Original Research

A rapid assessment of health system preparedness and response to the COVID-19 pandemic in Guinea

Alexandre Delamou, Abdoulaye Sow, Thierno O. Fofana, Sidikiba Sidibé, Karifa Kourouma, Maurice Sandouno, Abdoulaye Touré, Thierno M. Tounkara, Fréderic Le Marcis, Wim van Damme
Journal of Public Health in Africa | Vol 13, No 2 | a437 | DOI: https://doi.org/10.4081/jphia.2022.1475 | © 2024 Alexandre Delamou, Abdoulaye Sow, Thierno O. Fofana, Sidikiba Sidibé, Karifa Kourouma, Maurice Sandouno, Abdoulaye Touré, Thierno M. Tounkara, Fréderic Le Marcis, Wim van Damme | This work is licensed under CC Attribution 4.0
Submitted: 11 April 2024 | Published: 26 July 2022

About the author(s)

Alexandre Delamou, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea; and, Maferinyah National Centre for Training and Research in Rural Health (CNFRSR), Forécariah, Guinea
Abdoulaye Sow, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea
Thierno O. Fofana, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea
Sidikiba Sidibé, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea
Karifa Kourouma, Maferinyah National Centre for Training and Research in Rural Health (CNFRSR), Forécariah, Guinea
Maurice Sandouno, Belgian Cooperation Agency (ENABEL), Conakry, Guinea
Abdoulaye Touré, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea; Centre for Training and Research in Infectious Diseases (CERFIG), Conakry, Guinea; and, National Institute of Public Health, Conakry, Guinea
Thierno M. Tounkara, African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea; and, Department of Dermatology-Venereology, National Hospital of Donka, Conakry, Guinea
Fréderic Le Marcis, Centre for Training and Research in Infectious Diseases (CERFIG), Conakry, Guinea; TransVIHMI, Development Research Institute, University of Montpellier, INSERM, Montpellier, France; and, ENS of Lyon, France
Wim van Damme, Institute of Tropical Medicine, Anvers, Belgium

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Abstract

Epidemic-prone diseases have high adverse impacts and pose important threats to global health security. This study aimed to assess levels of health facility preparedness and response to the COVID-19 pandemic in Guinea. This was a cross-sectional study in public and private health facilities/services across 13 Guinean health districts. Managers and healthcare workers (HCWs) from departments in each facility/service were interviewed. Descriptive statistics and comparisons were presented using Pearson’s Chi-Squared Test or Fischer exact test. Totally, 197 managers and 1020 HCWs participated in the study. Guidance documents and dedicated spaces for management/isolation of suspected COVID-19 cases were available only in 29% and 26% of facilities, respectively. Capacities to collect (9%) and safely transport (14%) samples were low. Intensive care units (5%), dedicated patient beds (3%), oxygenators (2%), and respirators (0.6%) were almost lacking. While 36% of facilities/services had received infection prevention and control supplies, only 20% had supplies sufficient for 30 days. Moreover, only 9% of HCWs had received formal training on COVID-19. The main sources of information for HCWs were the media (90%) and the internet (58%). Only 30% of HCWs had received personal protective equipment, more in the public sector (p<0.001) and in Conakry (p=0.022). This study showed low levels of preparedness of health facilities/services in Guinea and highlighted a lack of confidence among HCWs who felt unsafe at their workplace. Better governance to improve and maintain the capacity of the Guinean health system to respond to current and future epidemics is needed.


Keywords

COVID-19; health system; preparedness; Guinea; Sub-Saharan Africa

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Crossref Citations

1. Learning from the COVID-19 pandemic for future epidemics and pandemics preparedness and response in Guinea: Findings from a scoping review
Delphin Kolié, Fatoumata Namaren Keita, Alexandre Delamou, Jean-Paul Dossou, Wim Van Damme, Irene Akua Agyepong
Frontiers in Public Health  vol: 10  year: 2022  
doi: 10.3389/fpubh.2022.879850