An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region
High-burden cholera outbreaks, spreading beyond the traditional cholera-endemic countries, have been reported since 2021 in the WHO African region. Member states in the region have committed to the global goal of cholera elimination by 2030. To track progress towards this goal, WHO-African countries...
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| Format: | Article |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/10/1/e016168.full |
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| author | Miriam Nanyunja Allan Mpairwe Ibrahim Mamadu Otim Patrick Cossy Ramadan Mory Keïta Tamayi Mlanda Abdou Salam Gueye Ebenezer Obi Daniel Etien Luc Koua Dick Chamla Fiona Braka Fred Kapaya Vincent Dossou Sodjinou Godwin Akpan Shikanga O-tipo Amarachi Tikal Abianuru John Masina Alice Igale Ladu Fred Athanasius Dratibi Philippe Barboza |
| author_facet | Miriam Nanyunja Allan Mpairwe Ibrahim Mamadu Otim Patrick Cossy Ramadan Mory Keïta Tamayi Mlanda Abdou Salam Gueye Ebenezer Obi Daniel Etien Luc Koua Dick Chamla Fiona Braka Fred Kapaya Vincent Dossou Sodjinou Godwin Akpan Shikanga O-tipo Amarachi Tikal Abianuru John Masina Alice Igale Ladu Fred Athanasius Dratibi Philippe Barboza |
| author_sort | Miriam Nanyunja |
| collection | DOAJ |
| description | High-burden cholera outbreaks, spreading beyond the traditional cholera-endemic countries, have been reported since 2021 in the WHO African region. Member states in the region have committed to the global goal of cholera elimination by 2030. To track progress towards this goal, WHO-African countries adopted a regional cholera prevention and control framework in 2018. This study reports on 27 countries’ 5-year achievements in implementing the cholera regional framework for cholera prevention, and control. Data collected through a web-based self-assessment tool were analysed and visualised through Power BI. Data were provided by national teams of experts on cholera based on the milestones of the framework. Countries’ specific progress and regional progress were calculated. The overall regional progress was 53%, ranging from 19% in Mauritania to 76% in Ethiopia. Out of the 27 countries, 3 had made good progress while 14 had fair and 10 had insufficient progress. At the regional level, 4 milestones were on track, 7 were fair and 10 had insufficient progress. Cholera hot spot mapping had the highest score at 85%, while development of investment cases for cholera control scored the lowest at 14%. Although appreciable progress was noted in some milestones, the progress against critical milestones, including for water, sanitation and hygiene, that form the bedrock of cholera control, was insufficient. Effective implementation of the cholera prevention and control framework anchored on strong government commitment and ownership is essential to curb the current trend of cholera outbreaks and improve the likelihood of cholera elimination by 2030 in Africa. |
| format | Article |
| id | doaj-art-e13363e7401f42a9a4f94fe4b271cc43 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-e13363e7401f42a9a4f94fe4b271cc432025-01-28T12:40:10ZengBMJ Publishing GroupBMJ Global Health2059-79082025-01-0110110.1136/bmjgh-2024-016168An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African regionMiriam Nanyunja0Allan Mpairwe1Ibrahim Mamadu2Otim Patrick Cossy Ramadan3Mory Keïta4Tamayi Mlanda5Abdou Salam Gueye6Ebenezer Obi Daniel7Etien Luc Koua8Dick Chamla9Fiona Braka10Fred Kapaya11Vincent Dossou Sodjinou12Godwin Akpan13Shikanga O-tipo14Amarachi Tikal Abianuru15John Masina16Alice Igale Ladu17Fred Athanasius Dratibi18Philippe Barboza19Emergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, CongoEPR/HIR, WHO Regional Office for Africa, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaWHO, WHO, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Brazzaville, CongoEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Dakar, SenegalGeographic Information Systems Center, WHO Regional Office for Africa, Brazzaville, CongoWHE, WHO Regional Office for Africa, Lusaka, ZambiaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaEmergency Preparedness and Response, WHO Regional Office for Africa, Nairobi, Nairobi, KenyaWHE, WHO, Geneva, SwitzerlandHigh-burden cholera outbreaks, spreading beyond the traditional cholera-endemic countries, have been reported since 2021 in the WHO African region. Member states in the region have committed to the global goal of cholera elimination by 2030. To track progress towards this goal, WHO-African countries adopted a regional cholera prevention and control framework in 2018. This study reports on 27 countries’ 5-year achievements in implementing the cholera regional framework for cholera prevention, and control. Data collected through a web-based self-assessment tool were analysed and visualised through Power BI. Data were provided by national teams of experts on cholera based on the milestones of the framework. Countries’ specific progress and regional progress were calculated. The overall regional progress was 53%, ranging from 19% in Mauritania to 76% in Ethiopia. Out of the 27 countries, 3 had made good progress while 14 had fair and 10 had insufficient progress. At the regional level, 4 milestones were on track, 7 were fair and 10 had insufficient progress. Cholera hot spot mapping had the highest score at 85%, while development of investment cases for cholera control scored the lowest at 14%. Although appreciable progress was noted in some milestones, the progress against critical milestones, including for water, sanitation and hygiene, that form the bedrock of cholera control, was insufficient. Effective implementation of the cholera prevention and control framework anchored on strong government commitment and ownership is essential to curb the current trend of cholera outbreaks and improve the likelihood of cholera elimination by 2030 in Africa.https://gh.bmj.com/content/10/1/e016168.full |
| spellingShingle | Miriam Nanyunja Allan Mpairwe Ibrahim Mamadu Otim Patrick Cossy Ramadan Mory Keïta Tamayi Mlanda Abdou Salam Gueye Ebenezer Obi Daniel Etien Luc Koua Dick Chamla Fiona Braka Fred Kapaya Vincent Dossou Sodjinou Godwin Akpan Shikanga O-tipo Amarachi Tikal Abianuru John Masina Alice Igale Ladu Fred Athanasius Dratibi Philippe Barboza An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region BMJ Global Health |
| title | An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region |
| title_full | An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region |
| title_fullStr | An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region |
| title_full_unstemmed | An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region |
| title_short | An assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the WHO African region |
| title_sort | assessment of the progress made in the implementation of the regional framework for cholera prevention and control in the who african region |
| url | https://gh.bmj.com/content/10/1/e016168.full |
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