Evidence map›Paper›PMID 30428846›Full record

ArticleBMC infectious diseases2018

Pandemic influenza preparedness in the WHO African region: are we ready yet?

Evanson Z Sambala, Tiwonge Kanyenda, Chinwe Juliana Iwu, Chidozie Declan Iwu, Anelisa Jaca, Charles S Wiysonge

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. A baseline review of the ability of hospitals in Kenya to provide emergency and critical care services for COVID-19 patients.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Review
  6. Simulation Innovation: A Novel Simulation Guide for Building Community Simulation Capacity in Pandemic Preparedness.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Evanson Z SambalaCochrane South Africa, South African Medical Research Council, Box 19070, Cape Town, PO, 7505, South Africa. Evanson.Sambala@mrc.ac.za.ORCID http://orcid.org/0000-0002-0363-0812
Tiwonge KanyendaVaccines for Africa Initiative, Division of Medical Microbiology and Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Chinwe Juliana IwuCochrane South Africa, South African Medical Research Council, Box 19070, Cape Town, PO, 7505, South Africa.
Chidozie Declan IwuDepartment of Biochemistry and Microbiology, University of Fort Hare, Alice, South Africa.
Anelisa JacaCochrane South Africa, South African Medical Research Council, Box 19070, Cape Town, PO, 7505, South Africa.
Charles S WiysongeCochrane South Africa, South African Medical Research Council, Box 19070, Cape Town, PO, 7505, South Africa.
South African Medical Research Council · ZAUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior to the 2009 pandemic H1N1, and the unprecedented outbreak of Highly Pathogenic Avian Influenza (HPAI) caused by the H5N1 virus, the World Health Organization (WHO) called upon its Member States to develop preparedness plans in response to a new pandemic in humans. The WHO Member States responded to this call by developing national pandemic plans in accordance with the International Health Regulations (IHR) to strengthen the capabilities of Member States to respond to different pandemic scenarios. In this study, we aim to evaluate the quality of the preparedness plans in the WHO African region since their inception in 2005.

methodsA standard checklist with 61 binary indicators ("yes" or "no") was used to assess the quality of the preparedness plans. The checklist was categorised across seven thematic areas of preparedness: preparation (16 indicators); coordination and partnership (5 indicators); risk communication (8 indicators); surveillance and monitoring (7 indicators); prevention and containment (10 indicators); case investigation and treatment (10 indicators) and ethical consideration (5 indicators). Four assessors independently scored the plans against the checklist.

resultsOf the 47 countries in the WHO African region, a total of 35 national pandemic plans were evaluated. The composite score for the completeness of the pandemic plans across the 35 countries was 36%. Country-specific scores on each of the thematic indicators for pandemic plan completeness varied, ranging from 5% in Côte d'Ivoire to 79% in South Africa. On average, preparation and risk communication scored 48%, respectively, while coordination and partnership scored the highest with an aggregate score of 49%. Surveillance and monitoring scored 34%, while prevention and containment scored 35%. Case investigation and treatment scored 25%, and ethical consideration scored the lowest of 14% across 35 countries. Overall, our assessment shows that pandemic preparedness plans across the WHO African region are inadequate.

conclusionsMoving forward, these plans must address the gaps identified in this study and demonstrate clarity in their goals that are achievable through drills, simulations and tabletop exercises.

Indexed as

ChecklistAfricaDisaster PlanningDisease OutbreaksHealth Plan ImplementationHumansImmunization ProgramsInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesPandemicsResearch DesignVaccination CoverageWorld Health OrganizationInfluenza VaccinesAfricaCommunicationContainmentEthical frameworkNational preparedness plansPandemic influenzaQuality of the plansSurveillanceTreatment

Identifiers

PMID30428846
PMCPMC6236890
OpenAlexW2900842861

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.