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Implementing COVID-19 response within the context of the broader health system: a proposed framework for Africa´s
Abdu Abdullahi Adamu1,2, Rabiu Ibrahim Jalo3, Abdulkarim Ibrahim Dahiru4
1Cochrane South Africa, South African Medical Research Council, Tygerberg, South Africa.
Abstract:
Heads of government in Africa responded to the COVID-19 pandemic by setting up high-level task forces at continental and national levels to coordinate preparedness and response strategies, in a bid to mitigate the spread of this virus on the continent. However, the current strategy at both continental and national levels are narrowly focused on COVID-19 and this is not sustainable. This is because Africa has a high burden of communicable and non-communicable diseases and sustaining access to essential life-saving health services is also critical during this pandemic. Therefore, we call for a more holistic health systems-based model for COVID-19 outbreak response. We recommend that response strategies should be transitioned from vertical isolated programmes to a broad-based "time-bound" integrated health system intervention that links with existing health programmes as well as other government and non-governmental sectors.
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