Background
Corona Virus disease 2019 (COVID-19) pandemic continues to have serious health and socio-economic consequences. World Health Organisation (WHO) recommends several measures to combat the COVID-19 pandemic. In Malawi, COVID-19 cases are managed at home with hospital admission reserved for severe cases. This study described the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi.
Methods
This descriptive qualitative study was conducted from January to June 2021 in Blantyre Malawi, among caregivers of confirmed SARS-COV-2 cases enrolled in the SARS-CoV-2 study aimed to explore infections, transmission dynamics, and household impact. We conducted 37 in-depth interviews with caregivers of SARS-COV-2 cases. We captured data using telephonic interviews, digitally recorded, transcribed verbatim, managed using NVivo, and analysed thematically.
Results
The economic status of a family largely influenced the caregiving roles and abilities because it determined the resources that a household could access or not. Caregivers were committed to their role despite being ill-prepared to manage a COVID-19 patient at home in addition to fears about the contagious nature of COVID-19. They prioritised their patients’ health by ensuring that they were present to offer nutritional and medical treatment. The implementation of preventive measures was however challenging because of financial limitations and cultural factors. The increase in death rates and the lack of proper information challenged their expectation of having their patients healed. Caregivers managed their role by sharing responsibilities, getting better at their role with time, and also getting support from religious institutions and social networks.
Conclusion
The economic status of a household determined the experiences of caregivers as they managed their COVID-19 patients at home. Caring for confirmed cases of COVID-19 demanded commitment from the caregivers while ensuring that the transmission of the virus is minimised. There is a need to support households while in isolation with the right information on how to manage their patients and streamline social support for the ultra-poor.