Mongbo Yves, Sombie Issiaka, Dao Blami, Johnson Ermel Ak, Ouedraogo Leopold, Tall Fatim, Asmani Chilanga, Busia Kofi, Ogbureke Nanlop, Ndour Marguerite, Sinkondo Isidore Y
West African Health Organization; Bobo-Dioulasso, Burkina Faso.
Jhpiego, 1045 Boulevard Ratag-Rima, Gounghin Sud, Ouagadougou, Burkina Faso.
Afr J Reprod Health. 2021 Apr;25(2):76-85. doi: 10.29063/ajrh2021/v25i2.7.
The study aimed to analyse the challenges and solutions for maintaining the continuity of essential health services during the COVID-19 pandemic in Francophone West Africa. A cross-sectional study involving the managers of Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) and vaccination programmes in Francophone West Africa was designed. The challenges that limited the supply and use of RMNCAH services included: lack of standardized guides and procedures for appropriate care, limited knowledge of health workers on the new coronavirus disease, lack of diagnostic materials and kits, ineffective organization of services, anxieties of health workers and populations, and postponement of immunisation mass campaigns. The solutions proposed to address these challenges, included better organization of services to respect the physical distance, provision of adapted guides and care procedures, enhanced communication, training of health workers, effective use of social media and information and communication technologies. This study showed that the managers of RMNCAH programmes are aware of the challenges that could limit the supply and use of essential services during the COVID-19 pandemic.
该研究旨在分析在新冠疫情期间，法语西非地区维持基本卫生服务连续性所面临的挑战及解决方案。研究设计了一项横断面研究，涉及法语西非地区生殖、孕产妇、新生儿、儿童和青少年健康（RMNCAH）以及疫苗接种项目的管理人员。限制RMNCAH服务供应和使用的挑战包括：缺乏适当护理的标准化指南和程序、卫生工作者对新冠病毒疾病的了解有限、缺乏诊断材料和试剂盒、服务组织效率低下、卫生工作者和民众的焦虑情绪以及免疫接种大规模活动的推迟。为应对这些挑战提出的解决方案包括：更好地组织服务以遵守物理距离、提供适用的指南和护理程序、加强沟通、培训卫生工作者、有效利用社交媒体以及信息和通信技术。该研究表明，RMNCAH项目的管理人员意识到了在新冠疫情期间可能限制基本服务供应和使用的挑战。
