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

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 p...

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Main Authors: Veronica O. Ogunleye (Author), Okainemen P. Oluwalusi (Author), Oluwafemi Popoola (Author), Aderemi Kehinde (Author), Olukemi Adekanmbi (Author), Ifiok Udofia (Author), Sarah Agbi (Author), Ifeoluwa Akintayo (Author), Jolaade J. Ajiboye (Author), Folasade Bamidele (Author), Temitope Alonge (Author), Ondari D. Mogeni (Author), Florian Marks (Author), Iruka N. Okeke (Author)
Format: Book
Published: AOSIS, 2022-09-01T00:00:00Z.
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Summary: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 concerns about SARS-CoV-2 transmission risks and incurs infection prevention 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.
Item Description:2038-9922
2038-9930
10.4081/jphia.2022.1720

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