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The Complexities of Public Health Communication on COVID-19 Vaccination in the Social Media Era: Implications on Zimbabwe’s Health System

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The COVID-19 - Health Systems Nexus

Part of the book series: Global Perspectives on Health Geography ((GPHG))

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Abstract

Social media platforms intend to engage the public in an interactive manner. They are often used as a mechanism by the public to share current information and engage in multi-way conversations and interactions. This chapter defines and discusses social media engagements on COVID-19 vaccination. It examines different chats on selected WhatsApp groups about the COVID-19 vaccination pros and cons and deliberates on the latent risks, benefits, and challenges of embracing the social media platform such as WhatsApp on public health communication. It also investigates how social media platforms have the potential to promote or undermine public health communication campaigns on the COVID-19 vaccination drive and consequently Zimbabwe’s health system. The period under study was from March 2020–December 2021. Virtual ethnography was undertaken of messages from two WhatsApp groups. Group 1 consisted of 257 participants, while group two consisted of 34. The researcher is also a member of these groups and thus was a participant observer. It emerged from the findings that negative religious discourse, lack of trust in government or fear of political manipulation, suspicion of commercial gain and vaccine safety are the some of the complexities behind vaccine hesitancy. These have been amplified by social media and thus social media has the potential to derail or hamper efforts to curb the spread of the virus. The Government of Zimbabwe needs to step up public health messages and awareness campaigns so that these messages do not drown in the infodemic or sea of misinformation and disinformation. Tapping into social media can thus reverse complacency and vaccine hesitancy. It can provide a rich research ground for health communication specialists. Social media can also be used to gauge public opinion on the issue of vaccination. The questions and issues surrounding the pandemic can be used as indicators on how to redirect messages to the public. Social media has emerged as a networked public space in which due to the anonymity offered, important matters can be discussed without fear and ignoring this space can be detrimental to any government during this pandemic.

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References

  • Al-Dmour, H., Masa’deh, R., Salman, A., Abuhashesh, M., & Al-Dmour, R. (2020). Journal of Mediacal Internet Research JMIR Publications August, 22(8), e19996. https://doi.org/10.2196/19996. http://www.jmir.org/2020/8/e19996

    Article  Google Scholar 

  • Allington, D., Duffy, B., Wessley, S., Dhavan, N., & Rubin, J. (2020). Health –protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Cambridge University Press.

    Google Scholar 

  • Archived: WHO Timeline-COVID-19. (27 April 2020). https://www.who.int. Accessed on 11 Feb 2022.

  • Armitage, R. (2021). Letter to the editor: Online ‘anti-vax’ campaigns and Covid-19: Censorship is not the solution. Elsevier- Public Health. www.elsevier.com/locate/puhe

    Google Scholar 

  • Bosch, T. (2017). Researching audiences in the age of social media. In P. Fourie (Ed.), Media studies: Social (new) media and mediated communication today (pp. 235–237). Juta and Company (Pty) Limited.

    Google Scholar 

  • Centre for Countering Digital Hate. (2020). The antivaxx industry, how big tech powers and profits from vaccine misinformation. https://www.counterhate.co.uk/anti-vaxx industry

  • Chibita, M., & Ugangu, W. (2017). Social media policy in Africa. In P. Fourie (Ed.), Media studies: Social (new) media and mediated communication today (pp. 235–237). Juta and Company (Pty) Limited.

    Google Scholar 

  • Cindelli, M., Quattrociocchi, W., Galeazzi, A., Valensise, C., Brugnoli, E., Schimdt, A., Zola, P., Zolla, F., & Scala, A. (2020). The Covid-19 social media infodemic, arxix, 2003.05004v1[CS.SI].

    Google Scholar 

  • Cladwell, M. (2017). Thinking about the public sphere and new (social) media. In P. Fourie (Ed.), Media studies: Social (new) media and mediated communication today (pp. 235–237). Juta and Company (Pty) Limited.

    Google Scholar 

  • Dzinamarira, T., Nachipo, B., Phiri, B., & Musuka, G. (2021). COVID-19 vaccine roll-out in South Africa and Zimbabwe: Urgent need to address community preparedness, fears, and hesitancy. Vaccine, 9, 250. https://doi.org/10.3390/vaccines9030250

    Article  Google Scholar 

  • ha-asia.com WhatsApp Forward Claiming ‘Vaccinated People will Die in 2 Years is Untrue’ Healthy Analytics Asia, 27 May 2021.

    Google Scholar 

  • Healthy People. (2010). Lead Agency: Office of Disease Prevention and Health Promotion; US Department of Health and Human Services Centres for Disease Control and Prevention, National Centre for Health Statistics.

    Google Scholar 

  • Hine, C. (2000). Virtual ethnography. Sage Publications.

    Book  Google Scholar 

  • Internet World Statistics. www.Internetworldstats.com. Accessed on 11 Feb 2022.

  • Jaiswal, J., et al. (2020). Disinformation, misinformation and inequality-driven mistrust in the time of COVID-19: Lessons unlearned from AIDS denialism in aids and behaviour. Springer Science+ Business Media, LLC, part of Springer Nature 2020, Published online 21 May 2020. https://doi.org/10.1007/s10461-020-02925-y

    Book  Google Scholar 

  • Kukurigo News. WhatsApp Updates 9 April 2020.

    Google Scholar 

  • Lima, D., Lopes, M., & Brito, A. (2020). Social media: friend or foe in the COVID-19 pandemic? Clinics. 75. Sao Paulo 2020 Epub 15.

