A national survey of hospital readiness during the COVID-19 pandemic in Nigeria.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ogoina Dimie, Mahmood Dalhat, Oyeyemi Abisoye Sunday, Okoye Ogochukwu Chinedum, Kwaghe Vivian, Habib Zayaid, Unigwe Uche, Iroezindu Michael Onyebuchi, Garbati Musa Abubakar, Rotifa Stella, Adekanmbi Olukemi, Garba Iliyasu, Dayyab Farouq Muhammad, Ibrahim Sanusi Mohammed, Kida Ibrahim Musa, Adamu Adamu, Alasia Datonye, Awang Sati Klein, Ohaju-Obodo John Oghenevwirhe, Usman Rabi, Mohammed Yahaya, Omololu Ayanfe, Tobin Ekaete Alice, Okogbenin Sylvanus, Asogun Danny, Kelly Iraoyah, Waziri Bala, Nauzo Aliyu Mamman, Jibrin Yusuf, Habib Abdulrazaq Garba
Аннотация
METHOD: Between April and October 2020, hospital representatives completed a modified World Health Organisation (WHO) COVID-19 hospital readiness checklist consisting of 13 components and 124 indicators. Readiness scores were classified as adequate (score ≥80%), moderate (score 50-79.9%) and not ready (score <50%).
RESULTS: Among 20 (17 tertiary and three secondary) hospitals from all six geopolitical zones of Nigeria, readiness score ranged from 28.2% to 88.7% (median 68.4%), and only three (15%) hospitals had adequate readiness. There was a median of 15 isolation beds, four ICU beds and four ventilators per hospital, but over 45% of hospitals established isolation facilities and procured ventilators after the onset of COVID-19. Of the 13 readiness components, the lowest readiness scores were reported for surge capacity (61.1%), human resources (59.1%), staff welfare (50%) and availability of critical items (47.7%).
CONCLUSION: Most hospitals in Nigeria were not adequately prepared to respond to the COVID-19 outbreak. Current efforts to strengthen hospital preparedness should prioritize challenges related to surge capacity, critical care for COVID-19 patients, and staff welfare and protection.