Transitioning the COVID-19 response in the WHO African region: a proposed framework for rethinking and rebuilding health systems.

Autor:	Balde T; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Oyugi B; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo oyugib@who.int.; Centre for Health Services Studies, University of Kent, Canterbury, UK., Byakika-Tusiime J; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Ogundiran O; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Kayita J; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Banza FM; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Landry K; Emergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, Congo., Ejiofor EN; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Kanyowa TM; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Mbasha JJ; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Rashidatu K; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Atuhebwe P; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Gumede N; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Herring BL; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Anoko JN; Emergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, Congo.; Dakar Hub, World Health Organization Regional Office for Africa, Dakar, Senegal., Zongo M; Operation Support and Logistics, Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Okeibunor J; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., O'Malley H; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Chamla D; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Braka F; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo., Gueye AS; Emergency Preparedness and Response Programme, World Health Organization, Brazzaville, Congo.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2022 Dec; Vol. 7 (12).
DOI:	10.1136/bmjgh-2022-010242
Abstrakt:	The onset of the pandemic revealed the health system inequities and inadequate preparedness, especially in the African continent. Over the past months, African countries have ensured optimum pandemic response. However, there is still a need to build further resilient health systems that enhance response and transition from the acute phase of the pandemic to the recovery interpandemic/preparedness phase. Guided by the lessons learnt in the response and plausible pandemic scenarios, the WHO Regional Office for Africa has envisioned a transition framework that will optimise the response and enhance preparedness for future public health emergencies. The framework encompasses maintaining and consolidating the current response capacity but with a view to learning and reshaping them by harnessing the power of science, data and digital technologies, and research innovations. In addition, the framework reorients the health system towards primary healthcare and integrates response into routine care based on best practices/health system interventions. These elements are significant in building a resilient health system capable of addressing more effectively and more effectively future public health crises, all while maintaining an optimal level of essential public health functions. The key elements of the framework are possible with countries following three principles: equity (the protection of all vulnerable populations with no one left behind), inclusiveness (full engagement, equal participation, leadership, decision-making and ownership of all stakeholders using a multisectoral and transdisciplinary, One Health approach), and coherence (to reduce the fragmentation, competition and duplication and promote logical, consistent programmes aligned with international instruments). Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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