From Ebola to COVID-19: emergency preparedness and response plans and actions in Lagos, Nigeria

Abayomi, Akin; Balogun, Mobolanle; Bankole, Munir Akinwale; Banke-Thomas, Aduragbemi; Mutiu, Bamidele; Olawepo, John Olajide; Senjobi, Morakinyo; Odukoya, Oluwakemi Ololade; Aladetuyi, Lanre; Ejekam, Chioma Stella; Folarin, Akinsanya; Emmanuel, Madonna; Amodu, Funke; Ologun, Adesoji; Olusanya, A. A.; Bakare, Moses; Alabi, Abiodun; Abdus-Salam, Ismail; Erinosho, Eniola; Bowale, Abimbola; Omilabu, Sunday; Saka, Babatunde; Osibogun, Akin; Wright, Kikelomo Ololade; Idris, Jide; Ogunsola, Folasade

doi:10.1186/s12992-021-00728-x

Cited by 25 publications

(34 citation statements)

References 25 publications

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“…In response to the pandemic, funding has been provided to various institutions and collaborative groups, both in academic and service delivery roles, who have been able to build on existing programmes, and establish and fund new collaborations. [59][60][61][62] Collaborations between public and private sector organisations were also ramped up, with next generation sequencing companies Illumina and Nanopore partnering with Africa Centre for Disease Control CDC), and increased interactions with courier facilities to ensure effective logistical coordination for sample transport. Governance guidelines were also rapidly developed to promote equitable and ethical use of samples and data.…”

Section: Discussionmentioning

confidence: 99%

A framework for the promotion of ethical benefit sharing in health research

et al. 2022

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There is an increasing recognition of the importance of including benefit sharing in research programmes in order to ensure equitable and just distribution of the benefits arising from research. Whilst there are global efforts to promote benefit sharing when using non-human biological resources, benefit sharing plans and implementation do not yet feature prominently in research programmes, funding applications or requirements by ethics review boards. Whilst many research stakeholders may agree with the concept of benefit sharing, it can be difficult to operationalise benefit sharing within research programmes. We present a framework designed to assist with identifying benefit sharing opportunities in research programmes. The framework has two dimensions: the first represents microlevel, mesolevel and macrolevel stakeholders as defined using a socioecological model; and the second identifies nine different types of benefit sharing that might be achieved during a research programme. We provide an example matrix identifying different types of benefit sharing that might be undertaken during genomics research, and present a case study evaluating benefit sharing in Africa during the SARS-CoV-2 pandemic. This framework, with examples, is intended as a practical tool to assist research stakeholders with identifying opportunities for benefit sharing, and inculcating intentional benefit sharing in their research programmes from inception.

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Section: Discussionmentioning

confidence: 99%

A framework for the promotion of ethical benefit sharing in health research

et al. 2022

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“…This value placed Nigeria as the 5 th most-affected African country after South Africa (1,554,466), Tunisia (249,703), Egypt (199,364), and Ethiopia (198,794) and the 77 th most affected country in the world; accounting for 0.12% (162,593/129,359,540) of the global COVID-19 pandemic within the same period of time. 9 Juxtaposed to the global data, United States (29,859,706), Brazil (12,404,414), India (11,971,624), France (4,435,057) Russia (4,519,832) and United Kingdom (4,329,184) had remained the top six most affected countries at same period. 9 However, adjusting for population, the data showed a lower attack rate per 100,000 of the population (78.8) unlike African countries with very high attack rates like Seychelles (4,122.1/100,000), Cape Verde (3,060.9/100,000), South Africa (2,604.1/100,000), Namibia (1,711.9/100,000) and Botswana (1,635.7/100,000).…”

Section: Discussionmentioning

confidence: 99%

“…The prompt response to the COVID-19 pandemic is thought to be enhanced by previous pandemics such as Ebola. 29 Amidst the pandemic and its response in Nigeria, varying lessons have been learned. Social mobilization using a multimodal approach was evident in Nigeria's response to COVID-19.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 in Nigeria: account of epidemiological events, response, management, preventions and lessons learned

