Chippaux Jean-Philippe auteur aut IRD text journalArticle fre text/pdf born digital access Objective. - This work aimed to assess the impact of COVID-19 on healthcare supply in sub-Saharan Africa except South Africa.Method. - A search through PubMed & REG; between April 2020 , 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.Results. - The decline of health services, associated with a reduction in their quality , 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. Conclusion. - Several 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 tele-phones, drones, etc.) and better information monitoring. specialized SARS virus Patient care Health services Africa South of the Sahara AFRIQUE SUBSAHARIENNE 050 052 207 2 150-164 2023 0001-4079 https://www.documentation.ird.fr/hor/fdi:010088259 10.1016/j.banm.2022.10.015 0001-4079 [F B010088259] https://www.documentation.ird.fr/hor/fdi:010088259 https://www.documentation.ird.fr/intranet/publi/2023-08/010088259.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2023-08-25 2023-08-25 fdi:010088259 fre