Health system responses and capacities for COVID-19 in Nigeria: A scoping review

Nigerian Journal of Medicine Pub Date : 2023-01-01 DOI:10.4103/njm.njm_123_22

Udochukwu Ugochukwu Ogu, N. Uguru, N. Ude, Nwadiuto C Ojielo, SO Onah, C. Okeke, BenjaminS Chudi Uzochukwu, O. Onwujekwe

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引用次数: 0

Abstract

Background: Nigeria is in short supply of health workforce and equipment needed to manage the infected COVID-19 individuals. The rate of occurrence of new cases of infection has the capacity to further deplete the human resources in the sector, putting a dent in the fight against the spread of the virus. This study aims to determine the capacity of Nigerian health systems to respond to COVID-19. Materials and Methods: This was a scoping review of media documents, official documents and journals, published from 1st December 2019 to 31st December 2021. Online media reports were sourced from major newspapers on FACTIVA (Vanguard, Punch, Guardian, The Nation, Business Day, and Premium Times) that reported national and state level health system responses to COVID-19. We also reviewed other online news sources that have consistently reported health systems response to COVID-19 in Nigeria. Some of these are Nigeria Health Watch, APO Africa Newsroom, Federal Ministry of Health newsletter, and national media. Results: By December 31st, 2020, Nigeria had 70 free laboratories controlled by the government. These comprised 31 federal laboratories, 30 state, 3 military, 2 Non-Governmental Organization (NGO), 2 UN and 2 private labs. In 2019, Nigeria's IHR score at point of entry 1 & 2 was 3 and 1. Routine capacities established at points of entry was improved, however, effective public health response at point of entry, remained the same. Which supports the low response capacity of the country. Nigeria's average score across the JEE 2019 had increased to 7% (from 39% in 2017 to 46% in 2019) - four new indicators and 20 indicators with improved scores from 2017. Conclusion: Nigeria's health system response and capacity to handle COVID-19 is quite poor and grossly inadequate. There is a need to increase the number of health workforce in the country and institute adequate accountability mechanisms to ensure prudent and focused management of health funds.

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尼日利亚卫生系统应对COVID-19的措施和能力:范围审查

背景：尼日利亚缺乏管理新冠肺炎感染者所需的卫生工作人员和设备。新感染病例的发生率有可能进一步耗尽该部门的人力资源，削弱抗击病毒传播的斗争。本研究旨在确定尼日利亚卫生系统应对新冠肺炎的能力。材料和方法：这是对2019年12月1日至2021年12月31日发表的媒体文件、官方文件和期刊的范围审查。在线媒体报道来源于FACTIVA上的主要报纸（《先锋报》、《Punch》、《卫报》、《国家》、《商业日报》和《高级时报》），这些报纸报道了国家和州一级卫生系统对新冠肺炎的应对措施。我们还回顾了其他在线新闻来源，这些来源一贯报道了尼日利亚卫生系统对新冠肺炎的反应。其中包括尼日利亚健康观察、APO非洲新闻室、联邦卫生部通讯和国家媒体。结果：截至2020年12月31日，尼日利亚有70个由政府控制的免费实验室。其中包括31个联邦实验室、30个州实验室、3个军事实验室、2个非政府组织、2个联合国实验室和2个私人实验室。2019年，尼日利亚的IHR在第1和第2名的得分分别为3分和1分。入境点建立的常规能力得到了改善，但入境点的有效公共卫生应对措施保持不变。这支持了该国的低应对能力。尼日利亚在2019年JEE中的平均得分已增至7%（从2017年的39%增至2019年的46%），这是四个新指标，20个指标的得分比2017年有所提高。结论：尼日利亚的卫生系统应对新冠肺炎的能力非常差，严重不足。有必要增加该国卫生工作人员的数量，并建立适当的问责机制，以确保对卫生资金进行审慎和集中的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nigerian Journal of Medicine

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.