Public health emergency operations centres in Africa: a cross-sectional study assessing the implementation status of core components and areas for improvement, December 2021.

Autor:	Fekadu ST; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo tekestes@who.int., Gebrewahid AL; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo., Mankoula W; Division of Emergency Preparedness and Response, African Centres for Disease Control and Prevention (Africa CDC), Addis Ababa, Ethiopia., Eteng W; Division of Emergency Preparedness and Response, African Centres for Disease Control and Prevention (Africa CDC), Addis Ababa, Ethiopia., Lokossou V; ECOWAS Regional Center for Surveillance and Disease Control, West African Health Organisation, Abuja, Nigeria., Kawe Y; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo., Abdullah A; WHO Health Emergencies Programme, World Health Organisation Regional Office for the Eastern Mediterranean, Cairo, Egypt., Jian L; WHO Health Emergencies Programme, World Health Organization, Geneva, Switzerland., Kol MTM; Division of Emergency Preparedness and Response, African Centres for Disease Control and Prevention (Africa CDC), Addis Ababa, Ethiopia., Wilton MC; Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Rosenfeld E; Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Bemo VN; Bill & Melinda Gates Foundation, Seattle, Washington, USA., Collard E; Global Public Health Directorate, UK Health Security Agency, London, UK., McGinley L; Global Public Health Directorate, UK Health Security Agency, London, UK., Halm A; Department of infectious disease epidemiology, Robert Koch Institute, Berlin, Germany., Aragaw M; Division of Emergency Preparedness and Response, African Centres for Disease Control and Prevention (Africa CDC), Addis Ababa, Ethiopia., Conteh IN; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo., Braka F; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo., Gueye AS; Emergency Preparedness and Response cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Jun 20; Vol. 13 (6), pp. e068934. Date of Electronic Publication: 2023 Jun 20.
DOI:	10.1136/bmjopen-2022-068934
Abstrakt:	Objective: To assess implementation status of public health emergency operations centres (PHEOCs) in all countries in Africa. Design: Cross-sectional. Setting: Fifty-four national PHEOC focal points in Africa responded to an online survey between May and November 2021. Included variables aimed to assess capacities for each of the four PHEOC core components. To assess the PHEOCs' functionality, criteria were defined from among the collected variables by expert consensus based on PHEOC operations' prioritisation. We report results of the descriptive analysis, including frequencies of proportions. Results: A total of 51 (93%) African countries responded to the survey. Among these, 41 (80%) have established a PHEOC. Twelve (29%) of these met 80% or more of the minimum requirements and were classified as fully functional. Twelve (29%) and 17 (41%) PHEOCs that met 60%-79% and below 60% the minimum requirements were classified as functional and partially functional, respectively. Conclusions: Countries in Africa made considerable progress in setting up and improving functioning of PHEOCs. One-third of the responding countries with a PHEOC have one fulfilling at least 80% of the minimum requirements to operate the critical emergency functions. There are still several African countries that either do not have a PHEOC or whose PHEOCs only partially meet these minimal requirements. This calls for significant collaboration across all stakeholders to establish functional PHEOCs in Africa. Competing Interests: Competing interests: None declared. (© World Health Organization 2023. Licensee BMJ.)
Databáze:	MEDLINE
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