Lessons learned from the fight against covid-19 in the great maghreb. Five lessons for better resilience

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.