Institute of Healthcare Management, Strathmore University Business School, Nairobi, Kenya.
PLoS One. 2024 Sep 18;19(9):e0285916. doi: 10.1371/journal.pone.0285916. eCollection 2024.
Epidemics and Pandemics (disease outbreaks) are the occurrence of cases of disease in excess of what would be normally expected. Epidemic-prone diseases, including emerging and re-emerging diseases, constitute the greatest threat to public health security and disruption of social and economic development. When outbreaks are diagnosed in specific areas, an outbreak response is triggered to stop the spread rapidly. In the past 20 years, the sub-Saharan region has witnessed a marked increase in the number of outbreaks in pandemics, such as cholera, dengue, A/H5N 1 influenza among others. While efforts toward containment have been individually studied, we have no recent studies that examine them collectively in order to draw appropriate comparisons, no recent studies that have especially focused on hard-to-reach areas, and none that have applied a health systems lens. This study thus details a scoping review of short-term health system responses to epidemics across hard-to-reach areas in sub-Saharan Africa. The scoping review will be undertaken following PRISMA guidelines. A modified Donabedian framework will be used to understand the different approaches used while responding to epidemics. The review will focus on published and unpublished studies that report short-term health systems responses to epidemics in hard to reach areas. These will be gleaned from PubMed, google scholar and Cochrane, supplemented by a Google advanced search. In addition, manual searches will be carried out through related articles and websites. Data will be charted, coded, and narratively synthesized. our exclusion criteria will include; protocols, book chapters and countries not identified as hard to reach areas in SSA. We anticipate developing a document that will show the different approaches health systems in different countries used when responding to epidemics. The information generated will contribute to strengthening future epidemic responses by identifying best practices and innovative ideas as well as highlighting knowledge gaps.
疫情是指疾病病例数量超过正常预期水平的情况。易发生疫情的疾病，包括新出现和重新出现的疾病，对公共卫生安全和社会经济发展构成最大威胁。当在特定地区诊断出疫情时，就会启动疫情应对措施以迅速阻止疫情扩散。在过去 20 年中，撒哈拉以南非洲地区的霍乱、登革热、A/H5N1 流感等大流行疫情爆发数量显著增加。虽然已经对遏制疫情的措施进行了单独研究，但我们没有最近的研究对这些措施进行综合分析，以得出适当的比较，也没有最近的研究特别关注难以到达的地区，也没有应用卫生系统视角。因此，本研究详细介绍了对撒哈拉以南非洲难以到达地区疫情的短期卫生系统应对措施进行的范围界定审查。该范围界定审查将遵循 PRISMA 指南进行。将使用改良的 Donabedian 框架来了解在应对疫情时使用的不同方法。审查将重点关注报告难以到达地区疫情短期卫生系统应对措施的已发表和未发表的研究。这些研究将从 PubMed、google scholar 和 Cochrane 中获取，并辅以 Google 高级搜索。此外，还将通过相关文章和网站进行手动搜索。将对数据进行图表绘制、编码和叙述性综合。我们的排除标准将包括：方案、章节和未被确定为撒哈拉以南非洲难以到达地区的国家。我们预计将制定一份文件，展示不同国家的卫生系统在应对疫情时使用的不同方法。所生成的信息将有助于通过确定最佳实践和创新理念以及突出知识差距，来加强未来的疫情应对。
