Digital Misinformation and Public Health Communication in Nigeria: Challenges, Trust and the Role of Social Media
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The rapid expansion of social media has transformed public health communication in Nigeria by creating opportunities for rapid information dissemination, audience engagement and health promotion, while simultaneously facilitating the circulation of digital health misinformation. This study examined digital misinformation and public health communication in Nigeria, with particular attention to the challenges posed by misinformation, the role of trust and source credibility, and the capacity of social media to support effective health communication. The study adopted a qualitative library-based research design and reviewed relevant literature published primarily between 2022 and 2026. Literature was identified through searches of Google Scholar, Scopus, Web of Science, PubMed, ScienceDirect and African Journals Online. The selected literature (n=21) was subjected to qualitative thematic analysis across five themes: social media and public health communication; production and circulation of digital health misinformation; source credibility, trust and audience evaluation; digital and health literacy; and communication strategies for addressing misinformation. The review indicates that social media can strengthen public health communication through its reach, interactivity, peer influence and capacity for targeted messaging, but these affordances also facilitate the rapid circulation of misleading health information. The literature further indicates that trust, source credibility, digital and health literacy, and audience engagement shape how health information is evaluated and acted upon. The study concludes that addressing digital health misinformation requires integrated communication strategies combining proactive monitoring, credible messengers, community engagement, digital and health literacy, timely correction and culturally appropriate messaging.
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Ade-Johnson, C. S. (2025). Social media and participatory health communication: A study of the 2024 cholera outbreak in Lagos State, Nigeria. African Journal of Human Kinetics, Recreation and Health Studies, 3(1), 5–25. https://doi.org/10.31920/2976 7784/2025/v3n1a1
Adeoye, O., Odeh, R., Nwala, A., Edet, F., Raji, M., Ahmadu, H., Songo, R., Balogun, F., Idogho, O., & Anyanti, J. (2023). Use of a media campaign to improve access to contraception in Nigeria amid the COVID-19 pandemic: A cross-sectional survey. BMJ Public Health, 1(1), e000192. https://doi.org/10.1136/bmjph-2023-000192
Afful-Dadzie, E., Afful-Dadzie, A., & Egala, S. B. (2023). Social media in health communication: A literature review of information quality. South African Journal of Information Management, 25(1), 3–17. https://doi.org/10.1177/1833358321992683
Afolabi, N., Ilesanmi, B. B., Enangama, V., Ahmad, A., Titilola, M., Oyinlola, O., Mohammed, S., Inuwa, U., David, A., Aboh, C., Badmus, O., & Abdu-Aguye, S. (2025). Lassa fever in Bauchi State, Nigeria: Communication channels and health-seeking behavior. International Journal of Infectious Diseases: Regional, 16, 100710. https://doi.org/10.1016/j.ijregi.2025.100710
Akerele, O. E., & Olanrewaju, A. K. (2026). Social media peer-driven communication on cervical cancer and HPV vaccine among female youth in Nigeria. Journal of Cancer Education. https://doi.org/10.1007/s13187-025-02817-6
Alade, M. O., Dada, D. O., & Amusan, O. G. (2025). Audience perception of Aproko Doctor's health contents on social media. Akungba Communication and Media Journal, 2(1), 26–39.
Alhassan, M. N., Akpede, K. S., & Akase, T. M. (2025). Use of social media platforms for integrated immunization awareness by the Nasarawa State Primary Health Care Development Agency. Taraba State University Journal of Communication and Media Studies, 5(1), 1–15.
