Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries

Background: During health emergencies, continuity of care for non-communicable diseases (NCDs) and mental health (MH), informed by robust surveillance, is required. The COVID-19 pandemic revealed that many countries were ill-prepared in this respect. Aim: This study assesses the effect of COVID-19...

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Main Authors: Adelard Kakunze, Fabian Moser, Betty K. Ingabire, Dumsani N. Mamba, Giselle Sarganas, Eva P. Renggli, Michael Zobi, Angela Fehr, Mohammed Abdulaziz
Format: Article
Language:English
Published: AOSIS 2025-05-01
Series:Journal of Public Health in Africa
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Online Access:https://publichealthinafrica.org/index.php/jphia/article/view/861
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author Adelard Kakunze
Fabian Moser
Betty K. Ingabire
Dumsani N. Mamba
Giselle Sarganas
Eva P. Renggli
Michael Zobi
Angela Fehr
Mohammed Abdulaziz
author_facet Adelard Kakunze
Fabian Moser
Betty K. Ingabire
Dumsani N. Mamba
Giselle Sarganas
Eva P. Renggli
Michael Zobi
Angela Fehr
Mohammed Abdulaziz
author_sort Adelard Kakunze
collection DOAJ
description Background: During health emergencies, continuity of care for non-communicable diseases (NCDs) and mental health (MH), informed by robust surveillance, is required. The COVID-19 pandemic revealed that many countries were ill-prepared in this respect. Aim: This study assesses the effect of COVID-19 on the continuity of care and surveillance of NCDs and MH in 10 African Union (AU) member states (MS) from the onset of the COVID-19 pandemic. Setting: The study was conducted in 10 AU MS, with two MS from each AU region. Methods: An online cross-sectional survey was developed. Member states were selected using stratified random sampling, and individual participants were selected from the ministries of health as national NCD and MH focal persons. Responses were analysed using descriptive statistics and thematic analysis. Results: All 10 MS responded. In two-thirds and half of participating MS, routine surveillance for NCDs and MH took place, respectively. During the COVID-19 pandemic, where data were available, several MS observed increases in NCD and MH risk factors and NCD mortality and MH morbidity. Half of the MS integrated NCDs and MH into emergency preparedness and response plans and activities. Conclusion: The MS had varied levels of national NCD and MH surveillance practices. Where data were available, most observed negative effects on NCDs and MH during the COVID-19 pandemic. Though the integration of NCDs and MH in emergency preparedness and response planning was limited, some countries responded with innovative measures to ensure continuity of care. Contribution: The study provides insights for improving public health surveillance and emergency response systems.
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spelling doaj-art-2ca1b4caba9a4cb19a18c4c1e36a53d02025-08-20T03:19:28ZengAOSISJournal of Public Health in Africa2038-99222038-99302025-05-01161e1e910.4102/jphia.v16i1.861866Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countriesAdelard Kakunze0Fabian Moser1Betty K. Ingabire2Dumsani N. Mamba3Giselle Sarganas4Eva P. Renggli5Michael Zobi6Angela Fehr7Mohammed Abdulaziz8Division of Disease Control and Prevention, Unit of Non-Communicable Diseases and Mental Health, Africa Centres for Disease Control and Prevention, Addis AbabaCentre for International Health Protection, Robert Koch Institute, BerlinDivision of Disease Control and Prevention, Unit of Non-Communicable Diseases and Mental Health, Africa Centres for Disease Control and Prevention, Addis AbabaDivision of Disease Control and Prevention, Unit of Non-Communicable Diseases and Mental Health, Africa Centres for Disease Control and Prevention, Addis AbabaDepartment of Epidemiology and Health Monitoring, Unit of Physical Health, Robert Koch Institute, BerlinCentre for International Health Protection, Robert Koch Institute, BerlinCentre for International Health Protection, Robert Koch Institute, BerlinCentre for International Health Protection, Robert Koch Institute, BerlinDivision of Disease Control and Prevention, Unit of Non-Communicable Diseases and Mental Health, Africa Centres for Disease Control and Prevention, Addis AbabaBackground: During health emergencies, continuity of care for non-communicable diseases (NCDs) and mental health (MH), informed by robust surveillance, is required. The COVID-19 pandemic revealed that many countries were ill-prepared in this respect. Aim: This study assesses the effect of COVID-19 on the continuity of care and surveillance of NCDs and MH in 10 African Union (AU) member states (MS) from the onset of the COVID-19 pandemic. Setting: The study was conducted in 10 AU MS, with two MS from each AU region. Methods: An online cross-sectional survey was developed. Member states were selected using stratified random sampling, and individual participants were selected from the ministries of health as national NCD and MH focal persons. Responses were analysed using descriptive statistics and thematic analysis. Results: All 10 MS responded. In two-thirds and half of participating MS, routine surveillance for NCDs and MH took place, respectively. During the COVID-19 pandemic, where data were available, several MS observed increases in NCD and MH risk factors and NCD mortality and MH morbidity. Half of the MS integrated NCDs and MH into emergency preparedness and response plans and activities. Conclusion: The MS had varied levels of national NCD and MH surveillance practices. Where data were available, most observed negative effects on NCDs and MH during the COVID-19 pandemic. Though the integration of NCDs and MH in emergency preparedness and response planning was limited, some countries responded with innovative measures to ensure continuity of care. Contribution: The study provides insights for improving public health surveillance and emergency response systems.https://publichealthinafrica.org/index.php/jphia/article/view/861emergency preparedness and responsepandemicmental healthncdsdata
spellingShingle Adelard Kakunze
Fabian Moser
Betty K. Ingabire
Dumsani N. Mamba
Giselle Sarganas
Eva P. Renggli
Michael Zobi
Angela Fehr
Mohammed Abdulaziz
Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
Journal of Public Health in Africa
emergency preparedness and response
pandemic
mental health
ncds
data
title Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
title_full Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
title_fullStr Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
title_full_unstemmed Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
title_short Effects of COVID-19 on non-communicable diseases and their surveillance in 10 African Union member countries
title_sort effects of covid 19 on non communicable diseases and their surveillance in 10 african union member countries
topic emergency preparedness and response
pandemic
mental health
ncds
data
url https://publichealthinafrica.org/index.php/jphia/article/view/861
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