Médecins Sans Frontières-France South Sudan Mission, Juba, South Sudan.
Medical Research Center, Kateb University, Kabul, Afghanistan.
Pan Afr Med J. 2020 Dec 17;37(Suppl 1):49. doi: 10.11604/pamj.supp.2020.37.49.27327. eCollection 2020.
COVID-19 is a highly infectious disease that has started to creep into African countries including South Sudan. Following confirmation of the first few cases, the government enacted preventive measures to curb community transmission. However, daunting challenges deter these precautionary measures. Just after two years the country took its independence from Sudan, civil conflicts sparked and continue to overburden and undermine the fragile healthcare system. The conflicts have caused disruption of health services, destruction of health facilities, death and migration of health workers, displacements of a huge number of people. This scenario continues while the country is grappling with the pandemic. Other concerning issues include: insufficient COVID-19 testing capacity, limited medical and personal protective equipment and an inadequate number of health workers which leave the country ill-equipped in the battle against the pandemic. Non-compliance of COVID-19 prevention protocols by the general public due to high rate of poverty and social stigma contribute to the spread of the virus. The current situation in South Sudan make evident that there is a need for an immediate ceasefire by the warring sides so the available health services including COVID-19 efforts, are not disrupted to ensure the safety of all. The government needs to further build the capacity of its health sector with the cooperation of its international health allies to be able to provide its citizens with the health services they need.
新型冠状病毒肺炎(COVID-19)是一种高传染性疾病,已开始在包括南苏丹在内的非洲国家蔓延。在确诊了最初的几例病例后,政府采取了预防措施来遏制社区传播。然而,严峻的挑战阻碍了这些预防措施的实施。就在该国从苏丹独立两年后,内战爆发,并继续使脆弱的医疗体系不堪重负和受到破坏。冲突导致了卫生服务的中断、卫生设施的破坏、卫生工作者的死亡和迁移、大量民众流离失所。在该国与大流行作斗争的同时,这种情况仍在继续。其他令人关注的问题包括:COVID-19 检测能力不足、医疗和个人防护设备有限以及卫生工作者人数不足,这使得该国在抗击大流行方面装备不足。由于贫困率高和社会耻辱感,公众对 COVID-19 预防协议的遵守程度低,这导致了病毒的传播。南苏丹的现状表明,交战各方需要立即停火,以确保包括 COVID-19 应对措施在内的现有卫生服务不被中断,从而确保所有人的安全。政府需要在国际卫生盟友的合作下,进一步加强其卫生部门的能力,以便能够为其公民提供所需的卫生服务。