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"We are adapting to it because it is within us": The co‐becoming of COVID‐19 in Malawi.

Authors :
Odenigbo, Chúk
Wesche, Sonia
Mkandawire, Paul
Crighton, Eric
Source :
World Medical & Health Policy. Sep2024, Vol. 16 Issue 3, p295-315. 21p.
Publication Year :
2024

Abstract

Using a case study design, this research explores the Coronavirus 2019 disease (COVID‐19) pandemic from the perspectives and worldviews of Malawians (Black/African knowledge) through the Bawaka Yolŋu ontology of co‐becoming (Black/Indigenous knowledge). This study seeks to examine the ways in which COVID‐19 has influenced perceptions of place and the places themselves, thereby contributing to the development of policies and strategies for effectively navigating and living with the ongoing COVID‐19 pandemic. The study involved forty‐one in‐depth semi‐structured interviews and two unstructured interviews, enabling a nuanced exploration of COVID‐19's impact through the diverse perspectives of Malawian knowledge holders including religious leaders, health‐care workers, farmers, and community leaders. The findings reveal a multifaceted transformation in the relationship of Malawians with nature, place, and one another. Nature, once a source of sustenance, has become a realm of danger due to its association with airborne transmission. Place, typically a communal space, has shifted towards individualized safety, necessitating changes in how homes are adapted and perceived. The communal fabric of Malawian society, deeply ingrained in communal practices, has been strained, altering traditional gatherings and societal interactions. This research adds depth to our understanding of COVID‐19's complex impacts, emphasizing the importance of cultural and environmental contexts in shaping responses to the pandemic. The insights gained hold significance for tailored policy interventions and community‐focused strategies to navigate and adapt to the evolving challenges presented by COVID‐19. Key points: Indigenous/Black knowledge offers perspectives necessary for building robust public health policies: Co‐becoming, as a form of knowledge production and framing, offers a new perspective on the relationship between place and space. It allows for a deeper understanding of how COVID‐19 has influenced and changed the dynamics between humans, nature, and the environment in Malawi.Diseases impact people's perceptions of places and mobility: Co‐becoming sheds light on the influence of COVID‐19 on people's perceptions of different places and their mobility patterns. COVID‐19 led to increased stigmatization of movement and nomadic lifestyles in Malawi, as the disease was associated with travelers. People became less likely to leave their communities, resulting in a stronger place‐based lifestyle.Diseases have cultural implications in a given place: This study highlights the changing relationships and adaptations in Malawi's communal culture due to COVID‐19. Customs and cultural practices were modified to reduce in‐person interactions, leading to decreased social cohesion and individualized responsibility. Furthermore, people created new social norms and expectations in response to the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19484682
Volume :
16
Issue :
3
Database :
Academic Search Index
Journal :
World Medical & Health Policy
Publication Type :
Academic Journal
Accession number :
180952434
Full Text :
https://doi.org/10.1002/wmh3.599