TY - JOUR T1 - Transitioning the COVID-19 response in the WHO African region: a proposed framework for rethinking and rebuilding health systems JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2022-010242 VL - 7 IS - 12 SP - e010242 AU - Thierno Balde AU - Boniface Oyugi AU - Jayne Byakika-Tusiime AU - Opeayo Ogundiran AU - Janet Kayita AU - Freddy Mutoka Banza AU - Kabego Landry AU - Ephraim Nonso Ejiofor AU - Trevor M Kanyowa AU - Jerry-Jonas Mbasha AU - Kamara Rashidatu AU - Phionah Atuhebwe AU - Nicksy Gumede AU - Belinda Louise Herring AU - Julienne Ngoundoung Anoko AU - Mamadou Zongo AU - Joseph Okeibunor AU - Helena O’Malley AU - Dick Chamla AU - Fiona Braka AU - Abdou Salam Gueye Y1 - 2022/12/01 UR - http://gh.bmj.com/content/7/12/e010242.abstract N2 - The onset of the pandemic revealed the health system inequities and inadequate preparedness, especially in the African continent. Over the past months, African countries have ensured optimum pandemic response. However, there is still a need to build further resilient health systems that enhance response and transition from the acute phase of the pandemic to the recovery interpandemic/preparedness phase. Guided by the lessons learnt in the response and plausible pandemic scenarios, the WHO Regional Office for Africa has envisioned a transition framework that will optimise the response and enhance preparedness for future public health emergencies. The framework encompasses maintaining and consolidating the current response capacity but with a view to learning and reshaping them by harnessing the power of science, data and digital technologies, and research innovations. In addition, the framework reorients the health system towards primary healthcare and integrates response into routine care based on best practices/health system interventions. These elements are significant in building a resilient health system capable of addressing more effectively and more effectively future public health crises, all while maintaining an optimal level of essential public health functions. The key elements of the framework are possible with countries following three principles: equity (the protection of all vulnerable populations with no one left behind), inclusiveness (full engagement, equal participation, leadership, decision-making and ownership of all stakeholders using a multisectoral and transdisciplinary, One Health approach), and coherence (to reduce the fragmentation, competition and duplication and promote logical, consistent programmes aligned with international instruments).All data relevant to this study are included in the article. Additional data can be got on request made to the corresponding author. ER -