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COVID-19 and its intersect with ethics and human rights in Sub-Saharan Africa
Farai Mutenherwa1, Rouzeh Eghtessadi2, Tafadzwa Dzinamarira3
1Biomedical Research and Training Institute, Harare, Zimbabwe.
Insights
The Coronavirus disease 2019 (COVID-19) pandemic is accelerating in Sub-Saharan Africa, necessitating context-specific public health strategies. Ethical, human rights-based approaches are crucial for equitable access to testing, therapeutics, and vaccination.
Area of Science:
- Public Health
- Epidemiology
- Bioethics
Background:
- COVID-19 cases are rising in Sub-Saharan Africa (SSA), a region facing challenges like fragile health systems, high comorbidity rates, and socioeconomic instability.
- This vulnerability is exacerbated by the pandemic's indirect effects on pre-existing health conditions.
- The escalating situation demands tailored public health responses specific to the African context.
Discussion:
- This paper examines the intersection of public health responses to COVID-19 with ethics and human rights in SSA.
- It highlights conflicts between healthcare worker duties and patient rights amid unclear policies and the impact of restrictive measures on poverty-stricken populations.
- Ethical considerations are paramount in navigating these complex challenges.
Key Insights:
- There is a critical need for human rights-based approaches integrated into COVID-19 response strategies in SSA.
- Equitable access to testing, therapeutics, and vaccination must be ensured for all populations.
- Addressing the pandemic requires ethically sound systems that prioritize vulnerable groups and social protection.
Outlook:
- African States must establish robust systems that incorporate human rights principles into their COVID-19 response.
- Lessons learned over the past year of the pandemic in SSA and globally should inform future strategies.
- Ensuring no one is left behind is essential for a comprehensive and ethical pandemic response.
Abstract:
Confirmed new cases of Coronavirus disease 2019 (COVID-19) have accelerated in Sub-Saharan Africa against a backdrop of fragile health systems, a high burden of comorbidities and socioeconomic instability. The context makes the region particularly vulnerable to the virus and its impact. As cases escalate, the need to tailor-make COVID-19-related response strategies to the African context is imperative. This paper aims to discuss key considerations on the public health response to the pandemic and its intersection with ethics and human rights. With this perspective, we bring attention to the conflict between healthcare workers' obligations and patient rights under the unclear policy and regulatory frameworks and the application of restrictive measures in the context of poverty. The indirect effects of the pandemic on already existing health problems are also highlighted. We appeal to the African States to establish appropriate systems which integrate human rights-based approaches to COVID-19 response. These systems should be ethically sound systems and ensure no-one is left behind in terms of testing, access to therapeutics and vaccination, and social protection; based on lessons learned over the past 12 months of the pandemic's presence in SSA, and patterns emerging across the globe.
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