• J-P Chippaux.
• Université Paris Cité, IRD, MERIT, 4, avenue de l'observatoire, 75006 Paris, France.
• B Acad Nat Med Paris. 2023 Feb 1; 207 (2): 150164150-164.

ObjectiveThis work aimed to assess the impact of COVID-19 on healthcare supply in sub-Saharan Africa except South Africa.MethodA search through PubMed® between April 2020 and August 2022 selected 135 articles. The impact of COVID-19 was assessed on comparisons with the months prior to the onset of COVID-19 or an identical season in previous years.ResultsThe decline of health services, associated with a reduction in their quality, and the closure of specialized health units have been reported. Many control programs and public health interventions have been interrupted, with the risk of an increase of the corresponding diseases. Social disorganization has generated mental health issues among the population, including health personnel. The impact was heterogeneous in space and time. The main causes were attributed to containment measures (transport restrictions, trade closures) and the lack of human and material resources. The increase in costs, in addition to the impoverishment of the population, and the fear of being contaminated or stigmatized have discouraged patients from going to health centres. The studies mention the gradual return to normal after the first epidemic wave and the resilience of the healthcare system.ConclusionSeveral articles make recommendations aimed at reducing the impact of future epidemics: support for community workers, training of health workers and reorganization of services to improve the reception and care of patients, technological innovations (use of telephones, drones, etc.) and better information monitoring.© 2022 l'Académie nationale de médecine. Published by Elsevier Masson SAS. All rights reserved.

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