    Google Scholar 

  • Maketo, J., & Mutizwa, B. (2021). Dynamics and trends in vaccine procurement and distribution in Zimbabwe. International Journal of Humanities, Management and Social Science, 4(2), 62–75. https://doi.org/10.36079/lamintang.ij-humass-0402.289

    Article  Google Scholar 

  • Mano, W. (2016). Engaging with China’s soft power in Zimbabwe: Harare Citizen’s perceptions of China- Zimbabwe relations. In X. Zhang, H. Wasserman, & W. Mano (Eds.), China’s media and soft power in Africa (pp. 163–180). Palgrave Macmillan, Westminister research. http://www.westminister.ac.uk/westminister research

    Google Scholar 

  • Mcbee, L., Tapera, O., & Kanyangarara, M. (2021). Factors associated with COVID-19 vaccine intentions in eastern Zimbabwe: Across-sectional study. Vaccine, 2021, 91109. https://doi.org/10.3390/vaccines9101109

    Article  Google Scholar 

  • Moyo, D. (2009). Citizen journalism and the parallel market of information in Zimbabwe’s 2008 election. Journalism Studies, 10(4), 551–567.

    Article  Google Scholar 

  • Moyo, L. (2011). Blogging down a dictatorship: Human rights, Citizen Journalists and the right to communicate in Zimbabwe. Journalism Studies, 12(6), 745–760.

    Article  Google Scholar 

  • Mutsvairo, B., Columbus, S., & Leijendekker, I. (2014). Reconnoitering the role of (citizen) journalism ethics in the emerging networked public sphere. Ecquid Novi: African Journalism Studies, 35(3), 4–22, Taylor and Francis Online.

    Article  Google Scholar 

  • Obi-Ani, N., Anikwenze, C., & Isiani, M. (2020). Social media and the Covid-19 pandemic: Observations from Nigeria. Cogent Arts & Humanities, 7(1), 1799483.

    Article  Google Scholar 

  • Randolph, W., & Viswanath, K. (2004). Lessons learned from Public Health Mass Media campaigns: Marketing health in a crowded world. Annual Review of Public Health, 2004(25), 419–437. https://doi.org/10.1146/annurev.publhealth.25.101802.123046

    Article  Google Scholar 

  • S.I. 234 of 2021 Public Health (COVID-19 Prevention Containment and Treatment) Regulations (National Lockdown) (No. 2) (Amendment) Order, 2021 (No. 35).

    Google Scholar 

  • Singh, L., Bansa, S., Bode, L., Budak, C., Chi, C., Kawintiranon, K., Padden, C., Vanarsdall, R., Vhraga, E., & Wang, Y. (2020). A first look at COVID-19 information and misinformation sharing on Twitter, arxiv, 2003.13907v1 [cs.SI]. 31 March 2020.

    Google Scholar 

  • The Herald. (2020, March 19). Zimbabwe Confirms First COVID-19 case. www.herald.co.zw

  • Thomas, J. (13 March 2020). www.niemanlab.org. Accessed on 4 Sept 2020.

  • World Health Organization (WHO). (2019). WHO top ten threats to global health 2019; https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019

  • www.indexmundi.com. Accessed on 10 Feb 2022.

  • YouTube, Hot263. (2021, July 28). Makandiwa divides Zimbabweans after “contradicting” himself on COVID-19 vaccine. Accessed on 11 Feb 2022.

    Google Scholar 

  • WhatsApp Group 1. Information from credible source about the lockdown due to COVID-19. Accessed on 4 May 2020.

    Google Scholar 

  • WhatsApp Group 1. The snakes are coming out. Accessed on 18 July 2021.

    Google Scholar 

  • WhatsApp Group 1. All vaccinated people will die within two years. Accessed on 18 July 2021.

    Google Scholar 

  • WhatsApp Group 1. Breaking news: US supreme court has cancelled universal vaccination. Accessed on 18 July 2021.

    Google Scholar 

  • TellZim News www.tellZim. Health worker strokes, dies after receiving Chinese vaccination. WhatsApp Group 2; Accessed on 3 Mar 2021

    Google Scholar 

  • WhatsApp Group 2. Alarming: 50 Mberengwa rural teachers have reportedly been admitted in Munene Mission Hospital with Breathing Problems. Accessed on 18 July 2021.

    Google Scholar 

  • Kukurigo WhatsApp Updates. WhatsApp Group 2. 9 Apr 2020.

    Google Scholar 

  • WhatsApp Group 2. Cheap drug can prevent and cure COVID, according to new research. (Accessed on 7 Oct 2021)

    Google Scholar 

  • WhatsApp Group 1. Shocking: Coronavirus is a scam. Accessed on 3 Sept 2020.

    Google Scholar 

  • WhatsApp Group 1. Mark of the beast: Bill Gates wants every person on earth to receive. Accessed on 3 Sept 2020.

    Google Scholar 

  • WhatsApp Group 1. ‘Science in 5’ Video interview between Vismita Gupta –Smith (WHO Communications Director) and Dr Soumya Swaminathan (WHO Chief Scientist). Accessed on 7 Nov 2021.

    Google Scholar 

  • COVID-19 has been a god-send for ZANU PF. Zimbabwe is rejecting vaccines because of where they come from rather than what they can do. Also ZANU PF is looking for political capital in the vaccination drive.. Sad. Twitter; accessed on 20 July 2021.

    Google Scholar 

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Correspondence to Elizabeth Farisai Hove .

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Hove, E.F. (2023). The Complexities of Public Health Communication on COVID-19 Vaccination in the Social Media Era: Implications on Zimbabwe’s Health System. In: Chapungu, L., Chikodzi, D., Dube, K. (eds) The COVID-19 - Health Systems Nexus. Global Perspectives on Health Geography. Springer, Cham. https://doi.org/10.1007/978-3-031-21602-2_13

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