A national survey of hospital readiness during the COVID-19 pandemic in Nigeria.

Autor: Ogoina D; Department of Internal Medicine, Niger Delta University/Niger Delta University Teaching Hospital, Yenagoa, Bayelsa State, Nigeria., Mahmood D; African Field Epidemiology Network, Abuja, Nigeria., Oyeyemi AS; Department of Community Medicine, Niger Delta University/Niger Delta University Teaching Hospital, Yenagoa, Bayelsa State, Nigeria., Okoye OC; Department of Internal Medicine, Faculty of Clinical Medicine, Delta State University, Abraka, Delta State, Nigeria., Kwaghe V; Department of Internal Medicine, University of Abuja Teaching Hospital, Federal Capital Territory, Gwagwalada, Nigeria., Habib Z; Department of Internal Medicine, University of Abuja Teaching Hospital, Federal Capital Territory, Gwagwalada, Nigeria., Unigwe U; Department of Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria., Iroezindu MO; Department of Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria., Garbati MA; University of Maiduguri/University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria., Rotifa S; Department of Community Medicine, Federal Medical Centre Yenagoa, Yenagoa, Bayelsa State, Nigeria., Adekanmbi O; Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, Nigeria., Garba I; Infectious Disease and Tropical Medicine Unit, Department of Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria., Dayyab FM; Infectious Diseases Hospital, Kano, Nigeria., Ibrahim SM; University of Maiduguri/University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria., Kida IM; University of Maiduguri/University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria., Adamu A; University of Maiduguri/University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria., Alasia D; Department of Internal Medicine, College of Health Sciences University of Port Harcourt, Port Harcourt, Nigeria., Awang SK; Department of Internal Medicine, Federal Medical Centre, Yola, Adamawa State, Nigeria., Ohaju-Obodo JO; Department of Internal Medicine, Faculty of Clinical Medicine, Delta State University, Abraka, Delta State, Nigeria., Usman R; Zamfara State Ministry of Health, Zamfara, Nigeria., Mohammed Y; Department of Medical Microbiology and Parasitology, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria., Omololu A; Department of Medicine, Federal Medical Centre Abeokuta, Ogun State, Nigeria., Tobin EA; Institute of Lassa fever research and control, Irrua Specialist Teaching Hospital, Irrua, Nigeria., Okogbenin S; Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Nigeria., Asogun D; Dept of Community Health, Irrua Specialist Teaching Hospital, Irrua, Nigeria., Kelly I; Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria., Waziri B; Department of Medicine, Ibrahim Badamasi Babangida Specialist Hospital, Minna, Niger State, Nigeria., Nauzo AM; Department of Paediatrics, Federal Medical Centre Birnin Kebbi, Kebbi State, Nigeria., Jibrin Y; Department of Medicine, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Bauchi, Nigeria., Habib AG; Infectious Disease and Tropical Medicine Unit, Department of Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Sep 21; Vol. 16 (9), pp. e0257567. Date of Electronic Publication: 2021 Sep 21 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0257567
Abstrakt: Introduction: The COVID-19 pandemic continues to overwhelm health systems across the globe. We aimed to assess the readiness of hospitals in Nigeria to respond to the COVID-19 outbreak.
Method: Between April and October 2020, hospital representatives completed a modified World Health Organisation (WHO) COVID-19 hospital readiness checklist consisting of 13 components and 124 indicators. Readiness scores were classified as adequate (score ≥80%), moderate (score 50-79.9%) and not ready (score <50%).
Results: Among 20 (17 tertiary and three secondary) hospitals from all six geopolitical zones of Nigeria, readiness score ranged from 28.2% to 88.7% (median 68.4%), and only three (15%) hospitals had adequate readiness. There was a median of 15 isolation beds, four ICU beds and four ventilators per hospital, but over 45% of hospitals established isolation facilities and procured ventilators after the onset of COVID-19. Of the 13 readiness components, the lowest readiness scores were reported for surge capacity (61.1%), human resources (59.1%), staff welfare (50%) and availability of critical items (47.7%).
Conclusion: Most hospitals in Nigeria were not adequately prepared to respond to the COVID-19 outbreak. Current efforts to strengthen hospital preparedness should prioritize challenges related to surge capacity, critical care for COVID-19 patients, and staff welfare and protection.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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