RESUMO
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.
Assuntos
COVID-19/epidemiologia , COVID-19/terapia , Atenção à Saúde/organização & administração , Atenção à Saúde/normas , Reforma dos Serviços de Saúde , África do Norte/epidemiologia , Argélia/epidemiologia , Atitude do Pessoal de Saúde , Defesa Civil/métodos , Defesa Civil/organização & administração , Defesa Civil/normas , Participação da Comunidade/métodos , Conflito de Interesses , Atenção à Saúde/estatística & dados numéricos , Técnica Delphi , Prova Pericial , Saúde Global/normas , Reforma dos Serviços de Saúde/organização & administração , Reforma dos Serviços de Saúde/normas , Número de Leitos em Hospital/normas , Número de Leitos em Hospital/estatística & dados numéricos , Humanos , Mauritânia/epidemiologia , Programas Nacionais de Saúde/organização & administração , Programas Nacionais de Saúde/normas , Pandemias , Saúde Pública/métodos , Saúde Pública/normas , SARS-CoV-2/fisiologia , Tunísia/epidemiologiaRESUMO
OBJECTIVE: Identify the lessons learned in the Greater Maghreb, during the first semester of the fight against the COVID-19 pandemic, in the field of response. METHODS: During the first week of May 2020, a consultation of experts was conducted, using the "Delphi" technique, through an email asking each of them, the drafting of a good practice recommendation for "Public health". The Group coordinator finalized the text of the lessons, later validated by the signatories of the manuscript. RESULTS: Five lessons of good «response¼ against epidemics have been deduced and approved by Maghreb experts, linked to the following aspects: 1. Total reservation of hospital beds for patients; 2. Clinical management of the response; 3. Discreet conflict of interest; 4. Community participation in the response; 5. Contextualization of the global fight strategy. CONCLUSION: Based on the finding of low relevance of the Maghreb response against COVID-19, this list of lessons would help support the performance of Maghreb health systems in the management of epidemics.