Alvarez-Galvez, J., Carretero-Bravo, J., Lagares-Franco, C., Ramos-Fiol, B., & Ortega-Martin, E. (2025). Development of a conceptual framework of health misinformation during the COVID-19 pandemic: Systematic review of reviews. JMIR Public Health and Surveillance, 11, e62693. https://doi.org/10.2196/62693
Akingbade, O., Adeleye, K., Fadodun, O. A., Fawole, I. O., Li, J., Choi, E. P. H., Ho, M., Lok, K. Y. W., Wong, J. Y. H., Fong, D. Y. T., & Ogungbe, O. (2023). eHealth literacy was associated with anxiety and depression during the COVID-19 pandemic in Nigeria: A cross-sectional study. Frontiers in Public Health, 11, 1194908. https://doi.org/10.3389/fpubh.2023.1194908
Ben-Enukora, C. A., Oyero, O., Okorie, N., Agwu Ejem, A. A., & Adelabu, T. O. (2023). Perceived public alarm and comprehension of risk communication messages about Lassa fever in Nigeria: A gauge of the risk communication model. Frontiers in Communication, 8, 1052397. https://doi.org/10.3389/fcomm.2023.1052397
Ceretti, E., Covolo, L., Cappellini, F., Nanni, A., Sorosina, S., Beatini, A., Taranto, M., Gasparini, A., De Castro, P., Brusaferro, S., & Gelatti, U. (2022). Evaluating the effectiveness of internet-based communication for public health: Systematic review. Journal of Medical Internet Research, 24(9), e38541. https://doi.org/10.2196/38541
Chou, W. Y. S., Oh, A., & Klein, W. M. P. (2018). Addressing health-related misinformation on social media. JAMA, 320(23), 2417–2418. https://doi.org/10.1001/jama.2018.16865
Dong, W., Wang, Y., & Li, F. (2025). Rumor management in public health: A system dynamics analysis based on social trust. Frontiers in Public Health, 13, 1713731. https://doi.org/10.3389/fpubh.2025.1713731
Elfattah, H. Y. A. (2024). Social media and crisis communication: A narrative literature review of public engagement and policy implications. Sinergi International Journal of Communication Sciences, 2(3), 167–179. https://doi.org/10.61194/ijcs.v2i3.650
Eshiet, G. B. (2025). The role of digital literacy in information discernment and misinformation resilience: A dual-outcome analysis in the Nigerian social media context. Àgídìgbo: ABUAD Journal of the Humanities, 13(2), 766–788. https://doi.org/10.53982/agidigbo.2025.1302.22-j
Evans, W. D., Bingenheimer, J. B., Long, M., Ndiaye, K., Donati, D., Rao, N. M., Akaba, S., Nsofor, I., & Agha, S. (2023). Outcomes of a social media campaign to promote COVID-19 vaccination in Nigeria. PLOS ONE, 18(9), e0290757. https://doi.org/10.1371/journal.pone.0290757
Evans, W. D., Bingenheimer, J. B., Long, M. W., Ndiaye, K., Donati, D., Rao, N. M., Akaba, S., & Agha, S. (2024). Randomised experimental evaluation of a social media campaign to promote COVID-19 vaccination in Nigeria. Journal of Global Health, 14, 05018. https://doi.org/10.7189/jogh.14.05018
Goldstein, J. A., Grossman, S., & Startz, M. (2024). Belief in COVID-19 misinformation in Nigeria. The Journal of Politics, 86(2), 810–814. https://doi.org/10.1086/727605
Keller, P. A., & Lehmann, D. R. (2008). Designing effective health communications: A meta-analysis. Journal of Public Policy & Marketing, 27(2), 117–130. https://doi.org/10.1509/jppm.27.2.117
Krestel Digital. (2025). Social media statistics in Nigeria [2025 data report]. https://kresteldigital.com/resources/social-media-statistics-in-nigeria-2025-data-report/
Kite, J., Chan, L., MacKay, K., Corbett, L., Reyes-Marcelino, G., Nguyen, B., Bellew, W., & Freeman, B. (2023). A model of social media effects in public health communication campaigns: Systematic review. Journal of Medical Internet Research, 25, e46345. https://doi.org/10.2196/46345
Lu, C., Hu, B., Bao, M.-M., Wang, C., Bi, C., & Ju, X.-D. (2024). Can media literacy intervention improve fake news credibility assessment? A meta-analysis. Cyberpsychology, Behavior, and Social Networking, 27(4), 240–252. https://doi.org/10.1089/cyber.2023.0324
Mi, Y., & Apuke, O. D. (2024). How does social media knowledge help in combating fake news? Testing a structural equation model. Thinking Skills and Creativity, 52, 101492. https://doi.org/10.1016/j.tsc.2024.101492
Nagler, R. H. (2014). Adverse outcomes associated with media exposure to contradictory nutrition messages. Journal of Health Communication, 19(1), 24–40. https://doi.org/10.1080/10810730.2013.798384
Niederdeppe, J., Boyd, A. D., King, A. J., & Rimal, R. N. (2025). Strategies for effective public health communication in a complex information environment. Annual Review of Public Health, 46(1), 411–431. https://doi.org/10.1146/annurev-publhealth-071723-120721
Oni, O., Esalomi, O., Orok, E., & Adelusi, A. (2025). Social media usage for health information among undergraduate students: A cross-sectional study. BMC Public Health, 26, 417. https://doi.org/10.1186/s12889-025-26099-1
Ononiwu, R. C. (2024). “I know it is fake news but I share”: Motivations for deliberate fake news sharing among 20 young people in Lagos State, Nigeria. Covenant Journal of Communication, 11(2).
