CONTENT ANALYSIS OF COVID - 19 RELATED NUTRITION INFORMATION IN A PRINT MEDIA

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ABSTRACT


This study examined the content analysis of COVID – 19 related nutrition and health information in a print media. This study aimed to analyze the reporting/transmission of COVID – 19 related nutrition and health information by Nigerian Newspapers during the COVID – 19 outbreak. Content analysis was used based on simple random sampling for newspaper coverage on coronavirus in Nigeria by The Punch and The Nation newspapers for the period of one month i.e. April, 2020. The findings revealed that Results from table 4.1: Covid-19 and nutrition related information in News Article revealed the covid-19 and nutrition related information in the news articles of selected newspapers. Results revealed that most of the information on the news article column on these papers were focused on COVID-19/statistics and related updates (41.8%) and information on palliative distribution across the country (44.5%). In table 4.2: Covid-19 and nutrition related information on the feature articles, Results from table 4.2 revealed that information/articles on enforcement of COVID-19 protocol (26.8%), COVID-19 and international relationship (7.3%), new wave/stain of COVID-19 (7.3%), covid-19 impact on finance (4.9%), media/communication (4.9%), health sector (4.9%) electricity (4.9%) dominated the features column. Enforcement of COVID – 19 agencies did their work well by ensuring that the protocols needed for the safety of people were implemented. Table 4.3: Covid-19 and nutrition related information in Editorials; Results on the Covid-19 and nutrition related information in Editorials. Most of the editorials were focused on COVID-19 and the health sector (22.2%) because of the need for everyone to be aware and that COVID – 19 is real. So much emphasise were put in place in educating the general masses about the COVID - 19, lockdown management (11.1%), palliative/food distribution modalities (14.8%) and government response to COVID-19 crisis (11.1%).  From the previous studies, Nutrition recommendations from the ASPEN, Robert (2020), provided convincing evidence-based guidelines for critically ill patients. Malnutrition before and after diagnosis with COVID-19 remains the main focus of medical nutrition therapy when dealing with COVID-19 patients. In table 4.3: COVID-19 and nutrition related information in International News More than half (57.2%) of the information on international news segment were focused on COVID-19 statistics/cases. A good number of the articles provided information on covid-19 test/screening (8.6%), evacuation process (8.6%), global support/partnership to curb COVID-19 (8.6%). And shown in table 4.5. Results revealed that majority of the articles showed covid-19 palliative/vaccine funding and financing (42.5%), both federal and state government played a vital role in ensuring that palliatives/vaccines were shared in both local levels and federal levels, economic disruption due to COVID (45.6%) and firms/private sector observed negative influence due to the result of COVID-19, coping strategy during the lockdown (22.5%) in conclusion, Nigerian newspaper gave adequate coverage to coronavirus in Nigeria because the number of stories used reporting the issues were high. It recommended that the media should always continue to sensitize the general public on the negative effects of not adhering to safety measures against coronavirus in Nigeria. 










TABLE OF CONTENTS

                                                                                                               Pages

TITLE PAGE                                                                                                                  i

COVER PAGE                                                                                                                ii

CERTIFICATION                                                                                                          iii

DEDICATION                                                                                                                iv

ACKNOWLEDGEMENTS                                                                                            v

TABLE OF CONTENT                                                                                                  vi

LIST OF TABLES                                                                                                          viii

ABSTRACT                                                                                                                    ix

 

CHAPTER ONE

INTRODUCTION

1.1  Background to the Study                                                                                      1

1.2 Statement of the Problem                                                                                     8

1.3  Objectives of the Study                                                                                        11

1.4  Significance of the Study                                                                                     12

 

CHAPTER TWO

LITERATURE REVIEW

2.1  Introduction                                                                                                         14

2.2  Overview of Coronavirus                                                                                    14

2.3  Coronavirus in Nigeria                                                                                        15

2.4  Overview of the Print Media                                                                               17

2.4.1  Mass Media and Coronavirus                                                                           17

2.4.2    Print Media                                                                                                     21

2.4.3    Advantages of Print Media                                                                             23

2.4.4    Drawbacks of Print Media                                                                              24

2.5  Health Information Dissemination                                                                      25

2.6 Health Information and Mass Media                                                                    27

2.7  The Need for Strategic Health Communication in Nigeria                                 28

2.7.1    Dietary Misconconceptions associated with COVID – 19                                         30

 2.7.2   Effects of  Nutrition on COVID – 19                                                             32

2.8 Theoretical Framework                                                                                         33

2.8.1  Agenda Setting Theory                                                                                     33
2.8.2   Framing Theory                                                                                               34
2.8.3 Relevance of the Theory to the Study                                                                37

