effect on the relationships observed in big projects, except for the relationship between sanitization and EP where the moderating relationship is stronger in small projects. However, there is no significant moderating effect of project size on the relationship between social distancing and EP.Practical implicationsAs construction project sites continue to operate amidst strict safety protocols, this study offers theoretical and practical insights on how construction projects can adhere to the safety protocols while performing economically.Originality/valueThe originality of this study's findings stems from the fact that it is among the first to provide greater insight on how construction projects have fared economically considering the impact of the various COVID-19 protocols.

5.
EUREKA: Social and Humanities ; - (2):61-72, 2023.
Article in English | ProQuest Central | ID: covidwho-20240202

ABSTRACT

The COVID-19 pandemic has disrupted traditional education, leading to the adoption of alternative methods, such as learning through radio and television for K-12 students. Television and radio became popularly adopted platforms to disseminate educational resources during the pandemic in developing countries, such as Nigeria. This study gathers the perspective of K-12 teachers and students during the crisis to find out the effectiveness of the utilized platforms, examine the challenges encountered, and suggest the way forward in case of future occurrence. The concerns-Based Adoption Model (CBAM) guided the study. A qualitative methodology of interpretivism was employed using 20 participants that comprise students and teachers across the five south-western states in Nigeria. Findings show that teachers adapted their lessons to be delivered through broadcasts, while school administrators have worked closely with broadcasters to develop and implement educational content. Students have had mixed experiences, with some finding radio and television engaging, while others face challenges with engagement and adaptability. In essence, the result shows that most of the respondents though acknowledged the effectiveness of the radio and television approach to learning but opined that the lessons are not detailed enough. Furthermore, educational television broadcast is preferable to radio lessons as the visual effect contributes significantly to learning. The study concludes that broadcasters have played a critical role in delivering educational content, partnering with schools, and developing programs that align with the curriculum during the pandemic. The study discussed its implication, followed by limitations, and gave direction for future studies.

6.
HemaSphere ; 7(Supplement 1):54-55, 2023.
Article in English | EMBASE | ID: covidwho-20239250

ABSTRACT

Background: After two years of COVID in which activities were reduced due to the pandemic and each one's life was affected by restrictions and limitations, the Sickle Cell Disease (SCD) Association in Padova teamed up with the Sickle Cell Group at the Pediatric Hematology Oncology and Bone Marrow Transplant Unit to celebrate the Sickle Cell Disease world day by organizing an online meeting with children/youths and their families. Theme of the meeting was: "My Life with SCD: poems, pictures and writings express our view on disease and care". Aim(s): One of the goals of this meeting was to create an opportunity for individuals with SCD to meet and have a constructive discussion with each other about the disease and express their feelings after two years of pandemic. Method(s): One month before the meeting children, teenager and parents were asked to sharer with the organizing team any drawing, painting, poem, writing, that they felt could express their feelings or experience of the disease itself or how it affected their life, or their experience in the hospital. The materials received were organized in a power point presentation and At the meeting, families were able to see a PowerPoint presentation with the poems, drawings, writings. Each author had the choice to personally share their production or have it read out loud by a member of the team. Free time to comment or share experiences was given. Result(s): 20 children, teenagers and parents participated. Countries of origin (Nigeria, Ghana, Congo, Albania, Italy), religious background (catholic, muslim, no religion, other) were different as well as disease genotype (HbSS, HbSC, HbSBdegree), severity or treatment received (Hydroxyurea, transfusion, Hematopoietic stem cell transplantation -HSCT, none). Drawings and writings regarded experience with the disease (mechanism of action, admissions), feelings experienced (fear, hope, light at the end of the tunnel), aspirations (sports) and gratitude (to the social and medical team, to parents) (Figure 1). Surprisingly, families who had a child having undergone HSCT, reported on the need and importance to talk about this experience for years after the event and made a request of a support goup. Finally, all families underlined the need to meet again soon to discuss together issues related to personal experience with SCD, even via web. of discussion with each other and with the drepanocytosis group;and that throug the online telematics platform it is still possible to involve all families, listening and trying to comfort them on doubts and perplexities about the disease, In conclusion, it can be said that after two years of pandemic, in our setting, online meeting can help patients and families reconnect with each other and activities can be planned to aid experiences and feelings. Patients' associations and Health Care Teams can collaborate in this area.

