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

Autor: Stella Rotifa, Aliyu Mamman Na’uzo, Zayaid Habib, Adamu M. Adamu, Iraoyah Kelly, Iliyasu Garba, Danny Asogun, Ibrahim Musa Kida, Sylvanus Okogbenin, Yusuf Bara Jibrin, Farouq Muhammad Dayyab, Ogochukwu Chinedum Okoye, Datonye Dennis Alasia, John Oghenevwirhe Ohaju-Obodo, Ayanfe Omololu, Dalhat Mahmood, Vivian Kwaghe, Dimie Ogoina, Michael Iroezindu, Abdulrazaq G. Habib, Bala Waziri, Yahaya Mohammed, Sanusi Mohammed Ibrahim, Ekaete Alice Tobin, Abisoye Oyeyemi, Uche S. Unigwe, Musa A. Garbati, Rabi Usman, Olukemi Adekanmbi, Sati K Awang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 9, p e0257567 (2021)
ISSN: 1932-6203
Popis: 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 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.
Databáze: OpenAIRE