2.9  Empirical Review                                                                                                37

 

 

CHAPTER THREE

RESEARCH METHODOLOGY

3.1 Study Design                                                                                                         46

3.2 Study Location                                                                                                      46

3.3 Sampling/Sampling Procedure                                                                             47

3.4  Search Strategy                                                                                                    48

3.5  Unit of analysis and coding procedure                                                                48

3.6  Intercoder reliability                                                                                            51

3.7 Data analysis                                                                                                         51

 

CHAPTER FOUR

RESULTS AND DISCUSSION

4.1 Covid-19 and nutrition related information in News Article                                            52

 

4.2 Covid-19 and nutrition related information on the feature articles                                54

 

4.3       Covid-19 and nutrition related information in Editorials                                           56

 

4.4 COVID-19 and nutrition related information in International News                                    58

 

4.5 COVID-19 and nutrition related information in Advertisement/Business News                       59

 

4.6       Overall content analysis of covid-19 related nutrition information

in selected newspapers                                                                                               61

 

CHAPTER FIVE

CONCLUSIONS AND RECOMMENDATIONS

5.1 Conclusion                                                                                                            62

5.2  Recommendations                                                                                               64

REFERENCES






 

LIST OF TABLES

 

Table 4.1 Content analysis of covid-19 and nutrition related information

on the news article column of selected newspapers                                       53

 

Table 4.2 Content analysis of covid-19 and nutrition related information on

the feature article column of selected newspapers                                         55

 

Table 4.3 Content analysis of covid-19 and nutrition related information

on the editorials column of selected newspapers                                                       57

 

Table 4.4 Content analysis of covid-19 and nutrition related information

on the International news column of selected newspapers                                         58

 

Table 4.5.  Content analysis of covid-19 and nutrition related information

on the advert/business news column of selected newspapers                         60

 

Table 4.6 Overall content analysis of covid-19 related nutrition information

on selected newspapers                                                                                               61

 


 





CHAPTER ONE

INTRODUCTION

1.1  Background to the Study

Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). A novel coronavirus (nCoV) is a new strain that has not been previously identified in humans (World Health Organization, 2019). 

Coronaviruses are zoonotic, meaning they are transmitted between animals and people.  Detailed investigations found that SARS-CoV was transmitted from civet cats to humans and MERS-CoV from dromedary camels to humans. Several known coronaviruses are circulating in animals that have not yet infected humans (WHO, 2019). According to the Nigeria Centre for Disease Control (2020), the new coronavirus (2019-nCoV) appears to cause mild to severe respiratory symptoms like cough, fever and breathing difficulties. From current evidence about 98 persons out of 100 persons with the disease recover, and it appears that death is not a common outcome, mostly in patients with underlying health issues. The FMOH (2020) advised all Nigerians to take care of their health and maintain hand and respiratory hygiene to protect selves and others, including their families.

Nigeria joined Algeria, Egypt and other countries in the African region for the case of COVID-19 following the confirmation of coronavirus disease (COVID-19) in Lagos - Nigeria by the Federal Ministry of Health (FMOH) on the 27th of February 2020, as a result of return of an Italian citizen from Milan-Italy, there is an emergency towards prevention, control and containment of the dreaded coronavirus disease that was discovered to have emanated from Wuhan China (NCDC, 2020).

The outbreak of corona virus illness in Nigeria was followed by disinformation and fear of death, prompting individuals to engage in strange activities in the hope of avoiding the disease. On March 11, 2020, the Nigerian news media announced the first instance of Corona virus illness in Nigeria. It arrived in the nation on an Italian American flight from Italy to Lagos in March 2020. People ceased shaking hands as a welcome in public meetings with huge numbers, such as Church conferences, revivals, and so on. In churches, the format for receiving Holy Communion has also altered. Personal things such as towels, toothbrushes, glasses, silverware, and hankies were no longer shared. Healthcare professionals grew hesitant or stopped treating patients with fever and other suspected corona-like signs and symptoms. Some people were walking about wearing hand gloves and nose masks all the time, and they had ceased doing anything that may conceivably function as a means of transmission for the fatal illness. Hand cleaning with soap and water, as well as the usage of hand sanitizer, became the norm, and everyone carried one with them. Some personal behaviors appear to have decreased, with the notion that the Corona virus may be transferred by bodily fluids such as sperm, perspiration, saliva, and other secretions, the propensity to engage in intimate conduct such as hugging, kissing, or sexual intercourse decreasing considerably.

