3.8 Article

The COVID-19 pandemic: Stay Home policy and exposure to risks of infection among Nigerians

Journal

WORLD MEDICAL & HEALTH POLICY
Volume 15, Issue 3, Pages 245-257

Publisher

WILEY
DOI: 10.1002/wmh3.445

Keywords

COVID-19; Nigeria; stay at home

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This study investigates compliance with the Stay Home policy and exposure to COVID-19 in Nigeria. The findings suggest that residents in areas with complete lockdown were more likely to comply with the policy, while compliance was lower in areas with partial lockdown. Market places, classified as high-risk zones, were the most visited. Gender, marital status, and employment status were associated with compliance and exposure to COVID-19. Fear, anxiety, and misperception played major roles in compliance.
The global threat which continues to accompany SARS-CoV-2 has led to a global response which adopts lockdown and stays home policy as means of curtailing its spread. This study investigates compliance with the Stay Home policy and exposure to COVID-19 in Nigeria. A survey was conducted from April 4 to May 8, 2020 using a cross-sectional mixed-methods approach to elicit responses from 879 participants across six geopolitical zones of Nigeria. Descriptive, chi(2), and multiple regression tests were used to analyze survey data using SPSS, whereas NVivo v12 was used for thematic analysis of qualitative data. States with complete lockdown had 72.4% of respondents complying fully with the policy compared with 44.2% of respondents in zones with the partial lockdown. Market places, classified as high-risk zones, were the most visited (n = 505; 71.0%). Though compliance was influenced by the nature of lockdown enforced (chi(2) = 70.385, df = 2; p < 0.05), being a female, a widow, and unemployed were associated with increased compliance. Exposure to COVID-19 was associated with being married, unemployed, and having no income. Fear, anxiety, and misperception play major roles in compliance. The authors conclude that compliance is not uniform and a more nuanced and targeted approach is required as the government continues to respond to the COVID-19 global pandemic.

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