Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa

Introduction: Public health security is concerned with infection prevention and control worldwide. These measures are the concern of all and sundry to ensure prevention of any outbreaks of diseases that has epidemic potential. Africa may be uniquely positioned to have the most severe and under-detec...

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Autores principales:	Bamidele Johnson Alegbeleye, Rana Kadhim Mohammed
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2020
Materias:	covid-19 preparedness sars-cov-2 resource-constrained settings healthcare systems sub-saharian africa Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b8658e6aec10465eabf35356eea21af3
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spelling	oai:doaj.org-article:b8658e6aec10465eabf35356eea21af32021-12-02T15:37:22ZChallenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa10.5281/zenodo.37554142695-5075https://doaj.org/article/b8658e6aec10465eabf35356eea21af32020-04-01T00:00:00Zhttps://doi.org/10.5281/zenodo.3755414https://doaj.org/toc/2695-5075Introduction: Public health security is concerned with infection prevention and control worldwide. These measures are the concern of all and sundry to ensure prevention of any outbreaks of diseases that has epidemic potential. Africa may be uniquely positioned to have the most severe and under-detected outcomes related to COVID-19 infection. This article seeks to highlight such challenges of healthcare delivery systems in the context of the COVID-19 pandemic in sub-Saharan Africa. The communique also suggests possible strategies for improvement in such settings. Method: We identified relevant articles to date using a manual library search, journal publications on the subject, and critically reviewed them. Results: We identified and exhaustively discussed the main limitations to public health security in sub-Saharan Africa as follows i) Continuing deterioration of the public health infrastructure for disease control, ii) The changing outlooks of contagious diseases, iii) Private sector reforms like the managed care, iv) Relatively weak health care systems, and v) Poor organizational structures. Conclusion: Most Africans are eager to see the desired transformation in our public health systems. Unfortunately, the political will to invest in public health infrastructure is lacking. Also, the system is characterized by human resources shortage and diverted resources, which significantly impacted the provision for emerging COVID-19 pandemic –related care. Interestingly the monumental breakthroughs in research development for bio-therapeutics and vaccines in African countries appear a mirage even with extensive past study experience with such products from China and the Western world. Finally, notwithstanding these challenges in our public health systems as elaborated, the facts are that enormous capacities exist that can be harnessed in African countries for the COVID-19 preparedness and response.Bamidele Johnson AlegbeleyeRana Kadhim MohammedEmergency Department of Hospital San Pedro (Logroño, Spain)articlecovid-19 preparednesssars-cov-2resource-constrained settingshealthcare systemssub-saharian africaMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 2, Iss 2, Pp 100-109 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 preparedness sars-cov-2 resource-constrained settings healthcare systems sub-saharian africa Medicine (General) R5-920
spellingShingle	covid-19 preparedness sars-cov-2 resource-constrained settings healthcare systems sub-saharian africa Medicine (General) R5-920 Bamidele Johnson Alegbeleye Rana Kadhim Mohammed Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
description	Introduction: Public health security is concerned with infection prevention and control worldwide. These measures are the concern of all and sundry to ensure prevention of any outbreaks of diseases that has epidemic potential. Africa may be uniquely positioned to have the most severe and under-detected outcomes related to COVID-19 infection. This article seeks to highlight such challenges of healthcare delivery systems in the context of the COVID-19 pandemic in sub-Saharan Africa. The communique also suggests possible strategies for improvement in such settings. Method: We identified relevant articles to date using a manual library search, journal publications on the subject, and critically reviewed them. Results: We identified and exhaustively discussed the main limitations to public health security in sub-Saharan Africa as follows i) Continuing deterioration of the public health infrastructure for disease control, ii) The changing outlooks of contagious diseases, iii) Private sector reforms like the managed care, iv) Relatively weak health care systems, and v) Poor organizational structures. Conclusion: Most Africans are eager to see the desired transformation in our public health systems. Unfortunately, the political will to invest in public health infrastructure is lacking. Also, the system is characterized by human resources shortage and diverted resources, which significantly impacted the provision for emerging COVID-19 pandemic –related care. Interestingly the monumental breakthroughs in research development for bio-therapeutics and vaccines in African countries appear a mirage even with extensive past study experience with such products from China and the Western world. Finally, notwithstanding these challenges in our public health systems as elaborated, the facts are that enormous capacities exist that can be harnessed in African countries for the COVID-19 preparedness and response.
format	article
author	Bamidele Johnson Alegbeleye Rana Kadhim Mohammed
author_facet	Bamidele Johnson Alegbeleye Rana Kadhim Mohammed
author_sort	Bamidele Johnson Alegbeleye
title	Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
title_short	Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
title_full	Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
title_fullStr	Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
title_full_unstemmed	Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa
title_sort	challenges of healthcare delivery in the context of covid-19 pandemic in sub-saharan africa
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2020
url	https://doaj.org/article/b8658e6aec10465eabf35356eea21af3
work_keys_str_mv	AT bamidelejohnsonalegbeleye challengesofhealthcaredeliveryinthecontextofcovid19pandemicinsubsaharanafrica AT ranakadhimmohammed challengesofhealthcaredeliveryinthecontextofcovid19pandemicinsubsaharanafrica
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Challenges of healthcare delivery in the context of COVID-19 pandemic in Sub-Saharan Africa

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