Community Perceptions and Experiences of the South African Government’s Response to the First Wave of the COVID-19 Pandemic in Johannesburg, South Africa

Authors

DOI:

https://doi.org/10.25159/2957-3645/12601

Keywords:

COVID-19, coronavirus, lockdown, government pandemic response, South Africa

Abstract

In response to the COVID-19 pandemic, governments in low- and middle-income countries largely followed the strategy of national lockdowns adopted by high-income countries. The South African government imposed some the most restrictive policies in the world. In this article, we examine the perceptions and lived experiences of South Africans in Johannesburg in relation to this initial response to the pandemic. In-depth interviews were conducted with a diverse group of 38 South African adults in Johannesburg, South Africa. The analysis followed an inductive approach. The data revealed that the majority of participants had a positive view of the strong response to the first wave of the pandemic by the South African government, including the restrictive lockdown measures. However, concerns regarding the government’s response included worries about the economy and livelihoods of poor people under lockdown, divisions in compliance between townships and wealthier communities, poor funding in the healthcare sector, corruption and nepotism in the distribution of government aid, and the lack of cultural adaptation of awareness-raising campaigns about COVID-19. The ability of governments to gauge how populations perceive the effectiveness of public health measures is essential for identifying obstacles to disease-control objectives.

Author Biographies

Michael Galvin, University of the Witwatersrand

Dr. Michael Galvin is a researcher at the Health Economics and Epidemiology Research Office (HE2RO) at the University of the Witwatersrand, Johannesburg, South Africa.

Andrew W. Kim, University of California-Berkeley

Dr. Andrew W. Kim is a professor of Anthropology at the University of California, Berkeley, Berkeley, CA, USA

Edna Bosire, Georgetown University

Dr Edna N. Bosire is a researcher at the Center for Innovation in Global Health at Georgetown University, USA.

Nokubonga Ndaba, University of the Witwatersrand

Nokubonga Ndaba works at the SAMRC Developmental Pathways For Health Research Unit in the Department of Paediatrics & Child Health at the University of the Witwatersrand, Johannesburg, South Africa.

Lindile Cele, University of the Witwatersrand

Lindile Cele works at the SAMRC Developmental Pathways for Health Research Unit in the Department of Paediatrics & Child Health at the University of the Witwatersrand, Johannesburg, South Africa.

Someleze Swana, University of the Witwatersrand

Someleze Swana works at the SAMRC Developmental Pathways for Health Research Unit in the Department of Paediatrics & Child Health at the University of the Witwatersrand, Johannesburg, South Africa.

Zwannda Kwinda, University of the Witwatersrand

Zwannda Kwinda works at the SAMRC Developmental Pathways for Health Research Unit in the Department of Paediatrics & Child Health at the University of the Witwatersrand, Johannesburg, South Africa.

Alexander C. Tsai, Harvard Medical School

Dr. Alexander C. Tsai is an associate professor of psychiatry at Harvard Medical School.

Aneesa Moolla, University of the Witwatersrand

Dr Aneesa Moolla is a researcher at the Health Economics and Epidemiology Research Office (HE2RO) at the University of the Witwatersrand, Johannesburg, South Africa.

References

Alfano, V., & Ercolano, S. (2020). The efficacy of lockdown against COVID-19: A cross-country panel analysis. Applied Health Economics and Health Policy, 18, 509–517. https://doi.org/10.1007/s40258-020-00596-3 DOI: https://doi.org/10.1007/s40258-020-00596-3

Al-Hasan, A., Yim, D., & Khuntia, J. (2020). Citizens’ adherence to COVID-19 mitigation recommendations by the government: A 3-country comparative evaluation using web-based cross-sectional survey data. Journal of Medical Internet Research, 22(8), e20634. https://doi.org/10.2196/20634 DOI: https://doi.org/10.2196/20634

Bambra, C., Riordan, R., Ford, J., & Matthews, F. (2020). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 74(11), 964–968. https://doi.org/10.1136/jech-2020-214401 DOI: https://doi.org/10.1136/jech-2020-214401

Broadbent, A., Combrink, H., & Smart, B. (2020). COVID-19 in South Africa. Global Epidemiology, 2, 100034. https://doi.org/10.1016/j.gloepi.2020.100034 DOI: https://doi.org/10.1016/j.gloepi.2020.100034

Cevik, M., Baral, S. D., Crozier, A., & Cassell, J. A. (2021). Support for self-isolation is critical in covid-19 response. BMJ, 372. https://doi.org/10.1136/bmj.n224 DOI: https://doi.org/10.1136/bmj.n224

De Groot, J., & Lemanski, C. (2021). COVID-19 responses: Infrastructure inequality and privileged capacity to transform everyday life in South Africa. Environment and Urbanization, 33(1), 255–272. https://doi.org/10.1177/0956247820970094 DOI: https://doi.org/10.1177/0956247820970094

De Man, J., Smith, M. R., Schneider, M., & Tabana, H. (2022). An exploration of the impact of COVID-19 on mental health in South Africa. Psychology, Health & Medicine, 27(1), 120–130. https://doi.org/10.1080/13548506.2021.1954671 DOI: https://doi.org/10.1080/13548506.2021.1954671

