E-ISSN 2576-3741
 

Review Article 


COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa

AYESHA SINGH , Atieme Joseph Ogbolosingha.

Abstract
The first COVID-19 case in Sub-Saharan Africa was reported in Nigeria on 27th February 2020, and within weeks the disease spread to all African countries, except Lesotho as of 1st May 2020. In this review, we have evaluated the public health measures initiated in Sub-Saharan African countries to mitigate the spread of COVID-19, highlighted the impediments to these measures and provided recommendations. We reviewed the strategies initiated in Nigeria, South Africa, Rwanda, and Burundi. It was found that the governments of these countries initiated several measures including hand and respiratory hygiene, keeping a distance from other people, quarantining travellers and isolating symptomatic cases. Also, lockdown was instituted to further reduce the spread of COVID-19 in Nigeria, South Africa and Rwanda while in Burundi there was no lockdown. However, the fragile medical infrastructure, poor living conditions, lack of social welfare system, draconian lockdown implementation strategies and inconsistent information from authorities have impeded the success. The lockdown and social distancing measures have not reduced the rate of infection in these countries, and the implementation of the measures were sporadic and not backed up with increased capacities of diagnostic tests. It is strongly recommended Sub-Saharan African countries increase testing and follow scientific evidence in cautiously easing the lockdown, and evolve post-pandemic plans to revitalise medical and socio-economic infrastructure. In conclusion, the governments of these countries should look inward for solutions to her problems and avoid implementing Western anti-COVID-19- policy without consideration of the peculiarities in African societies.

Key words: Covid-19; Sub-Saharan Africa; public health; lockdown; impediments


 
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Pubmed Style

AS, Ogbolosingha AJ, . COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014


Web Style

AS, Ogbolosingha AJ, . COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. http://www.ajpmph.com/?mno=106637 [Access: June 13, 2020]. doi:10.5455/ajpmph.20200512020014


AMA (American Medical Association) Style

AS, Ogbolosingha AJ, . COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014



Vancouver/ICMJE Style

AS, Ogbolosingha AJ, . COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014



Harvard Style

, A. S., Ogbolosingha, A. J. & (2020) COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014



Turabian Style

, AYESHA SINGH, Atieme Joseph Ogbolosingha, and . 2020. COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014



Chicago Style

, AYESHA SINGH, Atieme Joseph Ogbolosingha, and . "COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa." doi:10.5455/ajpmph.20200512020014



MLA (The Modern Language Association) Style

, AYESHA SINGH, Atieme Joseph Ogbolosingha, and . "COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa." doi:10.5455/ajpmph.20200512020014



APA (American Psychological Association) Style

, A. S., Ogbolosingha, A. J. & (2020) COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. doi:10.5455/ajpmph.20200512020014





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