To prevent the infection from spreading further, the Nigerian government launched public awareness and education programs emphasizing proper hygiene and social distance. Temperature screening was carried out at airports, and passengers returning from countries with a high number of confirmed cases of COVID-19 were urged to isolate themselves. In collaboration with state governments, the NCDC began tracking potential victims and their contacts. The Lagos State government prohibited any meetings of more than fifty individuals for four weeks on March 18, 2020, and ordered all lower and medium level public officers to remain at home (Ewodage, 2020).

Similarly, on March 30, 2020, the Federal government implemented various containment strategies such as closing national borders and airspace, closing schools, worship centers, and other public places, canceling mass gathering events, and putting the Federal Capital Territory, Lagos, and Ogun states on lockdown for an initial fourteen-day period (Radio Nigeria, 2020). Covid-19 testing facilities were established in Lagos, Abuja, and Irrua, Edo State, while state governments established isolation centers and imposed dawn to dusk curfews in their respective jurisdictions.

The media has the ability to draw our attention to certain concerns by creating agendas through the recurrence of health crisis headlines. According to Cohen (1963), the media may not be effective in telling their audience what to believe, but they are spectacularly successful in telling them what to think about. Given the media's ability to draw attention to a particular issue, the media has the potential to reawaken people's awareness of what is going on around them.

The media's participation in the Corona virus issue was not entirely unique when the virus was initially discovered. The majority of the media has long overlooked the spread of the pandemic, dismissing it as an issue affecting mainly foreign countries. The Corona virus's onslaught on West Africa this year, on the other hand, has been the deadliest type of infection ever documented. The illness has recently garnered global attention as a result of high fatality rates reported in the media. The news traveled fast and was accompanied by rumors and misinformation, most of which caused panic and terror among the public (Sophia, 2020).

Doctors who have responded to the issue describe it as "catastrophic" and "deteriorating everyday." The Nation newspaper editorial on January 22, 2020 portrayed the sight of the Corona virus illness as follows:

In order to safeguard travelers from the Corona Virus pandemic that has ravaged certain nations in South East Asia, the Federal Airports Authority of Nigeria has encouraged passengers and other airport users to follow all quarantine protocols at the country's airports.

            Aside from the human cost, the pandemic has damaged the economy of the afflicted nations, according to a World Health Organization review of the crises. The advent of the Corona Virus Disease (COVID-19) jeopardizes the country's growth in the health sector. An already underutilized healthcare system has been overburdened and is now unable to meet basic Corona and non-Corona medical needs; restrictions on movement have hampered trade and caused price increases that the average Nigerian cannot match, as he now lacks access to basic services such as food and water.

The rise of Corona in Nigeria has piqued the interest of nearly all sectors in the country. Although it got little attention or ignorance from the media at first, the major epidemic in Nigeria compelled the media to call people's attention to the urgent situation at hand, and nearly all newspapers reported on the Corona virus sickness every day. Most newspapers ran it as a headline, front page articles, inside and back page stories with graphics, and it appeared as many times as possible in the print media. This demonstrates the issue's importance and regularity, and most Corona virus news reports were not compensated for. The problem is about life, and as such, it has a news value that is of human interest. Another unspoken reason for the Corona virus's notoriety was that it was what people needed to hear and understand. As a result, every print media outlet will write in order to attract the target audience while still making sales.

The news media competed to see who could provide the most up-to-date information on Corona virus disease. Ameyo Adedeyoh, a medical doctor who treated the index patient, was among those killed in Nigeria. Several newspapers attempted to report on the deadly nature of this disease in a media report on the nature of the virus by using various styles of writing and pictograph. Clearly, case updates and media representations of health issues have an impact on health beliefs, behaviors, healthcare practices, and policy-making (Seale, 2002).

Not only does modern society rely on mass communication, but the process itself defines the nature of modern society, with more citizens relying on the media for much of what they know. This statement is based on the fact that only the media can make the Corona virus disease and other emerging health diseases known. The media has a significant role to play in the aforementioned conditions. Because the media is relied on to report accurate and trustworthy information on current issues such as health, it is believed that the media plays an important role. In the event of a public health emergency or natural disaster, risk coverage is influenced by the importance journalists place on it. The significance of an event or series of events is also a selling point for newspapers. This is visible on the front pages of Aliagan newspapers (2014).

