Academic Journal

Assessment of COVID-19 pandemic responses in African countries: thematic synthesis of WHO intra-action review reports

التفاصيل البيبلوغرافية
العنوان: Assessment of COVID-19 pandemic responses in African countries: thematic synthesis of WHO intra-action review reports
المؤلفون: Charles Shey Wiysonge, Miriam Nanyunja, Ambrose Talisuna, Mary Stephen, Antonio Oke, Allan Mpairwe, Amadou Bailo Diallo, Emmanuel Onuche Musa, Daniel Yota, Freddy Mutoka Banza, Roland Kimbi Wango, Stella Chungong, Zabulon Yoti, Landry Ndriko Mayigane, Benido Impouma, Chinwe Iwu, Otim Patrick Cossy Ramadan, J Okeibunor, Belinda Louise Herring, Christian Massidi, Hilary Kagume Njenge, Martin Traore, Boukare Bonkoungou, Ishata Nannie Conteh, Fekadu Senait, Nsenga Ngoy, Abdou Salam Gueye
المصدر: BMJ Open, Vol 12, Iss 5 (2022)
بيانات النشر: BMJ Publishing Group, 2022.
سنة النشر: 2022
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Objectives We conducted a review of intra-action review (IAR) reports of the national response to the COVID-19 pandemic in Africa. We highlight best practices and challenges and offer perspectives for the future.Design A thematic analysis across 10 preparedness and response domains, namely, governance, leadership, and coordination; planning and monitoring; risk communication and community engagement; surveillance, rapid response, and case investigation; infection prevention and control; case management; screening and monitoring at points of entry; national laboratory system; logistics and supply chain management; and maintaining essential health services during the COVID-19 pandemic.Setting All countries in the WHO African Region were eligible for inclusion in the study. National IAR reports submitted by March 2021 were analysed.Results We retrieved IAR reports from 18 African countries. The COVID-19 pandemic response in African countries has relied on many existing response systems such as laboratory systems, surveillance systems for previous outbreaks of highly infectious diseases and a logistics management information system. These best practices were backed by strong political will. The key challenges included low public confidence in governments, inadequate adherence to infection prevention and control measures, shortages of personal protective equipment, inadequate laboratory capacity, inadequate contact tracing, poor supply chain and logistics management systems, and lack of training of key personnel at national and subnational levels.Conclusion These findings suggest that African countries’ response to the COVID-19 pandemic was prompt and may have contributed to the lower cases and deaths in the region compared with countries in other regions. The IARs demonstrate that many technical areas still require immediate improvement to guide decisions in subsequent waves or future outbreaks.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2044-6055
Relation: https://bmjopen.bmj.com/content/12/5/e056896.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2021-056896
URL الوصول: https://doaj.org/article/5b2bfc10218a4597b1b07a133adcb795
رقم الانضمام: edsdoj.5b2bfc10218a4597b1b07a133adcb795
قاعدة البيانات: Directory of Open Access Journals
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