Life under lockdown: Illustrating tradeoffs in South Africa's response to COVID-19.

Ruth D Carlitz, Moraka N Makhura
Author Information
  1. Ruth D Carlitz: Department of Political Science, Tulane University, United States.
  2. Moraka N Makhura: Department of Agricultural Economics, Extension & Rural Development, University of Pretoria, South Africa.

Abstract

This research note sheds light on the first three months of the COVID-19 outbreak in South Africa, where the virus has spread faster than anywhere else in the region. At the same time, South Africa has been recognized globally for its swift and efficient early response. We consider the impact of this response on different segments of the population, looking at changes in mobility by province to highlight variation in the willingness and ability of different subsets of the population to comply with lockdown orders. Using anonymized mobile phone data, we show that South Africans in all provinces reduced their mobility substantially in response to the government's lockdown orders. Statistical regression analysis shows that such mobility reductions are significantly and negatively associated with COVID-19 growth rates two weeks later. These findings add an important perspective to the emerging literature on the efficacy of shelter-in-place orders, which to date is dominated by studies of the United States. We show that people were particularly willing and able to act in the provinces hit hardest by the pandemic in its initial stages. At the same time, compliance with lockdown orders presented a greater challenge among rural populations and others with more precarious livelihoods. By reflecting on South Africa's inequality profile and results of a recent survey, we demonstrate how the country's response may deepen preexisting divides. This cautionary tale is relevant beyond South Africa, as much of the continent - and the world - grapples with similar tradeoffs. Along with measures to contain the spread of disease, governments and other development focused organizations should seriously consider how to offset the costs faced by already marginalized populations.

Keywords

References

  1. Glob Public Health. 2020 Aug;15(8):1093-1102 [PMID: 32524893]
  2. J Health Polit Policy Law. 2021 Apr 1;46(2):211-233 [PMID: 32955556]
  3. J Econ Behav Organ. 2020 Dec;180:544-554 [PMID: 33100443]
  4. World Dev. 2020 Nov;135:105067 [PMID: 32834378]
  5. J Health Polit Policy Law. 2020 Dec 1;45(6):997-1012 [PMID: 32464665]
  6. Lancet. 2020 Mar 14;395(10227):846-848 [PMID: 32151325]
  7. Proc Natl Acad Sci U S A. 2020 Sep 29;117(39):24144-24153 [PMID: 32934147]
  8. Environ Health Perspect. 2020 May;128(5):57005 [PMID: 32438824]
  9. Health Aff (Millwood). 2020 Jun;39(6):936-941 [PMID: 32271627]
  10. Lancet. 2020 Mar 14;395(10227):871-877 [PMID: 32087820]
  11. Health Aff (Millwood). 2020 Jul;39(7):1237-1246 [PMID: 32407171]
  12. Comput Math Methods Med. 2020 Oct 29;2020:5379278 [PMID: 33178332]
  13. PLoS Med. 2020 Aug 11;17(8):e1003244 [PMID: 32780772]
  14. J Glob Health. 2020 Jun;10(1):010339 [PMID: 32373319]

Word Cloud

Created with Highcharts 10.0.0SouthAfricaresponseordersCOVID-19mobilitylockdownspreadtimeconsiderdifferentpopulationshowprovincespopulationsAfrica's-tradeoffsresearchnoteshedslightfirstthreemonthsoutbreakvirusfasteranywhereelseregionrecognizedgloballyswiftefficientearlyimpactsegmentslookingchangesprovincehighlightvariationwillingnessabilitysubsetscomplyUsinganonymizedmobilephonedataAfricansreducedsubstantiallygovernment'sStatisticalregressionanalysisshowsreductionssignificantlynegativelyassociatedgrowthratestwoweekslaterfindingsaddimportantperspectiveemergingliteratureefficacyshelter-in-placedatedominatedstudiesUnitedStatespeopleparticularlywillingableacthithardestpandemicinitialstagescompliancepresentedgreaterchallengeamongruralothersprecariouslivelihoodsreflectinginequalityprofileresultsrecentsurveydemonstratecountry'smaydeepenpreexistingdividescautionarytalerelevantbeyondmuchcontinentworldgrapplessimilarAlongmeasurescontaindiseasegovernmentsdevelopmentfocusedorganizationsseriouslyoffsetcostsfacedalreadymarginalizedLifelockdown:IllustratingCovid-19InequalityMobilitySocialDistancing

Similar Articles

Cited By