In promoting the ethical value of health communication, World Health Organization (WHO) states that access to information is a basic right, and health for all is a priority throughout the world. The combination of the two elements ‘health’ and ‘information’ from an ethical point of view is more than the arithmetical sum of the two factors (Miranda et al, 2008). Mass media information on health-related issues may induce changes in health services utilization, both through planned campaigns and unplanned coverage. The current emphasis on consumerism in the delivery of health care highlights the potentially important role of mass media in increasing the public awareness of research findings and promoting the utilization of effective and efficient health services (Grilli, Ramsay and Minozzi, 2009).

Abone (2013) asserts that the mass media are referred to as a key component of global strategy for sustainable health issues. The media play vital role in every society as they shape culture, influence politics, affect people’s attitude, play important roles in health and business as well as affect the daily lives of millions. This explains why Mustapha (2014), avers that without the media, it would be impossible for health promoters and stakeholders to disseminate information as well as monitor and coordinate the activities of the various countries on health issues.

The press has a responsibility of originating opinion on vital issues and the provision of information to people to enable them make vital decisions that affect their lives. (Dzeble, 2006). The press play significant role in shaping society’s perception and opinion on societal issues. They are one of the major avenues through which people depend on for social, political and economic news. As Lipmann (2000), quoted by Eklu (2004) rightly pointed out, “it is very difficult to know everything through direct experience but we largely depend on pictures in our heads, which are conveyed to us by the news media, to get information.

Events, social problems, people or facts become significant only as a result of media coverage (Paimre and Harro-Loit, 2011). It is for this reason that newspapers, since their inception, have been regarded as the mirror of society, reflecting the images of societal happenings. Indeed, much of our knowledge on issues relating to politics, economics and society in general is made possible through newspapers. Consequently, the ways in which newspapers choose to cover social issues can have important ramifications, influencing how individuals in society perceive those issues and their response to them (Dzeble, 2006).

Modern society does not only depend upon mass communication, but the process itself defines the nature of mass society where more citizens will depend on the media for much of what they know. This is because (the coronavirus disease and other) emerging health diseases can only be made known by the media. Since the media is relied on for the reportage of accurate and trustable information on topical issues like on health related matters, it is believed that the mass media has important roles to play in the dissemination of accurate health and nutrition related COVID – 19 information. In the event of a public health emergency or a natural disaster, coverage of risk is influenced by the level of importance journalists give to it. The importance of an event or occurrences is also a selling point for newspapers. This is seen on the front pages of newspapers (Aliagan, 2014).

Basically, one of the functions of the media is surveillance of the society by unearthing potential and present dangers and pointing the way forward. This study, therefore, is on content analysis of coronavirus coverage by Nigerian newspapers.


1.2 Statement of the Problem

With the speed at which the recently discovered coronavirus is spreading there is a need for everyone to be at alert to avoid contacting the disease. Moreso, the submission of the World Health Organization (WHO) that while the present type of coronavirus was transmitted from cat, several known coronaviruses are circulating in animals that have not yet infected humans (WHO, 2020). This shows that without proper awareness and care, the spread of COVID – 19 will not be curtailed in Nigeria. 

According to the World Health Organization analysis of the crises, aside from the human cost, the outbreak has severally eroded the economies of the affected countries. The arrival of the Corona Virus Disease (COVID-19) threatens the country’s health sector progress. According to Wypych,  et al., (2017) an already low-capacity healthcare system has been over-extended and unable to meet basic medical needs; restrictions on movement have hindered trade and caused price increases that cannot be matched by the average Nigerian who now lacks access to basic services such as food and water.

At the individual level, the common denominator that drives most of the nutrition and dietary recommendations to combat viral infections, including COVID-19, lies within the link between diet and immunity. According to Wypych, et al., (2017), in fact, existing evidence highlights that diet has a profound effect on people’s immune system and disease susceptibility. It has been demonstrated that specific nutrients or nutrient combinations may affect the immune system through the activation of cells, modification in the production of signalling molecules, and gene expression.  

