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A Systematic Literature Review of the Determinants of a Good National Civil-Military Partnership for Rapid Management and Response of Health Emergencies: Lessons for Africa

Published online by Cambridge University Press:  22 November 2022

Larissa Tene Open the ORCID record for Larissa Tene [Opens in a new window] ,
Primous Godjedo Open the ORCID record for Primous Godjedo [Opens in a new window] ,
Bailo Amadou Open the ORCID record for Bailo Amadou [Opens in a new window] ,
Jerry-Jonas Mbasha ,
Boniface Oyugi Open the ORCID record for Boniface Oyugi [Opens in a new window]  and
Thierno Baldé
Larissa Tene
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Dakar Hub, Dakar, Senegal
Primous Godjedo
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Dakar Hub, Dakar, Senegal
Bailo Amadou
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Dakar Hub, Dakar, Senegal
Jerry-Jonas Mbasha
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Brazzaville, Congo
Boniface Oyugi
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Brazzaville, Congo Centre for Health Services Studies (CHSS), University of Kent, George Allen Wing, Canterbury, United Kingdom
Thierno Baldé
Affiliation:
World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Program, Brazzaville, Congo
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Abstract

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Background/Introduction:

Civil-military collaboration in response to an epidemic or health crisis could strengthen countries’ capacities to provide adequate medical care and limit casualties. Many countries have received the support of military medical services during an emergency,1 guided by their multi-disciplinary human resources, with a strong background in rapid deployment, logistics and trauma management, and the civilian teams with a good capacity in epidemic management.1,2

Objectives:

This study analyzes the determinants of a good civil-military partnership for rapid management of health emergencies on the African continent.

Method/Description:

We conducted a systematic review of literature from published (PUBMED, Hinari, and Google Scholar) and grey databases guided by the PRISMA guideline.

Results/Outcomes:

A good collaboration requires a formal agreement with a defined institutional anchor structure between the two institutions.1,3 The coordination should remain flexible with the co-leadership of each institution.1,3,4 The roles of all participating teams should be defined at the onset,1-5 and plans instituted based on the type of emergency to enhance cooperation. Both civilian and military teams need to know and understand the approved management protocols. Military health services are better experienced in trauma management, while civilians are more equipped to manage epidemics.1,4 Besides, there is a need for periodic evaluation of patient outcomes, resource management, challenges, and lessons learned after the response.

Conclusion:

Civil-military teams jointly responding to emergencies can be challenging but should be built around four defined pillars: collaboration, coordination, capacity building, and evaluation to capitalize on the teams’ strengths.

Type
Meeting Abstracts
Information
Prehospital and Disaster Medicine , Volume 37 , Supplement S2: Abstracts of World Health Organization Emergency Medical Teams Global Meeting 2022 , November 2022 , pp. s79
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine

References

References (optional)

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