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Tunis Med ; 98(10): 657-663, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-1040299

ABSTRACT

OBJECTIVE: To compile the lessons learned in the Greater Maghreb, during the first six months of the fight against the COVID-19 pandemic, in the field of "capacity building" of community resilience. METHODS: An expert consultation was conducted during the first week of May 2020, using the "Delphi" technique. An email was sent requesting the formulation of a lesson, in the form of a "Public Health" good practice recommendation. The final text of the lessons was finalized by the group coordinator and validated by the signatories of the manuscript. RESULTS: A list of five lessons of resilience has been deduced and approved : 1. Elaboration of "white plans" for epidemic management; 2. Training in epidemic management; 3. Uniqueness of the health system command; 4. Mobilization of retirees and volunteers; 5. Revision of the map sanitary. CONCLUSION: Based on the evaluation of the performance of the Maghreb fight against COVID-19, characterized by low resilience, this list of lessons could constitute a roadmap for the reform of Maghreb health systems, towards more performance to manage possible waves of COVID-19 or new emerging diseases with epidemic tendency.


Subject(s)
COVID-19/epidemiology , COVID-19/therapy , Delivery of Health Care/organization & administration , Delivery of Health Care/standards , Health Care Reform , Africa, Northern/epidemiology , Algeria/epidemiology , Attitude of Health Personnel , Civil Defense/methods , Civil Defense/organization & administration , Civil Defense/standards , Community Participation/methods , Conflict of Interest , Delivery of Health Care/statistics & numerical data , Delphi Technique , Expert Testimony , Global Health/standards , Health Care Reform/organization & administration , Health Care Reform/standards , Hospital Bed Capacity/standards , Hospital Bed Capacity/statistics & numerical data , Humans , Mauritania/epidemiology , National Health Programs/organization & administration , National Health Programs/standards , Pandemics , Public Health/methods , Public Health/standards , SARS-CoV-2/physiology , Tunisia/epidemiology
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