Lessons learned from the fight against COVID-19 in the Great Maghreb.Five lessons for better resilience.

Ben Abdelaziz, Ahmed; Berkane, Salah; Ben Salem, Kamel; Dahdi, Sid Ahmed; Mlouki, Imen; Benzarti, Sofien; Nouira, Sarra; Azzaza, Mohamed; Azouaou, Monia; Bouamra, Abderrazek; Achouri, Mohamed Yacine; Soulimane, A

OBJECTIVE To compile the lessons learned in the Greater Maghreb, during the first six months of the fight against the COVID-19 pandemic, in the field of "capacity building" of community resilience. METHODS An expert consultation was conducted during the first week of May 2020, using the "Delphi" technique. An email was sent requesting the formulation of a lesson, in the form of a "Public Health" good practice recommendation. The final text of the lessons was finalized by the group coordinator and validated by the signatories of the manuscript. RESULTS A list of five lessons of resilience has been deduced and approved : 1. Elaboration of "white plans" for epidemic management; 2. Training in epidemic management; 3. Uniqueness of the health system command; 4. Mobilization of retirees and volunteers; 5. Revision of the map sanitary. CONCLUSION Based on the evaluation of the performance of the Maghreb fight against COVID-19, characterized by low resilience, this list of lessons could constitute a roadmap for the reform of Maghreb health systems, towards more performance to manage possible waves of COVID-19 or new emerging diseases with epidemic tendency.