Lessons learned from the fight against COVID-19 in the great maghreb. Five lessons for a better response

Objective: Identify the lessons learned in the Greater Maghreb, during the first semester of the fight against the COVID-19 pandemic, in the field of response Methods: During the first week of May 2020, a consultation of experts was conducted, using the «Delphi» technique, through an email asking each of them, the drafting of a good practice recommendation for «Public health». The Group coordinator finalized the text of the lessons, later validated by the signatories of the manuscript. Results: Five lessons of good «response» against epidemics have been deduced and approved by Maghreb experts, linked to the following aspects: 1. Total reservation of hospital beds for patients; 2. Clinical management of the response; 3. Discreet conflict of interest; 4. Community participation in the response; 5. Contextualization of the global fight strategy. Conclusion: Based on the finding of low relevance of the Maghreb response against COVID-19, this list of lessons would help support the performance of Maghreb health systems in the management of epidemics Mesh terms: Coronavirus Infections - Infections - Pneumonia, Viral - Pandemics- Health Care Reform - National Health Programs - Health Personnel - Attitude of Health Personnel - Delphi Technique - Algeria - Mauritania - Tunisia.