ReviewBMJ global health2021
Safer primary healthcare facilities are needed to protect healthcare workers and maintain essential services: lessons learned from a multicountry COVID-19 emergency response initiative.
Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Ten pressure points in primary care during COVID-19: findings from an international narrative review.BMC primary care · 2025Pooled it
- Infection prevention and control measures during the COVID-19 pandemic in sub-Saharan Africa: a multinational cross-sectional study.BMJ open · 2026Article
- Strengthening infection prevention and control during the COVID-19 pandemic: implementation of a decentralised mentorship model across 450 primary health facilities in Sierra Leone, 2021-2022.Frontiers in health services · 2026Article
- Campus healthcare workers' knowledge and views on injectable pre-exposure prophylaxis prior to rollout in South Africa: A qualitative study.PLOS global public health · 2026Article
- Article
- Progress in epidemic-ready primary health care: early pilot results from four African countries (Ethiopia, Nigeria, Sierra Leone and Uganda), December 2023 - October 2024.BMJ global health · 2025Article
- Determinants maintaining healthcare personnel's motivation during COVID-19 pandemic in Uganda.Scientific reports · 2025Article
- Barriers and enhancers to COVID-19 vaccination among healthcare workers in Zimbabwe.Journal of public health in Africa · 2025Article
- Emergency infection prevention and control training in fragile, conflict-affected or vulnerable settings: a scoping review.BMC health services research · 2024Article
- Article
- Primary care occupational, physical, and respiratory therapy role adaptation in the first year of the COVID-19 pandemic.BMC primary care · 2024Article
- Quality of TB diagnostic services at primary healthcare clinics in eThekwini district, South Africa.PloS one · 2024Article
- Protecting healthcare workers and patients during the COVID-19 pandemic: a comparison of baseline and follow-up infection prevention and control needs in Nigerian military healthcare facilities delivering HIV services.BMC health services research · 2023Article
- Personal protection equipment: Preliminary evidence of effectiveness from a three-phase simulation program.Journal of infection prevention · 2023Article
- The psychological impact of the ongoing COVID-19 pandemic on health-care workers in primary health-care centers in resource-poor settings.Journal of family medicine and primary care · 2023Article
- Adherence to infection prevention and control measures and risk of exposure among health-care workers: A cross-sectional study from the early period of COVID-19 pandemic in Addis Ababa, Ethiopia.Health science reports · 2023Article
- Health Service Management and Patient Safety in Primary Care during the COVID-19 Pandemic in Kosovo.International journal of environmental research and public health · 2023Article
- Support for the response to COVID-19 in Uganda: contribution of the global health security program at Makerere University's Infectious Diseases Institute.African health sciences · 2022Review
- Considering context: Adaptive elements of a simulation program to improve primary care safety during the COVID-19 pandemic in Alberta, Canada.American journal of infection control · 2022Article
- Practice and System Factors Impact on Infection Prevention and Control in General Practice during COVID-19 across 33 Countries: Results of the PRICOV Cross-Sectional Survey.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Healthcare workers (HCWs) are at increased risk of infection from SARS-CoV-2 and other disease pathogens, which take a disproportionate toll on HCWs, with substantial cost to health systems. Improved infection prevention and control (IPC) programmes can protect HCWs, especially in resource-limited settings where the health workforce is scarcest, and ensure patient safety and continuity of essential health services. In response to the COVID-19 pandemic, we collaborated with ministries of health and development partners to implement an emergency initiative for HCWs at the primary health facility level in 22 African countries. Between April 2020 and January 2021, the initiative trained 42 058 front-line HCWs from 8444 health facilities, supported longitudinal supervision and monitoring visits guided by a standardised monitoring tool, and provided resources including personal protective equipment (PPE). We documented significant short-term improvements in IPC performance, but gaps remain. Suspected HCW infections peaked at 41.5% among HCWs screened at monitored facilities in July 2020 during the first wave of the pandemic in Africa. Disease-specific emergency responses are not the optimal approach. Comprehensive, sustainable IPC programmes are needed. IPC needs to be incorporated into all HCW training programmes and combined with supportive supervision and mentorship. Strengthened data systems on IPC are needed to guide improvements at the health facility level and to inform policy development at the national level, along with investments in infrastructure and sustainable supplies of PPE. Multimodal strategies to improve IPC are critical to make health facilities safer and to protect HCWs and the communities they serve.
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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.