The dynamics embedded in COVID-19 pandemic responses in South Africa: Implications for public healthcare delivery

Authors

DOI:

https://doi.org/10.38140/ijss-2024.vol4.09

Keywords:

Pandemics , COVID-19, South Africa, public healthcare, social contract

Abstract

South Africa recorded the highest number of COVID-19 cases and deaths in Africa despite having what seemed to be one of the best government response mechanisms on the continent. This paper explores the responses of both the government and the citizens of South Africa to the COVID-19 pandemic. Through a literature review, the study established that the government's response to the pandemic was influenced by various factors, including the responsibility to protect citizens' lives, the need to defend the state's sovereignty, and compliance with global health imperatives. This was achieved through strict and coercive government measures, which left little room for public participation in decision-making. The findings also indicate public dissent towards government directives, which may be attributed to a lack of public awareness and preparedness in public health emergencies. The social contract theory provides a useful framework for analysing and understanding the actions of the government and citizens in response to COVID-19 in South Africa. Understanding these aspects is crucial for drawing informative lessons for effective public health and socio-economic interventions in future pandemics and health-related emergencies.

References

Ackah, B. B., Woo, M., Stallwood, L., Fazal, Z.A., Okpani, A., Ukah, U.V., & Adu, P. A. (2022). COVID-19 vaccine hesitancy in Africa: A scoping review. Global Health Research and Policy, 7(2). https://doi.org/10.1186/s41256-022-00255-1

Angaw, K.W. (2021). Policy responses and social solidarity imperatives to respond to the COVID-19 pandemic socioeconomic crises in Ethiopia. ClinicoEconomics and Outcomes Research, 279-287, https://doi.org/10.2147/CEOR.S300695

Bardosh, K., De Figueiredo, A., Gur-Arie, R., Jamrozik, E., Doidge, J., Lemmens, T., ... & Baral, S. (2022). The unintended consequences of COVID-19 vaccine policy: why mandates, passports and restrictions may cause more harm than good. BMJ Global Health, 7(5), e008684.https://doi.org/10.1136/bmjgh-2022-008684

Bhusal, T. (2020). Citizen participation in times of crisis: Understanding participatory budget during the COVID-19 pandemic in Nepal. ASEAN Journal of Community Engagement, 4(2), 321-341. https://doi.org/10.7454/ajce.v4i2.1103

Boateng, F.G., Kusi, S., & Ametepey, S. (2022). COVID-19 lockdown defiance, public ‘indiscipline’, and criminalisation of vulnerable populations in Ghana. African Review of Economics and Finance, 14(2), 142–159. https://hdl.handle.net/10520/ejc-aref_v14_n2_a9

Bol, D., Giani, M., Blais, A., & Loewen, P.J. (2021). The effect of COVID-19 lockdowns on political support: Some good news for democracy? European Journal of Political Research, 60, 497–505. https://doi.org/10.1111/1475-6765.12401

Centres for Disease Control and Prevention (2023). Past Flu Pandemics. https://www.cdc.gov/flu/pandemic-resources/basics/past-pandemics.html

Republic of South Africa. (1996). Constitution of the Republic of South Africa. Government Gazette.

Cooper, S., Van Rooyen, H., & Wiysonge, C. S. (2021). COVID-19 vaccine hesitancy in South Africa: how can we maximise uptake of COVID-19 vaccines? Expert Review of Vaccines, 20(8), 921-933. https://doi.org/10.1080/14760584.2021.1949291

Creswell, J.W. (2014). Research design: Qualitative, quantitative, and mixed methods approach (4th ed.). Sage Publications.

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), 797-811. https://doi.org/10.1108/JPBAFM-07-2020-0120

Denscombe, M. (2014). The good research guide for small-scale social research projects. Open University Press.

Department of Health. (2020a). Minister of Health Opening Statement on Coronavirus. Department of Health South Africa.

Department of Health. (2020b). South Africa’s COVID-19 Testing Capacity Increased with 60 New Mobile Lab Units Launched. Department of Health South Africa.

