COVID-19 data reporting systems in Africa reveal insights for pandemic preparedness

Background: Throughout the coronavirus disease 2019 (COVID-19) pandemic, there have been a variety of practices for international reporting of COVID-19 data. African countries have used different national reporting systems to publicly share data. Analyzing the content, format, and frequency of these systems could elucidate lessons for future pandemics. Methods: We examined national COVID-19 reporting practices across 54 African countries through 2020. Reporting systems were compared by type of report, frequency, and data content. We also compared reporting of metrics such as a patient demographics and co-morbidities, healthcare capacity, and diagnostic testing. We further evaluated regional and country-specific reporting practices in Cameroon, Egypt, Kenya, Senegal, and South Africa as examples from different sub-regions. Results: National COVID-19 reporting systems were identified in 53/54 (98.1%) countries in 2020. Reporting systems were diverse and could be categorized into social media postings, websites, press releases, situation reports, and online dashboards. Of countries with reporting systems, 36/53 (67.9%) had recurrent situation reports and/or online dashboards which provided the highest quality of data. Conclusions: African countries created diverse reporting systems to share COVID-19 data. Many countries used routinely updated situation reports or online dashboards. However, few countries reported patient demographics, co-morbidities, diagnostic testing practices, and healthcare capacity. Including these metrics as well as improving standardization and accessibility of data reporting systems could augment research and decision-making, as well as increase public awareness and transparency for national governments.