Restoring non-COVID-19 clinical research and surveillance in Oyo state, Nigeria during the SARS-CoV-2 pandemic


Submitted: 13 November 2020
Accepted: 21 September 2021
Published: 26 October 2022
Abstract Views: 222
PDF: 66
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Authors

Background: Many sub-Saharan African patients receive clinical care from extramurally-supported research and surveillance. During the COVID-19 pandemic, pausing these activities reduces patient care, surveillance, and research staff employment, increasing pandemic losses. In Oyo State, Nigeria, we paused a multi-country invasive salmonellosis surveillance initiative and a rural clinical bacteriology project.
Objective: Working with research partners raises health facility con- cerns about SARS-CoV-2 transmission risks and incurs infection pre- vention costs, so we developed and implemented re-opening plans to protect staff and patients and help health facilities deliver care.
Methods: Our reopening plan included appointing safety and personal protective equipment (PPE) managers from existing project staff cadres, writing new standard operating procedures, implementing extensive assessed training, COVID-19 testing for staff, procuring and managing PPE, and providing secondary bacteraemia blood culture support for COVID-19 patients in State isolation facilities.
Results: Surveillance data showed that the pandemic reduced care access and negatively affected patient unsupervised antibacterial use. The re-opening plan repurposed human and material resources from national and international extramurally-supported programs to mitigate these effects on public health.
Conclusions: A structured reopening plan restarted care, surveillance, and infection prevention and control.


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Supporting Agencies

Bill & Melinda Gates Foundation, Medical Research Council, Department for International Development

Ogunleye, V. O., Oluwalusi, O. P., Popoola, O., Kehinde, A., Adekanmbi, O., Udofia, I., Agbi, S., Akintayo, I., Ajiboye, J. J., Bamidele, F., Alonge, T., Mogeni, O. D., Marks, F., & Okeke, I. N. (2022). Restoring non-COVID-19 clinical research and surveillance in Oyo state, Nigeria during the SARS-CoV-2 pandemic. Journal of Public Health in Africa, 13(3). https://doi.org/10.4081/jphia.2022.1720

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