Department of Water and Sanitation. (2023). South Africa is a water-scarce country: Clean up and protect water resources. https://www.dws.gov.za/campaigns/Clear-River2022/Documents/Clear%20Rivers_Booklet_A4%202022.pdf

Douglas, K. M. (2021). Are conspiracy theories harmless? Spanish Journal of Psychology, 24, 1-7. https://doi.org/10.1017/SJP.2021.10

Ebrahim, A. (2020). COVID-19 and socioeconomic impact in Africa: The case of South Africa. United Nations University World Institute for Development. https://doi.org/10.35188/UNU-WIDER/WBN/2020-2

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

Griffith, A. K. (2020). Parental burnout and child maltreatment during the COVID-19 pandemic. Journal of Family Violence, 1–7. https://doi.org/10.1007/s10896-020-00172-2

Halvorsen, E., Stamu?O'Brien, C., Carniciu, S., & Jafferany, M. (2020). Psychological effects of COVID?19 on parenting and maternal?fetal mental health. Dermatologic Therapy, 33(4), 1–13. https://doi.org/10.1111/dth.13579

Hoque, A. M., Alam, A.M., Hoque, M., Hoque, M.E., & Van Hal, G. (2021). Knowledge, attitudes, and practices towards COVID-19 of pregnant women at a Primary Health Care facility in South Africa. European Journal of Medical and Health Sciences, 3(1), 50-55. http://dx.doi.org/10.24018/ejmed.2021.3.1.654

Kajiita, R. M., & Kang’ethe, S. M. (2021). Social distancing during the Sars-Cov2 (COVID-19) pandemic: Interpretations and implication in the African Context. Perspectives on Global Development and Technology, 20, 289–312. https://doi.org/10.1163/15691497-12341596

Kebede, Y., Birhanu, Z., Fufa, D., Yitayih, Y., Abafita, J., Belay, A., et al. (2020). Myths, beliefs, and perceptions about COVID-19in Ethiopia: A need to address information gaps and enable combating efforts. PLoS One, 15(11), e0243024. https://doi.org/10.1371/journal.pone.0243024

Kollamparambil, U., & Oyenubi, A. (2021). Behavioural response to the Covid-19 pandemic in South Africa. PLoS Oon, 16(4), e0250269. https://doi.org/10.1371/journal.pone.0250269 .

Makin, A. J., & Layton, A. (2021). The global fiscal response to COVID-19: Risks and repercussions. Economic Analysis and Policy, 69(2021), 340-349. https://doi.org/10.1016/j.eap.2020.12.016

McCartney, S. & Parent, R. (2015). Ethics in Law Enforcement. Victoria, B.C.: BCcampus. http://opentextbc.ca/ethicsinlawenforcement/

Moodley, K. (2022). The ethics behind mandatory COVID-19 vaccination post-Omicron: The South African context. South African Journal of Science, 118(5-6), 1-6. https://doi.org/10.17159/sajs.2022/13239

Munzhedzi, P. H. (2021). Analysing the application of governance principles in the management of COVID-19 in South Africa: Lessons for the future. Africa’s Public Service Delivery and Performance Review, 9(1), a490. https://doi.org/10.4102/apsdpr.v9i1.490

Neidleman, J. (2012). The Social Contract Theory in a global context. E-International Relations. https://www.e-ir.info/2012/10/09/the-social-contract-theory-in-a-global-context/.

Ngangue, P., Pilabré, A. H., Barro, A., Pafadnam, Y., Bationo, N., & Soubeiga, D. (2022). Public attitudes towards COVID-19 vaccines in Africa: A systematic review. Journal of Public Health in Africa, 13(1), 2181. https://doi.org/10.4081/jphia.2022.2181

Obasa, A. E., Singh, S., Chivunze, E., Burgess, T., Masiye, F., Mtande, T., ... & Moodley, K. (2020). Comparative strategic approaches to COVID-19 in Africa: Balancing public interest with civil liberties. South African medical journal= Suid-Afrikaanse tydskrif vir geneeskunde, 110(9), 858.

Okunlola, M. A., Lamptey, E., Senkyire, E. K., Dorcas, S., & Dooshima, B. A. (2020). Perceived myths and misconceptions about the novel COVID-19 outbreak. SciMedicine Journal, 2(3), 108-117. http://dx.doi.org/10.28991/SciMedJ-2020-0203-1

Olson, C. S. C., & Nelson, A. (2022). “Maskulinity,” femininity and a pandemic: gender and belief in myths around COVID-19. Feminist Media Studies, 23(5), 2471-2495. https://doi.org/10.1080/14680777.2022.2056756

Ozili, P. (2020). COVID-19 in Africa: socio-economic impact, policy response and opportunities. International Journal of Sociology and Social Policy, 42(3/4), 177-200. https://doi.org/10.1108/IJSSP-05-2020-0171

Ozili, P. K., & Arun, T. (2023). Spillover of COVID-19: impact on the Global Economy. In Managing inflation and supply chain disruptions in the global economy (pp. 41–61). IGI Global.https://doi.org/10.2139/ssrn.3562570

Patton, M. Q. (2015). Qualitative research and evaluation methods. Integrating theory and practices (4th ed.). Sage Publications.