7.
BMJ : British Medical Journal (Online) ; 370, 2020.
Article in English | ProQuest Central | ID: covidwho-20239005
8.
African Journal of Clinical and Experimental Microbiology ; 24(2):147-157, 2023.
Article in English | EMBASE | ID: covidwho-20237234

ABSTRACT

Background: COVID-19 vaccine is one of the most effective public health intervention approaches for prevention of COVID-19. Despite its well-known efficacy and safety, significant proportion of frontline COVID-19 healthcare workers remain hesitant about accepting the vaccine for whatever reasons. This study aimed to determine acceptance rate and determinants of vaccine refusal among doctors in Cross River State, Nigeria. Methodology: This was a cross-sectional survey of doctors using structured online questionnaire administered via the WhatsApp platform of the medical doctors' association, in order to assess their rate of acceptance of COVID-19 vaccines, and reasons for vaccine refusal. The predictors of vaccine acceptance were analysed by univariate and multivariate logistic regression analyses. Result(s): Of the 443 medical doctors targeted on the WhatsApp platform, 164 responded to the questionnaire survey, giving a response rate of 37.0% (164/443). The mean age of the respondents is 38 +/-6.28 years, 91 (55.5%) are 38 years old and above, 97 (59.1%) are males and 67 (40.9%) are females, giving a male-to-female ratio of 1.4:1. The greater proportion of the respondents are physicians (70/148, 47.3%) and about three-quarter of the participants (127/164, 77.4%) had received COVID-19 vaccine. The proportion of physicians who had received COVID-19 vaccine (57/70, 81.4%) was more than the proportion of general practitioners (31/42, 73.8%) and surgeons (24/35, 68.6%). Low perceived benefit of vaccination was the main reason given for COVID-19 vaccine refusal (45.9%, 17/37). No significant association was found between vaccine refusal and suspected predictors (p>0.05). Conclusion(s): Our study revealed high rate of COVID-19 vaccine acceptance among medical doctors especially among the physicians, with the surgeons showing lowest acceptance rate. A significant proportion would not take vaccine because they perceived it lacks much benefits. To raise vaccine acceptance among doctors, more efforts on vaccine literacy that would target doctors from all sub-specialties especially surgeons and incorporate vaccine benefits should be made.Copyright 2023 AJCEM Open Access. This article is licensed and distributed under the terms of the Creative Commons Attrition 4.0 International License <a rel="license" href="http://creativecommons.org/licenses/by/4.0/", which permits unrestricted use, distribution and reproduction in any medium, provided credit is given to the original author(s) and the source. Editor-in-Chief: Prof. S. S. Taiwo.

9.
Global Health, Humanity and the COVID-19 Pandemic: Philosophical and Sociological Challenges and Imperatives ; : 401-425, 2023.
Article in English | Scopus | ID: covidwho-20237112

ABSTRACT

Thinking about the novel coronavirus (COVID-19) pandemic, Slavoj Zizek (Pandemic: Covid-19 Shakes the World. New York and London: Or Books, 2020: 3) says: "It is only now, when I have to avoid many of those who are close to me, that I fully experience their presence, their importance to me." The outbreak of the COVID-19 and its global spread have continued to have diverse effects on humanity. Some literature, commentaries, policies and preliminary studies have since been had focusing on different dimensions of the pandemic at global levels. Although a few theological and religious commentaries have emerged, this present work focuses on the polemic undergirding food and freedom (to worship) discourse, which is in turn defining the relationship between the church and state in Nigeria. Why would the government place higher premium on food by allowing the markets to open and shut down religious houses? When is food more important than freedom or freedom more important than food? These questions and more others become pertinent in the sudden awareness that COVID-19 has placed on humanity. Using historical and theological approaches, I will analyze how the sharp realization of the importance of food and freedom during COVID-19 is affecting the secularity of Nigeria. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. All rights reserved.

