Impact of COVID-19 (SARS-CoV-2) on the Surgical Care of Patients and Surgical Training in Africa

Abstract

The Coronavirus pandemic poses a significant threat to the healthcare sectors of some African countries due to poor healthcare organisation, financing, and reduced uptake of recent technological advancements. Surgical care of patients and surgical training of healthcare workers are considerably affected, due to the dearth of policies and strategic health plans, to ensure the provision of safe and affordable surgical care and continuity of training. The purpose of this study is to explore the impact of the COVID-19 pandemic on Surgery in Africa and to provide recommendations geared towards the current pandemic and for the future. This review involved a search of the electronic databases MEDLINE/PubMed and Google Scholar, and 31 papers from African countries which explored the impact of COVID-19 across different surgical specialities were screened. The cancellation rate of elective surgeries and benign conditions across some countries were seen to be as high as 74-81% with prioritisation of cancer patients and emergencies. The volume of emergency surgical cases presenting in some hospitals was reduced due to the associated lockdowns and fear of contracting the virus, while Telemedicine became increasingly adopted with newer platforms being used across some countries. The pandemic has exposed the inequities in health systems and further studies need to be done to evaluate its impact across more surgical specialities.

COVID-19 pandemic: Revisiting the case for a dedicated financing mechanism for surgical care in resource-poor countries

“…Second, there are the COVID-19 impacts on surgical responses. During the pandemic, improvisations and innovations including telemedicine have proliferated to mitigate clinical service disruptions [ 11 ]. Digital platforms are increasingly used for consultations, drug prescriptions and deliveries, management of chronic conditions, and patient referrals [ 11 ].…”

“…During the pandemic, improvisations and innovations including telemedicine have proliferated to mitigate clinical service disruptions [ 11 ]. Digital platforms are increasingly used for consultations, drug prescriptions and deliveries, management of chronic conditions, and patient referrals [ 11 ]. However, surgical operations by their nature must necessarily be undertaken in functioning hospital operating theaters, some of which have been repurposed to provide respiratory support to COVID-19 patients [ 6 ].…”