2019冠状病毒病对撒哈拉以南非洲获得医疗保健的影响:概述。

IF 1.8 3区 医学 Q4 TOXICOLOGY
Jean-Philippe Chippaux
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引用次数: 1

摘要

本概述旨在描述2019冠状病毒病大流行期间撒哈拉以南非洲(不包括南非)的医疗保健获取情况。PubMed®检索从2020年3月31日到2022年8月15日,选择了116篇文章。根据与前几年发病前几个月或同一季节的比较,评估了COVID-19的医疗保健可及性和后果。据报道,与护理质量下降有关的保健服务普遍减少,许多专业服务机构关闭。影响在空间和时间上是不均匀的,在大流行开始时(2020年3月至6月),城市地区的影响有所增加。从2020年第三季度到2021年底,恢复正常是逐步的。COVID-19对卫生系统及其使用的影响归因于:(a)政府采取行动缓解疫情传播(控制、交通限制、关闭企业和娱乐或礼拜场所)所导致的时局因素;(b)与公共和私人设施和机构,特别是卫生系统中断有关的结构性因素;(c)与费用增加、人口贫困以及对污染或污名的恐惧有关的个人因素,这些因素使病人不愿去保健中心。它们造成了相当大的社会经济损害。几项研究强调了医疗保健服务的一些适应性和医疗保健系统的复原力,尽管它没有做好准备,这解释了早在2022年COVID-19疫情持续期间就恢复正常活动的原因。在撒哈拉以南非洲,COVID-19的中等发病率和严重程度与对获得医疗保健的巨大影响之间似乎存在严重的不相称。一些文章提出了降低未来流行病的社会经济后果的建议,以确保更好地管理卫生问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.

This overview aimed to describe the situation of healthcare access in sub-Saharan Africa, excluding South Africa, during the COVID-19 pandemic. A PubMed® search from March 31, 2020, to August 15, 2022, selected 116 articles. Healthcare access and consequences of COVID-19 were assessed based on comparisons with months before its onset or an identical season in previous years. A general reduction of healthcare delivery, associated with the decline of care quality, and closure of many specialty services were reported. The impact was heterogeneous in space and time, with an increase in urban areas at the beginning of the pandemic (March-June 2020). The return to normalcy was gradual from the 3rd quarter of 2020 until the end of 2021. The impact of COVID-19 on the health system and its use was attributed to (a) conjunctural factors resulting from government actions to mitigate the spread of the epidemic (containment, transportation restrictions, closures of businesses, and places of entertainment or worship); (b) structural factors related to the disruption of public and private facilities and institutions, in particular, the health system; and (c) individual factors linked to the increase in costs, impoverishment of the population, and fear of contamination or stigmatization, which discouraged patients from going to health centers. They have caused considerable socio-economic damage. Several studies emphasized some adaptability of the healthcare offer and resilience of the healthcare system, despite its unpreparedness, which explained a return to normal activities as early as 2022 while the COVID-19 epidemic persisted. There appears to be a strong disproportion between the moderate incidence and severity of COVID-19 in sub-Saharan Africa, and the dramatic impact on healthcare access. Several articles make recommendations for lowering the socioeconomic consequences of future epidemics to ensure better management of health issues.

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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
39
审稿时长
6-12 weeks
期刊介绍: Journal of Venomous Animals and Toxins including Tropical Diseases (JVATiTD) is a non-commercial academic open access publication dedicated to research on all aspects of toxinology, venomous animals and tropical diseases. Its interdisciplinary content includes original scientific articles covering research on toxins derived from animals, plants and microorganisms. Topics of interest include, but are not limited to:systematics and morphology of venomous animals;physiology, biochemistry, pharmacology and immunology of toxins;epidemiology, clinical aspects and treatment of envenoming by different animals, plants and microorganisms;development and evaluation of antivenoms and toxin-derivative products;epidemiology, clinical aspects and treatment of tropical diseases (caused by virus, bacteria, algae, fungi and parasites) including the neglected tropical diseases (NTDs) defined by the World Health Organization.
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