De Villiers, C., Cerbone, D., & Van Zijl, W. (2020). The South African government's response to COVID-19. Journal of Public Budgeting, Accounting & Financial Management, 32(5). https://doi.org/10.1108/JPBAFM-07-2020-0120 DOI: https://doi.org/10.1108/JPBAFM-07-2020-0120

European Centre for Disease Prevention and Control. (2020, 15 June). Guidance on infection prevention and control of COVID-19 in migrant and refugee reception and detention centres in the EU/EEA and the UK. https://reliefweb.int/report/world/guidance-infection-prevention-and-control-covid-19-migrant-and-refugee-reception-and

Eyawo, O., Viens, A. M., & Ugoji, U. C. (2021). Lockdowns and low- and middle-income countries: Building a feasible, effective, and ethical COVID-19 response strategy. Globalization and Health, 17(1), 1–5. https://doi.org/10.1186/s12992-021-00662-y DOI: https://doi.org/10.1186/s12992-021-00662-y

Fetzer, T., Witte, M., Hensel, L., Jachimowicz, J. M., Haushofer, J., Ivchenko, A., Caria, S., Reutskaja, E., Roth, C. P., Fiorin, S., Gómez, M., Kraft-Todd, G., Götz, F. M., & Yoeli, E. (2020). Global behaviors and perceptions in the COVID-19 pandemic. NBER working paper series. https://www.nber.org/system/files/working_papers/w27082/w27082.pdf DOI: https://doi.org/10.3386/w27082

Fubah, C. N., & Moos, M. (2022). Exploring COVID-19 challenges and coping mechanisms for SMEs in the South African entrepreneurial ecosystem. Sustainability, 14(4), 1944. https://doi.org/10.3390/su14041944 DOI: https://doi.org/10.3390/su14041944

Gollust, S. E., Nagler, R. H., & Fowler, E. F. (2020). The emergence of COVID-19 in the US: A public health and political communication crisis. Journal of Health Politics, Policy and Law, 45(6), 967–981. https://doi.org/10.1215/03616878-8641506 DOI: https://doi.org/10.1215/03616878-8641506

Greyling, T., Rossouw, S., & Adhikari, T. (2021). The good, the bad and the ugly of lockdowns during Covid-19. PloS One, 16(1), e0245546. https://doi.org/10.1371/journal.pone.0245546 DOI: https://doi.org/10.1371/journal.pone.0245546

Gronbach, L., Seekings, J., & Megannon, V. (2022). Social protection in the COVID-19 pandemic: Lessons from South Africa. CGD Policy Paper, 252.

Gumede, L., & Badriparsad, N. (2022). Online teaching and learning through the students’ eyes—Uncertainty through the COVID-19 lockdown: A qualitative case study in Gauteng province, South Africa. Radiography, 28(1), 193–198. https://doi.org/10.1016/j.radi.2021.10.018 DOI: https://doi.org/10.1016/j.radi.2021.10.018

Hale, T., Angrist, N., Goldszmidt, R., Kira, B., Petherick, A., Phillips, T., Phillips, T., Webster, S., Cameron-Blake, E., Hallas, L., Majumdar, S., & Tatlow, H. (2021). A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nature Human Behaviour, 5(4), 529–538. https://doi.org/10.1038/s41562-021-01079-8 DOI: https://doi.org/10.1038/s41562-021-01079-8

Labuschaigne, M. (2020). Ethicolegal issues relating to the South African government’s response to COVID-19. South African Journal of Bioethics and Law, 13(1), 6–11.

Manderson, L., & Levine, S. (2020). COVID-19, risk, fear, and fall-out. Medical Anthropology, 39(5), 367–370. https://doi.org/10.1080/01459740.2020.1746301 DOI: https://doi.org/10.1080/01459740.2020.1746301

Manderson, L., & Levine, S. (2021). Militarising the pandemic: Enforcing lockdown in South Africa. In L. Manderson, N. J. Burke & A. Wahlberg (Eds.), Viral Loads. Anthropologies of Urgency in the Time of COVID-19 (pp. 47–66). London: University College London Press. https://doi.org/10.2307/j.ctv1j13zb3.9 DOI: https://doi.org/10.2307/j.ctv1j13zb3.9

Mbunge, E. (2020). Effects of COVID-19 in South African health system and society: An explanatory study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(6), 1809–1814. https://doi.org/10.1016/j.dsx.2020.09.016 DOI: https://doi.org/10.1016/j.dsx.2020.09.016

National Department of Health. (2020). COVID-19—Regulations and guidelines—Coronavirus Covid-19. Retrieved from https://sacoronavirus.co.za/guidelines-and-relief/

Mahlangu, T. (2020). Government to tackle food parcel corruption. Retrieved from https://www.corruptionwatch.org.za/government-to-tackle-food-parcel-corruption/

Mendelson, M., Madhi, S., Nel, J., Gray, G., Osih, R., & Venter, F. (2022, 22 March). The incoherent and illogical new government Covid-19 regulations are the real state of disaster. Daily Maverick. https://www.dailymaverick.co.za/article/2022-03-22-the-incoherent-and-illogical-new-government-covid-19-regulations-are-the-real-state-of-disaster/

