Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience

Esayas Kebede Gudina,1,2 Matthias Siebeck,2,3 Million Tesfaye Eshete2,4 1Department of Internal Medicine, Institute of Health, Jimma University, Jimma, Ethiopia; 2Center for International Health at LMU, University Hospital, LMU, Munich, Germany; 3Institute of Medical Education, University Hospital,...

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Autores principales:	Gudina EK, Siebeck M, Eshete MT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	covid-19 ethiopia pandemic preparedness research scoping review Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f6ed294c7426452b94d4682e79c192b1
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spelling	oai:doaj.org-article:f6ed294c7426452b94d4682e79c192b12021-11-04T19:00:26ZEvidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience1179-1594https://doaj.org/article/f6ed294c7426452b94d4682e79c192b12021-11-01T00:00:00Zhttps://www.dovepress.com/evidence-gaps-and-challenges-in-the-fight-against-covid-19-in-africa-s-peer-reviewed-fulltext-article-RMHPhttps://doaj.org/toc/1179-1594Esayas Kebede Gudina,1,2 Matthias Siebeck,2,3 Million Tesfaye Eshete2,4 1Department of Internal Medicine, Institute of Health, Jimma University, Jimma, Ethiopia; 2Center for International Health at LMU, University Hospital, LMU, Munich, Germany; 3Institute of Medical Education, University Hospital, LMU, Munich, Germany; 4Department of Anesthesiology, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Esayas Kebede Gudina Email esakgd@gmail.comBackground: Ethiopia, like many African countries, took immediate actions to contain the coronavirus disease (COVID-19) outbreak and its impacts. However, the pandemic control measures were not guided by robust local evidence and not tailored to national contexts. In this review, we aimed to evaluate the evidence gaps and challenges of COVID-19 control measures in Ethiopia during the early months of the pandemic.Design: Scoping Review.Data Source: Searches were conducted in PubMed, LitCovid, Web of Sciences, Embase, MedRx, ChemRxiv, BioRx, and Google Scholar.Eligibility Criteria: Peer-reviewed or pre-print original research articles on COVID-19 from Ethiopia during a period of January 1, 2020 and October 10, 2020 were included in this review.Results: Of 573 articles found, 64 were eligible for inclusion. However, only 25 of them were peer-reviewed; 78% (50/64) were based on cross-sectional descriptive studies. Most of the studies focused on human behavior and healthcare system; only 13 articles addressed epidemiology and clinical spectrum of COVID-19. The studies have revealed a good level of awareness and a favorable attitude by community and healthcare workers (HCWs) towards COVID-19 and its control. However, the practices of infection prevention were found to be low among HCWs and the community. The outbreak unfolded at a slower rate than initially feared but the impact of the counter measures against COVID-19 on the delivery of essential healthcare services was felt more than the direct impact of the pandemic. Moreover, the actions taken by the country did not appear to be tailored to the pattern of the outbreak and existing local evidence. The overall number of published COVID-19-related scientific articles from Ethiopia during the review period was found to be limited.Conclusion: COVID-19 control in Ethiopia was challenged by lack of robust local scientific evidence, and the pandemic control measures were not adapted to local context and the outbreak patterns. Thus, Ethiopia and other African countries should design culturally sensitive and locally acceptable public health interventions for COVID-19 and potential future outbreaks based on locally generated scientific evidence.Keywords: COVID-19, Ethiopia, pandemic, preparedness, research, scoping reviewGudina EKSiebeck MEshete MTDove Medical Pressarticlecovid-19ethiopiapandemicpreparednessresearchscoping reviewPublic aspects of medicineRA1-1270ENRisk Management and Healthcare Policy, Vol Volume 14, Pp 4511-4521 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 ethiopia pandemic preparedness research scoping review Public aspects of medicine RA1-1270
spellingShingle	covid-19 ethiopia pandemic preparedness research scoping review Public aspects of medicine RA1-1270 Gudina EK Siebeck M Eshete MT Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
description	Esayas Kebede Gudina,1,2 Matthias Siebeck,2,3 Million Tesfaye Eshete2,4 1Department of Internal Medicine, Institute of Health, Jimma University, Jimma, Ethiopia; 2Center for International Health at LMU, University Hospital, LMU, Munich, Germany; 3Institute of Medical Education, University Hospital, LMU, Munich, Germany; 4Department of Anesthesiology, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Esayas Kebede Gudina Email esakgd@gmail.comBackground: Ethiopia, like many African countries, took immediate actions to contain the coronavirus disease (COVID-19) outbreak and its impacts. However, the pandemic control measures were not guided by robust local evidence and not tailored to national contexts. In this review, we aimed to evaluate the evidence gaps and challenges of COVID-19 control measures in Ethiopia during the early months of the pandemic.Design: Scoping Review.Data Source: Searches were conducted in PubMed, LitCovid, Web of Sciences, Embase, MedRx, ChemRxiv, BioRx, and Google Scholar.Eligibility Criteria: Peer-reviewed or pre-print original research articles on COVID-19 from Ethiopia during a period of January 1, 2020 and October 10, 2020 were included in this review.Results: Of 573 articles found, 64 were eligible for inclusion. However, only 25 of them were peer-reviewed; 78% (50/64) were based on cross-sectional descriptive studies. Most of the studies focused on human behavior and healthcare system; only 13 articles addressed epidemiology and clinical spectrum of COVID-19. The studies have revealed a good level of awareness and a favorable attitude by community and healthcare workers (HCWs) towards COVID-19 and its control. However, the practices of infection prevention were found to be low among HCWs and the community. The outbreak unfolded at a slower rate than initially feared but the impact of the counter measures against COVID-19 on the delivery of essential healthcare services was felt more than the direct impact of the pandemic. Moreover, the actions taken by the country did not appear to be tailored to the pattern of the outbreak and existing local evidence. The overall number of published COVID-19-related scientific articles from Ethiopia during the review period was found to be limited.Conclusion: COVID-19 control in Ethiopia was challenged by lack of robust local scientific evidence, and the pandemic control measures were not adapted to local context and the outbreak patterns. Thus, Ethiopia and other African countries should design culturally sensitive and locally acceptable public health interventions for COVID-19 and potential future outbreaks based on locally generated scientific evidence.Keywords: COVID-19, Ethiopia, pandemic, preparedness, research, scoping review
format	article
author	Gudina EK Siebeck M Eshete MT
author_facet	Gudina EK Siebeck M Eshete MT
author_sort	Gudina EK
title	Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
title_short	Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
title_full	Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
title_fullStr	Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
title_full_unstemmed	Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience
title_sort	evidence gaps and challenges in the fight against covid-19 in africa: scoping review of the ethiopian experience
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f6ed294c7426452b94d4682e79c192b1
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Evidence Gaps and Challenges in the Fight Against COVID-19 in Africa: Scoping Review of the Ethiopian Experience

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