TY - BOOK AU - Lauren J Wallace AU - Douglas Singini AU - S Mohammed Sheriff AU - Jeremiah Seni AU - Oumy Thiongane AU - Oriokot Francis AU - Eric Ochomo AU - Mary Ndu AU - Felicien Munday Mulopo AU - Gojjam Limeneh AU - Sekou Kouyate AU - Eveline Thobias Konje AU - Diana Karanja AU - Gabriel Kyomba Kalombe AU - Jean Damascene Kabakambira AU - Mandy Kader Kondé AU - Ngozi Joe-Ikechebelu AU - Joseph Ikechebelu AU - Harriet Chemusto AU - Bernard Aristide Bitouga AU - Kofi Bobi Barimah AU - Eric Arthur AU - Eugenia Amporfu AU - Joshua A Arthur AU - Robert Bortolussi AU - Elysée Nouvet TI - COVID-19 in sub-Saharan Africa: impacts on vulnerable populations and sustaining home-grown solutions PY - 0000///262020/// CY - Mwanza, Tanzania: PB - Springer International Publishing &, Catholic University of Health and Allied Sciences [CUHAS – Bugando] N2 - Abstract This commentary draws on sub-Saharan African health researchers’ accounts of their countries’ responses to control the spread of COVID-19, including social and health impacts, home-grown solutions, and gaps in knowledge. Limited human and material resources for infection control and lack of understanding or appreciation by the government of the realities of vulnerable populations have contributed to failed interventions to curb transmission, and further deepened inequalities. Some governments have adapted or limited lockdowns due to the negative impacts on livelihoods and taken specific measures to minimize the impact on the most vulnerable citizens. However, these measures may not reach the majority of the poor. Yet, African countries’ responses to COVID-19 have also included a range of innovations, including diversification of local businesses to produce personal protective equipment, disinfectants, test kits, etc., which may expand domestic manufacturing capabilities and deepen self-reliance. African and high-income governments, donors, non-governmental organizations, and businesses should work to strengthen existing health system capacity and back African-led business. Social scientific understandings of public perceptions, their interactions with COVID-19 control measures, and studies on promising clinical interventions are needed. However, a decolonizing response to COVID-19 must include explicit and meaningful commitments to sharing the power—the authority and resources—to study and endorse solutions UR - https://doi.org/10.17269/s41997-020-00399-y ER -