The impact of the COVID-19 pandemic on international reconstructive collaborations in Africa

Background The SARS-CoV-2 (COVID-19) pandemic has catalysed a widespread humanitarian crisis in many low- and middle-income countries around the world, with many African nations significantly impacted. The aim of this study was to quantify the impact of the COVID-19 pandemic on the planning and prov...

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Veröffentlicht in:European journal of plastic surgery 2022-06, Vol.45 (3), p.469-474
Hauptverfasser: Honeyman, Calum S., Patel, Vinod, Bakhiet, Abdelwakeel, Bradley, Daniel R., Almas, Fernando, Martin, Dominique, McGurk, Mark
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Sprache:eng
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Zusammenfassung:Background The SARS-CoV-2 (COVID-19) pandemic has catalysed a widespread humanitarian crisis in many low- and middle-income countries around the world, with many African nations significantly impacted. The aim of this study was to quantify the impact of the COVID-19 pandemic on the planning and provision of international reconstructive collaborations in Africa. Methods An anonymous, 14-question, multiple choice questionnaire was sent to 27 non-governmental organisations who regularly perform reconstructive surgery in Africa. The survey was open to responses for four weeks, closing on the 7 th of March 2021. A single reminder was sent out at 2 weeks. The survey covered four key domains: (1) NGO demographics; (2) the impact of COVID-19 on patient follow-up; (3) barriers to the safe provision of international surgical collaborations during COVID-19; (4) the impact of COVID-19 on NGO funding. Results A total of ten reconstructive NGOs completed the survey (response rate, 37%). Ethiopia ( n  = 5) and Tanzania ( n  = 4) were the countries where most collaborations took place. Plastic, reconstructive and burns surgery was the most common sub-speciality ( n  = 7). For NGOs that did not have a year-round presence in country ( n  = 8), only one NGO was able to perform reconstructive surgery in Africa during the pandemic. The most common barrier identified was travel restrictions (within country, n  = 8 or country entry-exit, n  = 7). Pre-pandemic, 1547 to ≥ 1800 patients received reconstructive surgery on international surgical collaborations. After the outbreak, 70% of NGOs surveyed had treated no patients, with approximately 1405 to ≥ 1640 patients left untreated over the last year. Conclusions The COVID-19 pandemic has placed huge pressures on health services and their delivery across the globe. This theme has extended into international surgical collaborations leading to increased unmet surgical needs in low- and middle-income countries. Level of evidence: Not gradable.
ISSN:0930-343X
1435-0130
1435-0130
DOI:10.1007/s00238-021-01892-4