Okoroiwu¹,

Ogar²,

Nja³

et al. 2021

Germs

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Introduction After the World Health Organization declared COVID-19 a pandemic, a hand full of cases and deaths have been recorded globally, Nigeria inclusive. Methods A retrospective analysis of the COVID-19 weekly disease update report by the Nigeria Centre for Disease Control (NCDC) covering February 29, 2020 (Week 9) and March 28, 2021 (Week 12) was adopted for this study. Data were curated from the NCDC database. Results As of March 28, 2021, Nigeria is the 5 th most affected African country and the 77 th most affected country globally with 162,593 COVID-19 cases and 2,048 COVID-19 related deaths. COVID-19 has been reported in all 36 States and the Federal Capital Territory. However, Lagos has remained the epicenter of the pandemic accounting for 35.4% of the pandemic in Nigeria while Kogi State is the least affected State (0.003%). The trend showed male predilection while the age bracket 35-39 years was the most affected. The attack rate was found to be 78.8 per 100,000 of the population while the cumulative death per 100,000 of the population was found to be 1.0. The case fatality rate was found to be 1.30. Approximately 1,778,105 COVID-19 tests have been performed while 923,623 doses of vaccine have been administered. Conclusions COVID-19 has been reported in all states in Nigeria as well as the Federal Capital Territory with many of the cases involving males. The case trend showed a bimodal form indicating a second wave occurrence. Nigeria government has initiated some combative measures as well as vaccine initiation.

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“…The different phases of the lockdown entailed limitation of local and interstate travel, public gathering, opening of non-essential businesses, and curfews as guided by the State’s Emergency Response Committee. As a result of the high number of COVID-19 cases in the State, a lot of resources were diverted towards management of the COVID-19 response [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Actions and Adaptations Implemented for Maternal, Newborn and Child Health Service Provision During the Early Phase of the COVID-19 Pandemic in Lagos, Nigeria: Qualitative Study of Health Facility Leaders

Balogun

Banke-Thomas

Gwacham-Anisiobi

et al. 2022

Annals of Global Health

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Background:The early phase of the COVID-19 pandemic led to significant disruptions in provision of maternal, newborn, and child health (MNCH) services, especially in low-and middle-income countries (LMICs) with fragile health systems, such as Nigeria. Measures taken to 'flatten the curve' such as lockdowns, curfews, travel restrictions, and suspension of public services inadvertently led to significant disruptions in provision of essential health services. In these countries, health facility leaders are directly responsible for driving changes needed for service delivery.Objective: To explore perspectives of health facility leaders in Lagos, Nigeria, on solutions and adaptations implemented to support MNCH service provision during the early phase of the COVID-19 pandemic.Methods: Key informant interviews were remotely conducted with purposively sampled 33 health facility leaders across primary, secondary, and tertiary public health facilities in Lagos between July and November 2020. Following verbatim transcription of recordings, data familiarization, and coding, thematic analysis was used to synthesize data.Results: Health facility leaders scaled down or discontinued outpatient MNCH services and elective surgeries. However, deliveries, newborn, immunization, and emergency services continued. Service provision was reorganized with long and staggered patient appointments, collapsing of wards and modification of health worker duty rosters. Some secondary and tertiary facilities leveraged technology like WhatsApp, webinars, and telemedicine to support service provision. Continuous capacity-building for health workers through training, motivation, psychological support, and atypical sourcing of PPE was instituted to be able to safely maintain service delivery.

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From Ebola to COVID-19: emergency preparedness and response plans and actions in Lagos, Nigeria

Cited by 25 publications

References 25 publications

A framework for the promotion of ethical benefit sharing in health research

A framework for the promotion of ethical benefit sharing in health research

COVID-19 in Nigeria: account of epidemiological events, response, management, preventions and lessons learned

Actions and Adaptations Implemented for Maternal, Newborn and Child Health Service Provision During the Early Phase of the COVID-19 Pandemic in Lagos, Nigeria: Qualitative Study of Health Facility Leaders

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