In Nigeria today, according to worldometer the statistics of coronavirus cases is 171,728, the statistics of the death rate is 2,134 and the total statistics recovered is 164,837, (Worldometer, 2021). This highlights the need for concerted effort by the media to enlighten the masses on coronavirus, prevention and management. It is often necessary to impart information to the wider public in order to reach mass audiences, such as in public health campaign, as well as health campaigns which require different communication skills and strategies, health communication does not always involve sharing information with others, however, it can involve communication that takes place solely within a person, through the use of processes such as reflection. According to Djibo, (2019), in many everyday situations, we need to solve problems by thinking through alternative courses of action, or we need to monitor the results of our interactions with others.

In the area of health and nutrition, the lockdown (also known as sit/stay at home policy) policy impacted negatively on the majority of people in Nigeria who feed and survive only by what they earn daily. The situation will be worse, owing to little or no social welfare packages or palliative assistance provided by the government for the most vulnerable people in society. Moreover, lack of payment of salaries by state governments, increase in the price of commodities/foods and tariffs on inadequately supplied utilities like electricity are some factors that will make the lockdown unbearable, (Worldometer, 2020).

Nigeria’s already fragile food system was disrupted by the COVID-19 control measures imposed in 2020. However, in recent times, more than COVID-19-related disruptions, the increasing levels of conflict, banditry, kidnapping and communal clashes in the Northeast, Northwest and North central states is having a greater impact on food systems and food insecurity in the country. According to the Integrated Food Security Phase Classification (IPC) report on Northeast Nigeria in March 2021, the drivers of malnutrition in the region are chiefly conflict and insecurity, followed by the lingering impact of COVID-19. These are expected to further exacerbate the food crisis in the region, leading to decreased food accessibility for millions of children and households, Saharan-Africa (2021).

Despite the easing of COVID-19 related restrictions, the economic setbacks experienced by vulnerable populations in 2020 remain, as poor macroeconomic conditions continue to make recovery and access to food difficult. Food trade is continually affected by the depreciation of the Naira and high inflation coupled with the restrictions at Nigerian land borders, despite the official reopening. The local currency depreciation and high inflation rate stem from declining foreign reserves and economic damage caused by COVID-19 control measures in 2020, leading to more pressure on already stressed markets. According to a GeoPoll study on the impacts of COVID-19 in six African nations, 68% of respondents in Nigeria indicated that their spending on food and other necessities had increased in the three months before April 2021 because of the constant rise in food prices. The persistent increase in food inflation rates is putting more pressure on households already faced with rising unemployment and declining incomes.

The mass media is expected to be at the forefront of educating the masses that personal hygiene, hands hygiene and personal protective equipment use provides safety to all who are disciplined and committed to such practices in a time like this. This is because reporting cases of coranavirus is not enough but also emphasizing personal hygiene and other safety measures in various reports should be media business in such health emergency time like this.


1.3 Objectives of the Study

The general objective of this study is to assess the COVID – 19 nutrition and health information on selected print media.

The specific objectives of this study were to:

i.      Evaluate the COVID – 19 related nutrition information on news articles in selected newspapers

ii.      Examine the COVID – 19 related nutrition information on features articles in selected newspapers

iii.      Examine the COVID – 19 related nutrition information on editorial in selected newspapers

iv.      Examine the COVID – 19 related nutrition information on international news in selected newspapers

v.      To examine the COVID – 19 related nutrition information on advertisement/business section  in selected newspapers

vi.      To access the overall prevalence of nutrition related COVID – 19 information reported in selected newspapers (Nations and Punch) in Nigeria. 


1.4  Significance of the Study

This study is very essential to the extent that it helps to identify the content analysis of COVID – 19 related nutrition and health information in print media. The researchers expected that if the suggested and personal opinion proposed in this research work are implemented effectively and diligently, the poor image of information and communication technology on the health sector, governments and non-governmental sectors and print media will be restored and achieved.

Findings from this study will enable health care professionals, to be better informed on information technology and how it can be used to handle and make the public understand more of COVID-19 and how to prevent the virus from spreading. This would enable them to adopt appropriate strategy on the health sector.

Also this research will provide guidance to authorities and governments on how best to intervene, strategize and consequently supervise and monitor health sectors, social medias and other information channels.

The study also hopes to underscore the very importance of the media towards nutrition and health education, awareness and advocacy, identify the gaps noticed in journalism and the need for the media to assist in the campaign against emerging health issues through education and information.

This study will also serve as a baseline data for future researchers who may wish to carry out a further investigation on the coverage of Corona virus and other health issues in Nigeria.

 

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