Urban health nexus with COVID-19 preparedness and response in Africa: rapid scoping review of the early evidence.
Abstract Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) also called COVID-19 was first reported in the African continent on 14th February 2020, in Egypt. As at 24th August 2020, the continent reported a total of 1,189,526 cases; 27,798 deaths and 907,822 recoveries. Urban cities in African have suffered the brunt of COVID-19; meanwhile, response strategies by African countries have largely been condemned as “one-size-fit-all” approach.Objective: This paper synthesized and analyzed early evidence on the nexus between urban health and COVID-19 preparedness and response in Africa. Methods: Rapid scoping review of empirical and grey literature was done using data sources such as ScienceDirect, GoogleScholar, PubMed, HINARI and official websites of WHO and Africa CDC. Out of over 6,000 search output, 24 full articles, reviews and commentaries were finally synthesized analyzed qualitatively based on relevance and quality, guided by the PRISMA flow chart (2009).Results: Over 70% of the 24 articles reported on COVID-19 response strategies across Africa; 29% of the articles reported on preparedness towards COVID-19 while 41% reported on the nexus between urbanization and COVID-19; 37% of the publications were full text empirical studies while the remaining 63% were either commentaries, reviews or editorials. It was found that urban cities remain epicentres for COVID-19 in Africa. Even though some successes have been recorded in Africa in respect of the COVID-19 fight, the continent’s response strategies are largely a “one-size-fit all” approach. In effect, adoption of “Western elitist” mitigating measures for COVID-19 resulted in excesses and spillover effects on individuals, families and economies in Africa. Conclusion: Africa needs to increase commitment to health systems strengthening through context-specific interventions in addition to prioritization of pandemic preparedness over response. Likewise, improved economic resilience and proper urban planning will help African countries to respond better to future public health emergencies.