Onyechi, N. J. (2023). Perception of social media credibility and health information seeking behaviour: A cross-sectional online survey of youths in South West Nigeria. NIU Journal of Social Sciences, 9(1), 79–89. https://doi.org/10.58709/niujss.v9i1.1595
Oyeyemi, S. O., Fagbemi, S., Busari, I. I., & Wynn, R. (2023). Belief in COVID-19 conspiracy theories, level of trust in government information, and willingness to take COVID-19 vaccines among health care workers in Nigeria: Survey study. JMIR Formative Research, 7, e41925. https://doi.org/10.2196/41925
Papanikou, V., Papadakos, P., Karamanidou, T., Stavropoulos, T. G., Pitoura, E., & Tsaparas, P. (2025). Health misinformation in social networks: A survey of information technology approaches. Future Internet, 17(3), 129. https://doi.org/10.3390/fi17030129
Prike, T., Butler, L. H., & Ecker, U. K. H. (2024). Source-credibility information and social norms improve truth discernment and reduce engagement with misinformation online. Scientific Reports, 14, 6900. https://doi.org/10.1038/s41598-024-57560-7
Shadrach, I., Adikuru, C. C., & Abutu, D. O. (2026). Medical authority in the age of influencers: Examining source credibility and health message adoption among Nigerian undergraduates. Journal of Digital Sociohumanities, 3(1), 38–47. https://doi.org/10.25077/jds.3.1.38-47.2026
Suarez-Lledo, V., & Alvarez-Galvez, J. (2021). Prevalence of health misinformation on social media: Systematic review. Journal of Medical Internet Research, 23(1), e17187. https://doi.org/10.2196/17187
Talabi, F. O., Ugbor, I. P., Talabi, M. J., et al. (2022). Effect of a social media-based counselling intervention in countering fake news on COVID-19 vaccine in Nigeria. Health Promotion International, 37(2), daab140. https://doi.org/10.1093/heapro/daab140
Thapliyal, K., Thapliyal, M., & Thapliyal, D. (2024). Social media and health communication: A review of advantages, challenges, and best practices. In M. Garcia & R. de Almeida (Eds.), Emerging technologies for health literacy and medical practice (pp. 364–384). IGI Global Scientific Publishing. https://doi.org/10.4018/979-8-3693-1214-8.ch017
Umejei, E. (2024). Fake news in Nigeria: Global phenomenon, local realities. Current Psychology, 43, 29. https://doi.org/10.1007/s12144-024-06013-5
Uwalaka, T. (2023). “Abba Kyari did not die of coronavirus”: Social media and fake news during a global pandemic in Nigeria. Media International Australia, 188(1), 18–33. https://doi.org/10.1177/1329878X221101216
Vraga, E. K., & Bode, L. (2020). Correction as a solution for health misinformation on social media. American Journal of Public Health, 110(S3), S278–S280. https://doi.org/10.2105/AJPH.2020.305916
Wonodi, C., Obi-Jeff, C., Adewumi, F., Keluo-Udeke, S. C., Gur-Arie, R., Krubiner, C., Jaffe, E. F., Bamiduro, T., Karron, R., & Faden, R. (2022). Conspiracy theories and misinformation about COVID-19 in Nigeria: Implications for vaccine demand generation communications. Vaccine, 40(13), 2114–2121. https://doi.org/10.1016/j.vaccine.2022.02.005
Zeng, H.-K., Lo, S.-Y., & Li, S.-C. S. (2024). Credibility of misinformation source moderates the effectiveness of corrective messages on social media. Public Understanding of Science, 33(5), 587–603. https://doi.org/10.1177/09636625231215979