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article · Clinical Infectious Diseases

From Easing Lockdowns to Scaling Up Community-based Coronavirus Disease 2019 Screening, Testing, and Contact Tracing in Africa—Shared Approaches, Innovations, and Challenges to Minimize Morbidity and Mortality

202065 citationsOpen accessUniversité de Kinshasa (UNIKIN)

In plain language

Initial lockdown measures across Africa helped curtail the spread of COVID-19, but they also introduced severe economic hardships. As nations transition towards easing these restrictions, sustained pandemic management relies heavily on robust community-level interventions. Effective suppression of the disease demands coordinated screening, widespread testing, contact tracing, and sustained behavioural change programmes. Crucially, success depends on equipping, protecting, and training community-based health teams with adequate resources. Managing the pandemic effectively across the continent requires shared, cost-effective, and innovative public health approaches. Furthermore, the response offers a valuable opportunity to integrate COVID-19 control with existing health platforms currently managing HIV, tuberculosis, malaria, and non-communicable diseases. By mobilising and leveraging Africa's interprofessional healthcare workforce across these shared platforms, health systems can better curb mortality and lessen the overall impact on populations.

Key takeaways

  • Easing lockdowns requires sustaining community screening, testing, and contact tracing to keep transmission low.
  • Effective response teams need sufficient resources, protective equipment, and formal training to operate safely within communities.
  • African countries benefit from shared, affordable, and innovative methods to mitigate pandemic-related mortality and morbidity.
  • Integrating COVID-19 services into existing programmes for HIV, tuberculosis, malaria, and non-communicable diseases provides a viable path to strengthen overall health delivery.

Why it matters

Lifting pandemic restrictions without triggering fresh waves of illness requires strategic community health measures. By linking outbreak surveillance directly with established programmes for conditions like malaria, HIV, and tuberculosis, health systems can protect vulnerable populations cost-effectively. This integrated strategy prevents duplicate efforts, conserves limited public health resources, and helps maintain broad health services during ongoing crises.

Commercialisation angle

The abstract outlines public health strategies and integrated service models rather than commercial products or technologies. It suggests opportunities for public health authorities and non-governmental organisations to deploy shared, affordable screening, testing, and contact tracing approaches. However, the abstract does not indicate a commercialisation pathway or proprietary product development.

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Abstract

The arrival of coronavirus disease 2019 (COVID-19) on the African continent resulted in a range of lockdown measures that curtailed the spread of the infection but caused economic hardship. African countries now face difficult choices regarding easing of lockdowns and sustaining effective public health control measures and surveillance. Pandemic control will require efficient community screening, testing, and contact tracing; behavioral change interventions; adequate resources; and well-supported, community-based teams of trained, protected personnel. We discuss COVID-19 control approaches in selected African countries and the need for shared, affordable, innovative methods to overcome challenges and minimize mortality. This crisis presents a unique opportunity to align COVID-19 services with those already in place for human immunodeficiency virus, tuberculosis, malaria, and non communicable diseases through mobilization of Africa's interprofessional healthcare workforce. By addressing the challenges, the detrimental effect of the COVID-19 pandemic on African citizens can be minimized.

Research topics

  • COVID-19 epidemiological studies
  • SARS-CoV-2 and COVID-19 Research
  • Viral Infections and Outbreaks Research

Sustainable Development Goals

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DOI: 10.1093/cid/ciaa695

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