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

Gudina, Esayas Kebede; Siebeck, Matthias; Eshete, Million Tesfaye

doi:10.2147/rmhp.s333545

Cited by 3 publications

(4 citation statements)

References 102 publications

(235 reference statements)

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“…With the advent of COVID-19, scientists in public health worldwide have been trying to investigate the gaps and challenges in the containment measures and, consequently, evaluate a particular country’s preparedness for the new emerging disease [ 12 – 15 ]. As non-pharmaceutical interventions (NPIs) such as social distancing, hand washing, and face mask-wearing have been proved effective in providing necessary help, scholars have examined the knowledge, attitude, and practices of face mask utilization affecting them in Ethiopia [ 16 – 21 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the dynamic impacts of non-pharmaceutical and pharmaceutical intervention measures on the containment results against COVID-19 in Ethiopia

et al. 2022

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The rapid spread of COVID-19 in Ethiopia was attributed to joint effects of multiple factors such as low adherence to face mask-wearing, failure to comply with social distancing measures, many people attending religious worship activities and holiday events, extensive protests, country election rallies during the pandemic, and the war between the federal government and Tigray Region. This study built a system dynamics model to capture COVID-19 characteristics, major social events, stringencies of containment measures, and vaccination dynamics. This system dynamics model served as a framework for understanding the issues and gaps in the containment measures against COVID-19 in the past period (16 scenarios) and the spread dynamics of the infectious disease over the next year under a combination of different interventions (264 scenarios). In the counterfactual analysis, we found that keeping high mask-wearing adherence since the outbreak of COVID-19 in Ethiopia could have significantly reduced the infection under the condition of low vaccination level or unavailability of the vaccine supply. Reducing or canceling major social events could achieve a better outcome than imposing constraints on people’s routine life activities. The trend analysis found that increasing mask-wearing adherence and enforcing more stringent social distancing were two major measures that can significantly reduce possible infections. Higher mask-wearing adherence had more significant impacts than enforcing social distancing measures in our settings. As the vaccination rate increases, reduced efficacy could cause more infections than shortened immunological periods. Offsetting effects of multiple interventions (strengthening one or more interventions while loosening others) could be applied when the levels or stringencies of one or more interventions need to be adjusted for catering to particular needs (e.g., less stringent social distancing measures to reboot the economy or cushion insufficient resources in some areas).

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Section: Introductionmentioning

confidence: 99%

Assessing the dynamic impacts of non-pharmaceutical and pharmaceutical intervention measures on the containment results against COVID-19 in Ethiopia

et al. 2022

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“…During the present scoping review, the following was accomplished:(ii) Covid 19 related scientific pieces of evidence from multiple peer-reviewed with different world regions were highly affected by COVID-19 and/or comparable population size; and (iii) Covid 19 related scientific evidences from multiple peer-reviewed with different world regions were highly affected by COVID-19 and/ or comparable population size; and (iv) Covid 19 related scientific evidences from multiple peer-reviewed with different world regions were highly affected by COVID-19 and/or comparable population size. 3…”

Section: Methodology the Design Of The Current Studymentioning

confidence: 99%

Policies and practices-Concrete opportunities in response to the Covid19 pandemic in the eastern mediterranean region: systematic scoping review

Hussain¹,

Rebai²,

Bouguerra³

2022

JDMDC

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Backgrounds: The response Covid19 pandemic by different EMR national and regional health systems reflected tangible fragility and clear weakness pandemic in management at the policy and practice level in the face of rapid epidemic spread and steadily accelerating mortality and morbidity. Many lessons can be learned from the exuberance of the existing pandemic, as pandemic control measures were not guided by strong local evidence and were not tailored to national contexts. In this review, we sought to assess the gaps and challenges of COVID-19 control measures in Eastern Mediterranean Region during the early months of the pandemic

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“…Studies have revealed variations in adopting the advised COVID-19 guidelines in Africa [7] [8] [34] [36]. Despite showing a high level of awareness of the disease, most individuals have been reported to have poor practices regarding infection prevention and adherence to the recommended measures [37] [38]. Similarly, there have been reports of a lack of translation of being knowledgeable regarding COVID-19 and adherence to the recommended preventive measures [39].…”

Section: Adherence To Covid-19 Prevention Measures Across Populations...mentioning

confidence: 99%

“…Similarly, there have been reports of a lack of translation of being knowledgeable regarding COVID-19 and adherence to the recommended preventive measures [39]. Non-adherence to these guidelines predisposes individuals to contracting COVID-19 [34] [37].…”

Section: Adherence To Covid-19 Prevention Measures Across Populations...mentioning

confidence: 99%

Challenges Affecting African Countries in the Fight against the COVID-19 Pandemic: Implications for Interventional Strategies in Low-and Middle-Income Countries

Mudenda¹,

Mwila²,

Hikaambo³

et al. 2022

AID

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The coronavirus disease 2019 (COVID-19) has caused many global challenges, especially in resource-constrained countries. Africa, a continent with a large number of low-and middle-income countries (LMICs), shares this burden disproportionately compared to developed countries. Here we review some of the major challenges African countries face in the fight against COVID-19 and propose some mitigation measures. Studies have reported low adherence to COVID-19 prevention measures in most African countries. Additionally, there has been a shortage of healthcare workers, inadequate surveillance and diagnostic tools, unavailability of drugs in healthcare facilities, increased wrong beliefs, myths, misinformation and misconceptions about COVID-19 and vaccinations, and an already existing burden of infectious and non-infectious diseases across the African continent. Despite being very challenging to implement across African countries, telehealth is a critical solution to offer healthcare services during disease outbreaks. Many African countries have faced challenges in the fight against COVID-19. The training of healthcare workers (HCWs) must be strengthened to help address the shortage.

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

Cited by 3 publications

References 102 publications

Assessing the dynamic impacts of non-pharmaceutical and pharmaceutical intervention measures on the containment results against COVID-19 in Ethiopia

Assessing the dynamic impacts of non-pharmaceutical and pharmaceutical intervention measures on the containment results against COVID-19 in Ethiopia

Policies and practices-Concrete opportunities in response to the Covid19 pandemic in the eastern mediterranean region: systematic scoping review

Challenges Affecting African Countries in the Fight against the COVID-19 Pandemic: Implications for Interventional Strategies in Low-and Middle-Income Countries

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