Review Article

COVID-19 pandemic: what are the countries with low cases of COVID-19 doing right?

Samuel Asante, Georgina Tuffour
Journal of Public Health in Africa | Vol 13, No 4 | a398 | DOI: | © 2024 Samuel Asante, Georgina Tuffour | This work is licensed under CC Attribution 4.0
Submitted: 10 April 2024 | Published: 31 December 2022

About the author(s)

Samuel Asante, Department of Social Work, Northeastern State University, Oklahoma, United States
Georgina Tuffour, School of Nursing, University of Alabama at Birmingham, Alabama, United States


As of the 17th of September in 2021, the number of confirmed cases of COVID-19 over the world had reached 227.7 million, with around 8.2 million of those instances being reported in Africa and the island nations of the Atlantic and Pacific. The development of the COVID-19 pandemic in Africa and other countries across the world has been significantly different from the first apocalyptic forecasts researchers in the scientific community provided. This is the case both in terms of the pandemic itself and its impact. This report investigates the factors – such as the political will to address COVID-19 through immediate and severe actions, collaborative leadership, and historical experience with infection disease outbreaks – that are responsible for the low reported cases of infections and deaths in two regions of the world: Africa and the island countries of the Atlantic and Pacific. In Africa, the political will to address COVID-19 through immediate and severe actions was high, and collaborative leadership was prevalent. Despite the fact that they have handled the pandemic in an effective way, vaccination continues to be a major worry because only a tiny fraction of the population in each of these locations has received at least one dose of vaccine. The healthcare systems in the countries located throughout these regions are in a poor shape, and an outbreak of a highly infectious coronavirus variety has the potential to overwhelm the already frail healthcare system and wreak havoc on these global regions. It is recommended that the leadership of these regions turn their attention inward and develop a collaborative strategy for the production of vaccines on a local level. Additionally, it is recommended that these regions make improvements to their healthcare systems so that they are adequately prepared to deal with the next major public health emergency.


SARS-CoV-2; Africa; Pacific and Atlantic Islands; Public health


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