10.
International Journal of Medicine and Health Development ; 28(2):161-166, 2023.
Article in English | CAB Abstracts | ID: covidwho-20237107

ABSTRACT

Background: The COVID-19 pandemic shook the world, claimed a lot of lives, incapacitated many, and forced majority of the world into a lockdown. Vaccination is the key strategy to tackling the virus. Objectives: To ascertain the level of vaccination and the difficulties associated with vaccination, among clinical medical students in Enugu, South-East Nigeria. Materials and Methods: A multistage sampling was used to select 160 respondents while questionnaires (hard and soft copy) were administered to the participants. The IBM Statistical Package for the Social Sciences was used for data entry and data analysis. Results: There was a poor (16.3%) knowledge, negative perception (66.3%), and poor uptake of the COVID-19 vaccine (20.6%). There were statistically significant relationships between vaccination status, knowledge of vaccine, age, and perception of the vaccine (P=0.000) as well as between level of training and vaccine perception (P=0.03). Conclusion: There was very low level of COVID-19 vaccination in the study population that may be attributable to the low knowledge of the vaccine and the high negative perception. The rush to development of the vaccine, possible side effects, and possible long-term complications may be contributory to the poor uptake of the COVID-19 vaccine among the study respondents.

11.
International Journal of Cyber Behavior, Psychology and Learning ; 13(1):1-12, 2023.
Article in English | ProQuest Central | ID: covidwho-20235881

ABSTRACT

The uncertainties surrounding the COVID-19 pandemic and frequently changing information about the virus heighten the potentials cyberchondria. This study investigated the prevalence and predictors of cyberchondria among Nigerians during the COVID-19 pandemic. Participants (n=406, 268 males, Mage = 37.68 years, SD = 10.78) completed an online survey consisting of validated measures of cyberchondria, health anxiety, neuroticism, quality of life, medical history, and socio-demographic information. Participants (Mscore= 27.44±7.31) reported moderate to high levels of cyberchondria. Results of hierarchical regression showed that although all predictor variables collectively predicted cyberchondria with 22% of explained variance, the strongest predictors of cyberchondria were health anxiety and the number of prior hospital visits. Reducing the level of cyberchondria during the COVID-19 pandemic requires the ability to deal with health-related fear and effectively managing the uncertainties surrounding online health information.

12.
Big Brother Naija and Popular Culture in Nigeria: A Critique of the Country's Cultural and Economic Diplomacy ; : 169-184, 2023.
Article in English | Scopus | ID: covidwho-20235278

ABSTRACT

Popular cultures constitute the predominant attitudes, living styles, and aspirations practised consciously and unconsciously by the people in a society. They emanate from the admixture of indigenous practices and foreign media influences that permeate the people's ways of life. Sometimes, popular cultures can be regarded as youth cultures. In Nigeria in recent times, Big Brother Nigeria (BBN), a TV reality show franchise that started in 2006, has continued to draw criticisms and commendations from Nigerian citizens at home and abroad. Concerned citizens have drummed up various arguments and counter-arguments with regard to issues emanating from BBN show. Nevertheless, it continues to be produced such that it was even produced during the COVID-19 lockdown in the country. Therefore, this paper is interested in the arguments that people advanced for the cancellation or continuation of BBN shows in the Nigerian media landscape. It will investigate the socio-political implications considered by the Nigerian government through its regulatory bodies not to cancel the TV show. Its findings will be compared with the agenda-setting and social responsibility theories of the mass media. As an explorative study, it will rely on secondary data. It is hoped that the study will contribute to the literature on popular cultures and related fields. © The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023.

13.
Religions ; 14(5), 2023.
Article in English | Web of Science | ID: covidwho-20234634

ABSTRACT

In Africa, refusal of COVID-19 and other vaccines is widespread for different reasons, including disbelief in the existence of the virus itself and faith in traditional remedies. In sub-Saharan countries, refusal is often made worse by opposition to vaccines by the religious establishments. This is a pressing problem, as Africa has the highest vaccine-avoidable mortality rate for children under the age of five in the world. Dialogue between those wishing to promote vaccines and those who resist them is essential if the situation is to be improved. This article argues that Western and other aid agencies seeking to promote vaccination programs need to develop a dialogue with resisters, and in this process to embrace and commend the ancient African philosophical tradition of Ubuntu, incorporating it into these programs as a way to overcome such entrenched resistance. The paper concludes with concrete recommendations for how to accomplish this goal.