Ogbolosingha, A. J., & Singh, A. (2020). COVID-19 pandemic: Review of impediments to public health measures in sub-Saharan Africa. American Journal of Preventive Medicine and Public Health, 6(3), 68–75. https://doi.org/10.5455/ajpmph.20200512020014 DOI: https://doi.org/10.5455/ajpmph.20200512020014

Posel, D., Oyenubi, A., & Kollamparambil, U. (2021). Job loss and mental health during the COVID-19 lockdown: Evidence from South Africa. PloS One, 16(3), e0249352. https://doi.org/10.1371/journal.pone.0249352 DOI: https://doi.org/10.1371/journal.pone.0249352

Quinn, S. C., Parmer, J., Freimuth, V. S., Hilyard, K. M., Musa, D., & Kim, K. H. (2013). Exploring communication, trust in government, and vaccination intention later in the 2009 H1N1 pandemic: Results of a national survey. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 11(2), 96–106. https://doi.org/10.1089/bsp.2012.0048 DOI: https://doi.org/10.1089/bsp.2012.0048

Reddy, S. P., Sewpaul, R., Mabaso, M., Parker, S., Naidoo, I., Jooste, S., Mokhele, T., Sifunda, S., & Zuma, K. (2020). South Africans’ understanding of and response to the COVID-19 outbreak: An online survey. Lancet. https://doi.org/10.2139/ssrn.3576939 DOI: https://doi.org/10.2139/ssrn.3576939

Seale, H., Heywood, A. E., Leask, J., Sheel, M., Thomas, S., Durrheim, D. N., Bolsewicz, K., & Kaur, R. (2020). COVID-19 is rapidly changing: Examining public perceptions and behaviors in response to this evolving pandemic. PloS One, 15(6), e0235112. https://doi.org/10.1371/journal.pone.0235112 DOI: https://doi.org/10.1371/journal.pone.0235112

Sibley, C. G., Greaves, L. M., Satherley, N., Wilson, M. S., Overall, N. C., Lee, C. H., Milojev, P., Bulbulia, J., Osborne, D., Milfont, T. L., Houkamau, C. A., Duck, I. M., Vickers-Jones, R., & Barlow, F. K. (2020). Effects of the COVID-19 pandemic and nationwide lockdown on trust, attitudes toward government, and well-being. American Psychologist, 75(5), 618. https://doi.org/10.1037/amp0000662 DOI: https://doi.org/10.1037/amp0000662

Siedner, M. J., Harling, G., Reynolds, Z., Gilbert, R. F., Haneuse, S., Venkataramani, A. S., & Tsai, A. C. (2020). Social distancing to slow the US COVID-19 epidemic: Longitudinal pretest–posttest comparison group study. PLoS Medicine, 17(8), e1003244. https://doi.org/10.1371/journal.pmed.1003244 DOI: https://doi.org/10.1371/journal.pmed.1003244

Stiegler, N., & Bouchard, J. P. (2020). South Africa: Challenges and successes of the COVID-19 lockdown. Annales Médico-psychologiques, revue psychiatrique, 178(7), 695–698. https://doi.org/10.1016/j.amp.2020.05.006 DOI: https://doi.org/10.1016/j.amp.2020.05.006

Swart, L. A., Taliep, N., Ismail, G., & Van Niekerk, A. (2022). The converging influence of social, economic and psychological factors on public responsiveness to the COVID-19 pandemic in South Africa. BMC Public Health, 22(1), 1–11. https://doi.org/10.1186/s12889-022-13845-y DOI: https://doi.org/10.1186/s12889-022-13845-y

Verma, B. K., Verma, M., Verma, V. K., Abdullah, R. B., Nath, D. C., Khan, H. T., Verma, A., Vishwakarma, R. K., & Verma, V. (2020). Global lockdown: An effective safeguard in responding to the threat of COVID‐19. Journal of Evaluation in Clinical Practice, 26(6), 1592–1598. https://doi.org/10.1111/jep.13483 DOI: https://doi.org/10.1111/jep.13483

Wiysonge, C. S., Alobwede, S. M., De Marie, C. K. P., Kidzeru, E. B., Lumngwena, E. N., Cooper, S., Goliath, R., Jackson, A., & Shey, M. S. (2022). COVID-19 vaccine acceptance and hesitancy among healthcare workers in South Africa. Expert Review of Vaccines, 21(4), 549–559. https://doi.org/10.1080/14760584.2022.2023355 DOI: https://doi.org/10.1080/14760584.2022.2023355

Published

2023-09-04

How to Cite

Galvin, M., Kim, A. W., Bosire, E., Ndaba, N., Cele, L., Swana, S., Kwinda, Z., Tsai, A. C., & Moolla, A. Community Perceptions and Experiences of the South African Government’s Response to the First Wave of the COVID-19 Pandemic in Johannesburg, South Africa. Social and Health Sciences, 18 pages . https://doi.org/10.25159/2957-3645/12601

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Articles