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Akinyemi OO, Popoola OA, Fowotade A, et al. Qualitative exploration of health system response to COVID-19 pandemic applying the WHO health systems framework: Case study of a Nigerian state. Sci Afr. 2021;13:e00945doi: 10.1016/j.sciaf.2021.e00945.
Akinyemi, O. O., Popoola, O. A., Fowotade, A., Adekanmbi, O., Cadmus, E. O., & Adebayo, A. (2021). Qualitative exploration of health system response to COVID-19 pandemic applying the WHO health systems framework: Case study of a Nigerian state. Scientific African, 13e00945. https://doi.org/10.1016/j.sciaf.2021.e00945
Akinyemi, Oluwaseun Oladapo, et al. "Qualitative exploration of health system response to COVID-19 pandemic applying the WHO health systems framework: Case study of a Nigerian state." Scientific African vol. 13 (2021): e00945. doi: https://doi.org/10.1016/j.sciaf.2021.e00945
Akinyemi OO, Popoola OA, Fowotade A, Adekanmbi O, Cadmus EO, Adebayo A. Qualitative exploration of health system response to COVID-19 pandemic applying the WHO health systems framework: Case study of a Nigerian state. Sci Afr. 2021 Sep;13:e00945. doi: 10.1016/j.sciaf.2021.e00945. Epub 2021 Aug 20. PMID: 34430762; PMCID: PMC8376525.
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Sci Afr. 2021 Sep;13:e00945. doi: 10.1016/j.sciaf.2021.e00945. Epub 2021 Aug 20.

Qualitative exploration of health system response to COVID-19 pandemic applying the WHO health systems framework: Case study of a Nigerian state.

Scientific African

Oluwaseun Oladapo Akinyemi, Oluwafemi Akinyele Popoola, Adeola Fowotade, Olukemi Adekanmbi, Eniola O Cadmus, Adebusola Adebayo

Affiliations

  1. Department of Health Policy and Management, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  2. Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria.
  3. Clinical Virology Unit, Medical Microbiology and Parasitology Department College of Medicine, University of Ibadan, Ibadan, Nigeria.
  4. Department of Medicine, College of Medicine University of Ibadan and Infectious Disease Unit, University College Hospital, Ibadan, Nigeria.

PMID: 34430762 PMCID: PMC8376525 DOI: 10.1016/j.sciaf.2021.e00945

Abstract

Pandemics can result in significantly high rates of morbidity and mortality with higher impact in Lower- and Middle-Income Countries like Nigeria. Health systems have an important role in a multi-sector response to pandemics, as there are already concerns that COVID-19 will significantly divert limited health care resources. This study appraised the readiness and resilience of the Nigerian health system to the COVID-19 pandemic, using Oyo State, southwest Nigeria, as a case study. This study was a cross-sectional qualitative study involving key informant and in-depth interviews. Purposive sampling was used in recruiting participants who were members of the Task Force on COVID-19 in the state and Emergency Operations Centre (EOC) members (physicians, nurses, laboratory scientists, "contact tracers", logistic managers) and other partners. The state's health system response to COVID 19 was assessed using the WHO health systems framework. Audio recordings of the interviews done in English were transcribed and thematic analysis of these transcripts was carried out using NVIVO software. Results show that the state government responded promptly by putting in place measures to address the COVID-19 pandemic. However, the response was not adequate owing to the fact that the health system has already been weakened by various challenges like poor funding of the health system, shortage of human resources and inadequate infrastructure. These contributed to the health system's sub-optimal response to the pandemic. In order to arm the health system for adequate and appropriate response during major health disasters like pandemics, fundamental pillars of the health system-finance, human resources, information and technology, medical equipment and leadership - need to be addressed in order to have a resilient health system.

© 2021 The Author(s). Published by Elsevier B.V. on behalf of African Institute of Mathematical Sciences / Next Einstein Initiative.

Keywords: COVID-19; Coronavirus; Health system management; Resilience; SARS Cov-2

Conflict of interest statement

The authors declare no conflict of interest.

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