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Abstract
Abstract
The International Health Regulations (IHR 2005) are pivotal for global health security, particularly at Points of Entry (PoEs) in Africa, where cross-border disease transmission risks are high. This narrative review examines the knowledge, attitudes, and practices (KAP) of PoE workers in Africa concerning IHR 2005, identifying gaps and informing health security strategies. Drawing on studies from 2005 to 2025, the review reveals a fragmented evidence base. Awareness of IHR exists among workers, but specific knowledge of its requirements, such as surveillance and reporting, is often limited, with studies like one in Nigeria showing only 25% of port health officers possessing good understanding. Attitudes vary, influenced by perceived risks and resource availability, while practices frequently show gaps, particularly in infection prevention and cross-border coordination. Key challenges include inadequate training, resource shortages, and poor inter-agency collaboration, as seen in assessments from Cameroon and Liberia. Facilitators include regional training initiatives and international partnerships. The review highlights the urgent need for targeted training, resource allocation, and standardized KAP assessments to strengthen IHR implementation. Addressing these gaps is critical to enhancing Africa’s capacity to manage public health threats at PoEs effectively.
Keywords: IHR 2005, Port of Entry, KAP, Africa, Health Security
References
References
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