14.
Value in Health ; 26(6 Supplement):S258, 2023.
Article in English | EMBASE | ID: covidwho-20234009

ABSTRACT

Objectives: The objective of this project was to improve healthcare deserts in Sub-Saharan Africa through sustainable knowledge transfer and capacity-building leveraging an advanced cloud-based telemedicine platform. Method(s): In 2022, WTI and its network of partners delivered 2 telehealth devices as part of the effort to create a sustainable platform to address a known health desert in a previously abandoned clinic in the village of Opoji, in the state of Edo, Nigeria. Providers were trained in two cohorts. Global Experts for this project were organized with Providence Health and their Global and Domestic Engagement (GDE) department and trained in telementoring and teleconsulting. Local Specialists were first trained on the platform and then telementored by Global Experts. To better understand the health value outcomes of these interventions, observational research was employed to measure the improvement of patient-to-provider ratios. These ratios were baselined for average patient loads. Result(s): As a result of the pilot, provider-to-patient ratios were improved. Prior to the WTI program, interventions were only available 5% of the time (9 hrs/wk vs 168 hrs/wk), with very basic expertise. After the Opoji Comprehensive Medical Center was reopened and the supporting physicians were scheduled, patients could be seen with a high level of global medical expertise 100% of the time (24 hours per day). Conclusion(s): Telemedicine technology can improve capacity-building in Sub-Saharan Africa with relatively minimal resource allocation in a replicable and scalable manner. Data collection for the pilot did have limitations. The opportunity to collect patient-reported outcomes, including patient satisfaction with telemedicine visits, exists but COVID and other barriers prevented researchers from fully implementing. By mentoring the local specialty hospital staff to deliver care by cloud-based devices, the program has developed an "Africans helping Africans" approach to achieve sustainable capacity building which can be built upon and further researched.Copyright © 2023

15.
Global Health, Humanity and the COVID-19 Pandemic: Philosophical and Sociological Challenges and Imperatives ; : 223-245, 2023.
Article in English | Scopus | ID: covidwho-20233579

ABSTRACT

The African child is a curious phenomenon in a world of shrinking population and dramatic COVID-19 economic misfortune. Both of these global crises require a youthful generation of innovators and visionaries to promote new ways of regenerating the planet. Yet, as Africa represents the future in population acceleration and natural resources, the current demonization of the almajiri [pl. almajirai]-"Quranic child learner"-as a "super-spreader" in Nigeria symbolizes a disavowal of hope in the future of humanity as a whole. This negative portrayal has further highlighted the evident institutional failure to see children as victims of global inequality and to address the issue in ways that tackle the root causes of this migratory misadventure. The humanities have a role to play here, and in this essay, we will use both fictional and non-fictional narratives to trace the life chances of a class of youths who see their condition as faith, fate, and transitional. The permanence of their condition, we argue, is a relatively recent phenomenon brought about by the vicissitudes of displacement, alienation, and a culture of misplaced priorities. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. All rights reserved.

16.
International Development Planning Review ; 45(3):249-272, 2023.
Article in English | Academic Search Complete | ID: covidwho-20233314

ABSTRACT

The interplay between how people use mobile health (mHealth) technologies and its quality information for managing their health vulnerabilities in line with their protected characteristics remains unclear and underexplored. This paper examines the intersections between mHealth users' experiences, information quality issues, and everyday health vulnerabilities in the context of the COVID-19 pandemic by drawing on the theory of planned behaviour and technology acceptance. Semi-structured interviews were conducted with sixty-three participants across three cities: Accra, Lagos and London, to illustrate how barriers to mHealth adoption, and information quality issues, including security and privacy concerns, interact to shape the mHealth user experience. The findings show that key barriers to mHealth user experience and health information quality vary considerably across location and protected characteristics. The paper calls for inclusive and quality mHealth systems in managing health vulnerabilities towards assuring pandemic preparedness and response. By so doing, it contributes to scholarship on the interconnected need for quality information in the context of COVID-19, and highlights the policy implications for mHealth user experience and healthcare delivery. This article was published open access under a CC BY licence: https://creativecommons.org/licences/by/4.0. [ FROM AUTHOR] Copyright of International Development Planning Review is the property of Liverpool University Press / Journals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

