Effects of COVID-19 in South African health system and society: An explanatory study

https://doi.org/10.1016/j.dsx.2020.09.016Get rights and content

Highlights

  • The outbreak of COVID-19 pandemic affects all aspects of life, including the public health and global economy.

  • With no WHO-approved vaccines, the South African health system and the society are overwhelmed with the effects of COVID-19.

  • Integration of technology is inevitable in the South African health system to combat COVID-19 pandemic.

Abstract

Background and aims

The underestimation of the severity of COVID-19 by the South African government resulted in delayed action against the pandemic. Ever since WHO declared COVID-19 a pandemic preventive action was comprehensively upgraded worldwide. This prompted South African authorities to implement physical distancing, self-isolation, closure of non-essential services, schools, travelling restrictions and recursive national lockdowns to mitigate the impact of COVID-19. This explanatory study sought to review the effects of COVID-19 in the South African health system and society.

Methods

The study applied literature research of COVID-19 reports, policies from the National Department of Health, WHO, Africa CDC, and articles from Google Scholar, Science Direct, Web of Science, Scopus and PubMed.

Results

The South African health system is affected by the lack of PPEs, increased mortality rates, mental health problems, substance abuse, resurgent of NCDs. The closure of international borders, global demand meltdown, supply disruptions, dramatic scaling down of human and industrial activities during lockdown cause socio-economic problems. The prolonged effects of lockdown on psychosocial support services resulted in the outbursts of uncertainties, acute panic, fear, depression, obsessive behaviours, social unrests, stigmatization, anxiety, increased gender-based violence cases and discrimination in the distribution of relief food aid.

Conclusion

To slow down the spread of COVID-19, massive testing must be adopted, contact tracing, isolation, and home quarantine guidelines for asymptomatic cases which promote behavioural change and reviewing of policy on food relief.

Keywords

COVID-19
Health systems
Effects
SARS-CoV-2
Case management

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