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pmid33479936      Tunis+Med 2020 ; 98 (10): 657-663
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  • Lessons learned from the fight against COVID-19 in the Great Maghreb Five lessons for better resilience #MMPMID33479936
  • Ben Abdelaziz A; Berkane S; Ben Salem K; Dahdi SA; Mlouki I; Benzarti S; Nouira S; Azzaza M; Azouaou M; Bouamra A; Achouri MY; Soulimane A
  • Tunis Med 2020[Oct]; 98 (10): 657-663 PMID33479936show ga
  • OBJECTIVE: To compile the lessons learned in the Greater Maghreb, during the first six months of the fight against the COVID-19 pandemic, in the field of "capacity building" of community resilience. METHODS: An expert consultation was conducted during the first week of May 2020, using the "Delphi" technique. An email was sent requesting the formulation of a lesson, in the form of a "Public Health" good practice recommendation. The final text of the lessons was finalized by the group coordinator and validated by the signatories of the manuscript. RESULTS: A list of five lessons of resilience has been deduced and approved : 1. Elaboration of "white plans" for epidemic management; 2. Training in epidemic management; 3. Uniqueness of the health system command; 4. Mobilization of retirees and volunteers; 5. Revision of the map sanitary. CONCLUSION: Based on the evaluation of the performance of the Maghreb fight against COVID-19, characterized by low resilience, this list of lessons could constitute a roadmap for the reform of Maghreb health systems, towards more performance to manage possible waves of COVID-19 or new emerging diseases with epidemic tendency.
  • |*Health Care Reform/organization & administration/standards[MESH]
  • |Africa, Northern/epidemiology[MESH]
  • |Algeria/epidemiology[MESH]
  • |Attitude of Health Personnel[MESH]
  • |COVID-19/*epidemiology/*therapy[MESH]
  • |Civil Defense/methods/organization & administration/standards[MESH]
  • |Community Participation/methods[MESH]
  • |Conflict of Interest[MESH]
  • |Delivery of Health Care/*organization & administration/*standards/statistics & numerical data[MESH]
  • |Delphi Technique[MESH]
  • |Expert Testimony[MESH]
  • |Global Health/standards[MESH]
  • |Hospital Bed Capacity/standards/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Mauritania/epidemiology[MESH]
  • |National Health Programs/organization & administration/standards[MESH]
  • |Pandemics[MESH]
  • |Public Health/methods/standards[MESH]
  • |SARS-CoV-2/physiology[MESH]


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