Piret, J., & Boivin, G. (2021). Pandemics throughout history. Frontiers in Microbiology, 11, 631736. https://doi.org/10.3389/fmicb.2020.631736

Ramaphosa, C. (2020a). South Africa’s Response to the COVID-19 Coronavirus Pandemic. Department of Health South Africa.

Ramaphosa, C. (2020b). Statement by President Cyril Ramaphosa on Further Economic and Social Measures in Response to the COVID-19 Epidemic. Department of Health South Africa.

Ramaphosa, C. (2020c). Statement by President Cyril Ramaphosa on Measures to Combat COVID-19 Epidemic. Department of Health South Africa.

Republic of South Africa. (2022). Declaration of a national state of disaster. Disaster Management Act, Republic of South Africa. Government Gazette No. 43096:313.

Ryan, M. (2020). World Health Organisation: COVID-19 update. SABC News. https://www.youtube.com/watch?v5cS7YBPxd0uk

Sampath, S., Khedr, A., Qamar, S., et al. (2021). Pandemics throughout history. Cureus, 13(9), e18136. https://doi.org/10.7759/cureus.18136

Sreedhar, S. (2019). The right of nature and political disobedience: Hobbes’s puzzling thought experiment. In R. Douglass & J. Olsthoorn (Eds.), Hobbes’s on the citizen: A critical guide (pp. 71–88). Cambridge University Press. https://doi.org/10.1017/9781108379892.005

Staunton, C., Swanepoel, C., & Labuschaigne, M. (2020). Between a rock and a hard place: COVID-19 and South Africa’s response. Journal of Law and the Biosciences, 1–12. https://doi:10.1093/jlb/lsaa052

Sylvester, A., Tate, M., & Johnstone D. (2013). Beyond synthesis: re-presenting heterogeneous research literature. Behaviour & Information Technology, 32(12), 1199–1215. https://doi.org/10.1080/0144929X.2011.624633

Templier, M., & Paré, G. (2015). A framework for guiding and evaluating literature reviews. Communication Association for Information System, 37(6), 112–137. https://doi.org/10.17705/1CAIS.03706

Ullah, H., Ullah, A., Gul, A., Mousavi, T., & Khan, M.W. (2021). Novel coronavirus 2019 (Covid-19) pandemic outbreak: A comprehensive review of the current literature. Vacunas, 22(2), 106-113. https://doi.org/10.1016/j.vacun.2020.09.009.

Ullah, I., Khan, K. S., Tahir, M. J., Ahmed, A., & Harapan, H. (2021). Myths and conspiracy theories on vaccines and COVID-19: Potential effect on global vaccine refusals. Vacunas, 22(2), 93-97. https://doi.org/10.1016/j.vacun.2021.01.001

Upadhaya, B., Wijethilake, C., Adhikari, P., Jayasinghe, K., & Arun, T. (2020). COVID-19 policy responses: reflections on governmental financial resilience in South Asia. Journal of Public Budgeting, Accounting & Financial Management, 32(5), 825-836. https://doi.org/10.1108/JPBAFM-07-2020-0130

WHO. (2020). Coronavirus disease (COVID-19) outbreak. https://www.who.int/emergencies/diseases/novel-coronavirus-2019 . Accessed June 20, 2020.

Word Health Organization (2023). International Health Regulations (2005) – Third edition. https://www.who.int/publications/i/item/9789241580496

World Health Organization (2022). International Health Regulations. https://www.who.int/healthtopics/international-health-regulations#tab=tab_1

World Health Organization. (2023). WHO coronavirus (COVID-19) dashboard. https://data.who.int/dashboards/covid19/cases?n=c

Yang, M., Shi, L., Chen, H., Wang, X., Jiao, J., Liu, M., Yang, J., & Sun, G. (2022). Comparison of COVID-19 vaccine policies in Italy, India, and South Africa. Vaccines, 10, 1554. https://doi.org/10.3390/vaccines10091554

Yu, D. (2023). Revisiting the COVID-19 vulnerability index in South Africa. Development Southern Africa, 40(1), 91–108. https://doi.org/10.1080/0376835X.2021.1973887

Zondi, S. (2021). Covid-19 and the return of the state in Africa. Politikon, 48(2), 190-205. https://doiorg/10.1080/02589346.2021.1913805

Published

2024-05-28

How to Cite

Kajiita, R. M., & Kang’ethe, S. M. (2024). The dynamics embedded in COVID-19 pandemic responses in South Africa: Implications for public healthcare delivery. Interdisciplinary Journal of Sociality Studies, 4, 1-16. https://doi.org/10.38140/ijss-2024.vol4.09