Monday, April 20, 2020

HEALTH ARTICLES 2020[2] On Covid 19 -by -MARISEN MWALE #Why The Voice Of Ordinary Malawians Has To Be Listened To On The Lockdown Saga


#Why The Voice Of Ordinary Malawians Has To Be Listened To On The Lockdown Saga
By MARISEN MWALE
Amidst this impasse on whether to implement Lockdown as part of intervention measure to curb the spread of the Corona virus in Malawi, I strongly believe that listening to the plight of the ordinary Malawian is critical. As public health mitigation and preventative measures like the Lockdown become popular, it is pertinent to also appreciate the voices of ordinary people whose socioeconomic livelihoods might be severely affected in unprecedented ways.  Not heeding their grievances expressed through demonstrations by mainly those in the vending career who represent the view of the majority of grassroots Malawians might culminate on the grievances having deleterious impact against prevention and awareness gains already being registered on the ground. Not only that, the timing was also skewed and not in the best interest of the average Malawian civil servant. Implementing a Lockdown mid-month would have meant civil servants who are already struggling due to poor wage bills going home without receiving their April salaries further compounding the essence of the public health preventative intervention. Further to that, ordinary people might begin construing the prevention measures as punitive or retributive or even infringing on their rights and not in the best interest of protecting them from contracting the Corona virus.


My take on the matter is that circumstances of ordinary Malawians need to be taken into consideration. Perhaps modification and departure from the one fits all Lockdown measure in consistence with our socioeconomic circumstances would suffice. Of note is the fact that incidence trends in Sub-Saharan Africa of which Malawi is part are rather at their lowest since the inception of the pandemic. Except for South Africa perhaps due mainly to the multi-racial populace, sub-Saharan African incidence might remain negligible even to the fizzing out of the epidemic. Most cases being registered even in Malawi are those of people migrating from high risk Western or Oriental epicenters. Our argument for Malawi as a case in point is not against preventive measures or solidarity  with the global community in the fight against the Covid 19 considering that we don’t need to be complacent but rather that our socioeconomic circumstances cannot afford that we implement the Lockdown strategy.
In Malawi there are strategies already on the ground that might need just a bit of scaling up – those like hand washing with sanitizers and antiseptic soap even among the pro-poor populations, disinfecting markets, use of face-masks and closing or limiting influx of immigrants through our boarders. Such, and diverse other interventions on the ground may be enough but also accommodative to ordinary Malawians’ socioeconomic plight. Against a background of poverty and deprivation with more than 80% of the population living below the poverty line and albeit from hand to mouth, a majority of aggrieved citizens consider a Lockdown unnecessary and counterproductive even on public health efforts across the board. It is paramount to note that we should not just implement a Lockdown for the sake of it or because every other nation is on Lockdown without necessarily scrutinizing our own circumstances or the main rationale for the intervention measure. As already highlighted we might create ambivalence and apathy towards prevention measures already afloat on the ground with people even beginning to construe measures as punitive, retributive and a violation of their rights. Further in overcrowded communities of our major cities like Blantyre, Lilongwe and Mzuzu; a Lockdown might even create further public health hazards and challenges as pressure on amenities might mount with negative effects on hygiene and other health outcomes.
Marisen ‘Maestro’ Mwale

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