17.
Gender & Behaviour ; 20(3):20316-20331, 2022.
Article in English | ProQuest Central | ID: covidwho-20232297

ABSTRACT

Climate change is one of the cores of the herders' movement in Nigeria. Some other variable is the classification of the Fulanis as indigenous peoples that have no specific abode of their own;they roam around looking for water and foliage for their animals. During the dry season, they move towards the southern part of Nigeria where they would find foliage and water for their animals because of their status under international law. A notion that in a bid to look for food for their animals, these herders sometimes feed their animals with grown corn, cassava, millet, sweet potato and even yam of the sedentary farmers. One of the geneses of food insecurity in many communities of the southern part of Nigeria. Food availability, affordability and accessibility in the country was compromised in 2020 due to these challenges by the urban dwellers which was compromised due to the activities of mobile herders. With general lockdown in Nigeria, many farmers were unable to go to farm while the Fulanis who were hardly affected by lockdown had their field-days in feeding their animals on crops planted by small scale farmers, the only source of food security in the country. The core of this paper is to interrogate Fulanis mobility as indigenous peoples based on relevant international law and its impact on small-scale farmers' sources of income and food availability for the teeming population of Nigeria. We contextualised this based on the COVID-19 pandemic that restricts the movement of people between March and December 2020. We conclude that the rights of the indigenous peoples at the domestic level need further interrogation to create an atmosphere of peaceful co-existence through aversion of herders-farmers clashes that envelope southern Nigeria.

18.
Agropecuaria Catarinense ; 36(1):67-72, 2023.
Article in English | CAB Abstracts | ID: covidwho-20231778

ABSTRACT

Income of farming households with low socio-economic status is a task in emerging nations, rural parts of Nigeria inclusive. In connection with this, the entrance of Covid-19 pandemic posed a grave risk to the economy of the households. This study, therefore, investigate the coping strategies in mitigating Covid-19 pandemic's effect on the farming households' income. Data for the paper were collected from 150 farming household heads, through multistage sampling method, with the use of interview scheduled and analysed using appropriate statistics. The findings showed that many (57.3%) of the respondents were male. The widely practiced coping strategies during the pandemic were rationed spending (=2.63), job diversification (=2.40), reduction in hired labour (=2.36), household food rationing (=2.28) among others. There is substantial relationship between household size (r = 0.075, p = 0.003), annual income (r = 0.033, p = 0.004) and coping strategies practiced at p0.005. It was concluded that the pandemic had great effect on the income of the farming household. The study recommends formulation of necessary, effective and urgent policies for assisting and generating fresh employments and revenue producing prospects for affected households.

19.
SciDevnet - Governance ; 2023.
Article in English | ProQuest Central | ID: covidwho-20231777

ABSTRACT

Speed read Nigeria's president-elect eyes 40 per cent health insurance coverage in two years Ambitious target needs funding, human resources Over 75,000 nurses and midwives left Nigeria in five years [LAGOS] Health experts in Nigeria say the country's president-elect who will be inaugurated on 29 May must prioritise health care and refrain from politicising it. While Nigeria committed to achieving universal health coverage (UHC) by 2030, its National Health Insurance Scheme (NHIS) established in 2005 makes health insurance coverage voluntary. [...]in May 2022, after two decades of sustained calls by health professionals, a new Act was passed which aimed to provide health insurance for all Nigerians, through a mandatory mechanism and in collaboration with state health insurance agencies.

20.
Trans R Soc Trop Med Hyg ; 2023 Jun 02.
Article in English | MEDLINE | ID: covidwho-20235351

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and the interventions to mitigate its spread impacted access to healthcare, including hospital births and newborn care. This study evaluated the impact of COVID-19 lockdown measures on newborn service utilization in Nigeria. METHODS: The records of women who delivered in hospitals and babies admitted to neonatal wards were retrospectively reviewed before (March 2019-February 2020) and during (March 2020-February 2021) the COVID-19 pandemic lockdown in selected facilities in Nigeria. RESULTS: There was a nationwide reduction in institutional deliveries during the COVID-19 lockdown period in Nigeria, with 14 444 before and 11 723 during the lockdown-a decrease of 18.8%. The number of preterm admissions decreased during the lockdown period (30.6% during lockdown vs 32.6% pre-lockdown), but the percentage of outborn preterm admissions remained unchanged. Newborn admissions varied between zones with no consistent pattern. Although neonatal jaundice and prematurity remained the most common reasons for admission, severe perinatal asphyxia increased by nearly 50%. Neonatal mortality was significantly higher during the COVID-19 lockdown compared with pre-lockdown (110.6/1000 [11.1%] vs 91.4/1000 [9.1%], respectively; p=0.01). The odds of a newborn dying were about four times higher if delivered outside the facility during the lockdown (p<0.001). CONCLUSIONS: The COVID-19 lockdown had markedly deleterious effects on healthcare seeking for deliveries and neonatal care that varied between zones with no consistent pattern.

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