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. 2022 Nov:124 Suppl 1:S41-S46.
doi: 10.1016/j.ijid.2022.03.033. Epub 2022 Mar 25.

Tuberculosis, HIV/AIDS and Malaria Health Services in sub-Saharan Africa - A Situation Analysis of the Disruptions and Impact of the COVID-19 Pandemic

Pascalina Chanda-Kapata  1 , Francine Ntoumi  2 , Nathan Kapata  3 , Patrick Lungu  4 , Luchenga Adam Mucheleng'anga  5 , Jeremiah Chakaya  6 , John Tembo  7 , Cordelia Himwaze  8 , Rashid Ansumana  9 , Danny Asogun  10 , Sayoki Mfinanga  11 , Peter Nyasulu  12 , Peter Mwaba  13 , Dorothy Yeboah-Manu  14 , Alimuddin Zumla  15 , Jean B Nachega  16
Affiliations

Tuberculosis, HIV/AIDS and Malaria Health Services in sub-Saharan Africa - A Situation Analysis of the Disruptions and Impact of the COVID-19 Pandemic

Pascalina Chanda-Kapata et al. Int J Infect Dis. 2022 Nov.

Abstract

Background: The unprecedented and ongoing COVID-19 pandemic has exposed weaknesses in African countries' health systems. The impact of shifted focus on COVID-19 for the past 2 years on routine health services, especially those for the epidemics of Tuberculosis, HIV/AIDS and Malaria, have been dramatic in both quantity and quality.

Methods: In this article, we reflect on the COVID-19 related disruptions on the Tuberculosis, HIV/AIDS and Malaria routine health services across Africa.

Results: The COVID-19 pandemic resulted in disruptions of routine health services and diversion of already limited available resources in sub-Saharan Africa. As a result, disease programs like TB, malaria and HIV have recorded gaps in prevention and treatment with the prospects of reversing gains made towards meeting global targets. The extent of the disruption is yet to be fully quantified at country level as most data available is from modelling estimates before and during the pandemic.

Conclusions: Accurate country-level data is required to convince donors and governments to invest more into revamping these health services and help prepare for managing future pandemics without disruption of routine services. Increasing government expenditure on health is a critical part of Africa's economic policy. Strengthening health systems at various levels to overcome the negative impacts of COVID-19, and preparing for future epidemics will require strong visionary political leadership. Innovations in service delivery and technological adaptations are required as countries aim to limit disruptions to routine services.

Keywords: Africa; COVID-19; HIV/AIDs; Health services; Impact; Malaria; Tuberculosis.

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Conflict of interest statement

Conflict of Interest All authors have no conflicts of interest to declare.

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