Alternative to health consultations or safe spaces? Pregnant women’s health information-seeking behaviour online during the COVID-19 pandemic in Nigeria

Abstract

Purpose The COVID-19 pandemic disrupted healthcare systems globally, including antenatal care coverage. Pregnant women, who were considered “at risk” during the pandemic, replaced in-person antenatal visits with telemedicine and accessed health information online. However, little is known about pregnant women’s online information-seeking behaviour during the COVID-19 pandemic in Nigeria. Hence, the purpose of this paper is to investigate the information seeking behaviour of pregnant women online during the COVID-19 pandemic. Design/methodology/approach This research uses qualitative study and in-depth interviews to obtain data from eight pregnant women during the pandemic. Data were thematically analysed, with responses presented verbatim to illustrate themes. Findings Findings show that during the COVID-19 pandemic, the unavailability of health professionals and the fear of contracting the COVID-19 virus influenced pregnant women’s information-seeking behaviour online. Pregnant women accessed online sources as alternatives to consultations with health professionals, searched for drug prescriptions and asked pregnancy-related questions online. Findings also revealed that pregnant women conceptualised these online sources and platforms as safe spaces for sharing and dealing with pregnancy-related anxieties and difficulties during the pandemic. Research limitations/implications The number of participants sampled in the study is considered satisfactory since data saturation was achieved. However, considering the generalisation and transferability of the research findings, note that the study focused on a limited number of pregnant women in one state in Nigeria (Lagos State). Hence, the design and sample do not provide adequate generalisation to a larger population of pregnant women in Nigeria. Future research may generalise more broadly to other states in Nigeria. Another limitation of the study was using telephone interviews to collect data. Therefore, this paper could not analyse body language and facial expressions, which prevented us from gaining insights into participants’ descriptions of health information-seeking behaviour online. Therefore, further studies should use alternative data collection methods, such as face-to-face or online video interviews, instead of telephone interviews. Practical implications This study has implications for health policy interventions. The study’s findings can guide policies on designing digital health systems for pregnant women during health crises. Originality/value This study contributes to existing literature on health information-seeking behaviour online among a vulnerable population – pregnant women in a developing country. Specifically, the study contributes to knowledge on how pregnant women’s health information-seeking behaviour can change online within a health-crisis context like the COVID-19 pandemic and its implications for their overall well-being.