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In this paper we focus on the wellbeing, and vulnerability, of older people in rural northern KwaZulu-Natal, South Africa during the first year of the pandemic. Methods We conducted monthly in-depth interviews for up to four months with 26 people aged 57 years and older. A total of 86 interviews were conducted by telephone, because of restrictions on face-to-face contact, and digitally recorded. After transcription and translation, the data were coded thematically, with analysis guided by a wellbeing theoretical framework. Results Having access to food, to healthcare and to somewhere they felt safe to stay, was essential for everyone. For many managing expenses became more of a struggle as adult children who had lost their source of employment came home to stay. However, despite the shortages of money, the importance of relationships, whether they are familial or the close community of neighbours, was highlighted in the accounts of many participants. Older people not only got help with day-to-day life from others, but also found solace in the company of others. The sense of community, from family and neighbours, helped to ease some of the stress experienced because of the lockdowns. Conclusions The COVID-19 pandemic and the restrictions imposed to limit the spread of the virus impacted the wellbeing of older adults in rural KwaZulu-Natal. Our findings show how the importance of relationships with family and friends contributed to nurturing wellbeing for older people.<\/ns3:p>","DOI":"10.12688\/wellcomeopenres.17841.5","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T06:25:21Z","timestamp":1747722321000},"page":"168","update-policy":"https:\/\/doi.org\/10.12688\/wellcomeopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID-19 and older people\u2019s wellbeing in northern KwaZulu-Natal \u2013 the importance of 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Oxford, England, 25 Jun 2025, version 5, indexed","URL":"https:\/\/wellcomeopenresearch.org\/articles\/7-168\/v5#referee-response-123862","order":2,"name":"referee-response-123862","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"This work was supported by Wellcome [201433; <a href=https:\/\/doi.org\/10.35802\/201433>https:\/\/doi.org\/10.35802\/201433<\/a>, a Strategic Core award to Prof. Deenan Pillay]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}