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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Disposition of health-care workers toward

                                        hospital patients during the COVID-19 pandemic
                                        in Nigeria



                                        Christain C. Iyiani , Henry T. Ajibo* , and Jacinta C. Ene

                                        Department of Social  Work, Faculty of the Social Sciences, University of Nigeria, Nsukka,
                                        Enugu State, Nigeria



                                        Abstract

                                        During the second wave of the COVID-19 pandemic, the World Health Organization
                                        declared health-care workers “the last line of defense against the COVID-19 pandemic.”
                                        Against this backdrop, this study investigated the state, responses, and attitudes
                                        of health-care workers toward hospital patients during the pandemic in Nigeria,
                                        alongside the attitudes of patients and the responsibilities of Nigerian social workers
                                        in ensuring adequate patient care. Employing a descriptive research design, the
                                        study sampled 17 respondents from Enugu State and utilized a qualitative research
                                        approach with an in-depth interview guide for data collection. The findings revealed
                                        that Nigerian healthcare workers exhibited a negative attitude toward hospital
                                        patients during the pandemic. Factors contributing to this negative attitude include
                                        fear of contracting the virus due to inadequate personal protective equipment, lack
            Academic editor:
            Mihajlo Jakovljevic M.D. Ph.D. MAE  of incentives, insufficient hazard allowances, and inadequate hospital facilities. The
                                        death rate of patients with complications unrelated to COVID-19 was high because
            *Corresponding author:
            Henry T. Ajibo              patients avoided hospital care even when critically ill due to fear of contracting
            henry.ajibo@unn.edu.ng)     the virus. Consequently, there was an increase in self-medication and reliance on
                                        alternative medicine among patients. Social workers played a significant role by
            Citation: Iyiani, C.C., Ajibo, H.T.
            & Ene, J.C. (2024). Disposition of   advocating for improved hospital care and welfare for patients. They engaged in
            health-care workers toward hospital   dialogue with hospital management to secure better attention and treatment for
            patients during the COVID-19   patients and advocated for adequate welfare provision for health-care workers.
            pandemic in Nigeria. Global Health
            Econ Sustain, 2(3):2743.    Social workers undertook educational initiatives to raise awareness among patients
            https://doi.org/10.36922/ghes.2743  about the dangers of alternative medicine, self-medication, and the imperativeness
            Received: January 15, 2024  of complying with the stipulated COVID-19 preventive protocol. In conclusion, this
                                        study  recommends  policy  reforms  aimed  at  enhancing  budgetary  allocations  to
            Accepted: February 29, 2024
                                        the health-care sector and institutionalizing the social work profession in Nigeria
            Published Online: July 23, 2024  through constitutional provisions.
            Copyright: © 2024 Author(s).
            This is an Open Access article
            distributed under the terms of the   Keywords: Healthcare workers; Hospital patients; COVID-19 pandemic; Social work
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.             1. Introduction
            Publisher’s Note: AccScience   SARS-CoV-2 (coronavirus), a novel virus suspected to have originated from a wildlife
            Publishing remains neutral with   market in Wuhan City, China, in December 2019 (Johns Hopkins Medicine, 2020),
            regard to jurisdictional claims in
            published maps and institutional   primarily causes mild-to-moderate respiratory illnesses in the majority of infected
            affiliations.               individuals, who typically recover without requiring special treatment. However, older


            Volume 2 Issue 3 (2024)                         1                        https://doi.org/10.36922/ghes.2743
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