Affiliation:
1. Department of Public Health University of Otago Wellington New Zealand
2. Research Office Toi Ohomai NZIST Rotorua New Zealand
3. Ngāi Tahu Māori Health Research Unit, Division of Health Sciences University of Otago Dunedin New Zealand
Abstract
AbstractBackgroundDigital contact tracing (DCT) was a central component of the global response to containing COVID‐19. Research has raised concerns that DCT could exacerbate inequities, yet the experiences of diverse communities at greater risk from COVID‐19 are typically underrepresented.MethodsThe present study aimed to understand the perceived barriers to the adoption of the app amongst Māori, Pasifika, and disabled people. Focus groups and interviews were undertaken with Māori, Pasifika, and disability sector stakeholders and community participants.ResultsParticipants (n = 34) generally expressed willingness to utilise DCT and support its adoption within the communities. Simultaneously, participants revealed how the app could marginalise community members who struggled with the usability and those distrusting of the government's COVID‐19 interventions.ConclusionsThe findings highlight how addressing communication inequality can assist in the development of contact‐tracing responses that are both effective and equitable. The study provides insights about the role of information and communication technologies as health resources.Patient or Public ContributionConsulting with members of the target communities was central throughout the present study, including recommendations for potential participants, participation in interviews and sharing early findings for feedback. This study reports on focus groups and interviews with individuals from Māori and disability sectors.
Funder
Ministry of Health, New Zealand
Reference36 articles.
1. Digital contact tracing technologies in epidemics: a rapid review;Anglemyer A;Cochrane Database Syst Rev,2020
2. Acceptability of App-Based Contact Tracing for COVID-19: Cross-Country Survey Study
3. Widening or narrowing inequalities? The equity implications of digital tools to support COVID‐19 contact tracing: A qualitative study
4. Ministry of Health. People at Higher Risk of Severe Illness From COVID‐19. Ministry of Health;2023. https://covid19.govt.nz/prepare-and-stay-safe/people-at-higher-risk-of-severe-illness-from-covid-19/#:~:text=risk%20medical%20conditions- M%C4%81ori those%20aged%2065%20and%20over
5. Māori and Pacific People in New Zealand have higher risk of hospitalisation for COVID‐19;Steyn N;N Z Med J,2020