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The purpose of this paper was to examine health-related misinformation proliferation during COVID-19 pandemic and its implications on public governance in South Africa.

Because of COVID-19 related restrictions, this study conducted a systematic review. The researchers searched several search engines which include PubMed, Web of Science and Scopus to identify relevant studies. A total of 252 peer reviewed research papers were identified. These research papers were furthered filtered, and a total of 44 relevant papers were eventually selected

There is a relationship between the spread of health-related misinformation and public governance. Government coordination and institutional coherence across the different spheres of governance is affected when there are multiple sources of information that are unverified and uncoordinated.

This study was limited to a systematic review because of COVID-19 restrictions, and therefore, actual data could not be collected. Moreover, this study was limited to health-related communication, and therefore, its findings can only be generalized to the health sector.

Future research in this subject should consider actual data collection from the departments of health and communications to gain an in-depth understanding of misinformation and its implications on public governance from their perspective as frontline departments as far as government communication is concerned.

Misinformation is an impediment to any fight against a public health emergency. Institutions which regulate communications technology and monitor misinformation should work harder in enforcing the law to deter information peddlers from their practice. This calls for reviewing existing regulation so that online spaces are safer for communicating health-related information.

Effective health communication remains a priority for the South African Government during COVID-19. However, with health-related misinformation on the increase, it is imperative to mitigate the spread to ensure it does not impede effective public governance. Government departments in South Africa are yet to develop policies that mitigate the spread of misinformation, and this paper may assist them in doing so.