Vol. 1 No. 1 (2022)

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A Theoretical Framework for Public Health Emergency Operations Centres: A Comparative Analysis of Functionality in Nigeria, Senegal, and Ethiopia

Yonas Tadesse, Adama Science and Technology University (ASTU) Meklit Gebrehiwot, Department of Public Health, Adama Science and Technology University (ASTU)
DOI: 10.5281/zenodo.18361595
Published: January 24, 2026

Abstract

This article presents a revised theoretical framework for analysing the functionality of Public Health Emergency Operations Centres (PHEOCs) in African contexts. It addresses the critical problem of inconsistent PHEOC operational maturity, which undermines coordinated responses to health threats. Developed through a comparative analysis of Nigeria, Senegal, and Ethiopia (2021–2026), the methodology synthesises documentary analysis of national policies, after-action reports, and peer-reviewed evaluations via a modified ‘systems readiness’ lens. The analysis contends that functionality is determined not by infrastructure alone, but by three interdependent pillars: integrated governance structures, real-time data convergence capabilities, and sustainable workforce capacity. The study finds that Nigeria’s advanced technical infrastructure is hampered by federal-state governance complexities; Senegal’s centralised model aids coordination but faces data system limitations; and Ethiopia’s network shows strengths in community linkage but variable resourcing. The framework’s significance lies in offering a context-sensitive tool for policymakers to diagnose systemic gaps and prioritise investments beyond physical assets. It concludes that enhancing continental health security necessitates a deliberate shift from building centres to cultivating agile, legally grounded, and data-driven operational systems embedded within local health ecosystems.

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How to Cite

Yonas Tadesse, Meklit Gebrehiwot (2026). A Theoretical Framework for Public Health Emergency Operations Centres: A Comparative Analysis of Functionality in Nigeria, Senegal, and Ethiopia. African Journal of Public Health and Health Systems, Vol. 1 No. 1 (2022), 42-58. https://doi.org/10.5281/zenodo.18361595
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Keywords

Public Health Emergency Operations CentresTheoretical FrameworkComparative AnalysisSub-Saharan AfricaHealth Systems ResilienceEmergency PreparednessHealth Security

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References

  • ABEBE, A.H., & Mmusi-Phetoe, R. (2026). Quality of Intrapartum Care in Public Health Centers of Addis Ababa City, Ethiopia: A Mixed-Methods Study. https://doi.org/10.21203/rs.3.rs-8616911/v1
  • Abebe, M.T., Kasaye, R.T., Habte, Y.W., Tekle, N.F., Tilahun, R.B., Girmaye, N.G., Moges, S.G., Abebe, P.M., Erballo, F.A., Gunjo, M.W., Elmahal, M., Chinkey, F.D., Abay, N.S., Sequr, B.Y., & Abore, K.W. (2025). Prevalence and Pattern of Thyrocardiac Disease among Patients with Hyperthyroidism in Ethiopia: A Systematic Review and Meta-Analysis. International Journal of Current Science Research and Review. https://doi.org/10.47191/ijcsrr/v8-i9-04
  • Abebe, M.T., Alferid, F., Kasaye, R.T., Tilahun, R.B., Woldemariam, T.H., Akuma, A.A., Abebe, P.M., Habte, Y.W., Moges, S.G., Erballo, F.A., Tekle, N.F., Alemneh, Z.T., Feyisa, M.A., & Jida, M.A. (2025). Validation of Amharic Version of Confusion Assessment Method for Intensive Care Unit among Patients Admitted to ICU at Two Centers in Addis Ababa, Ethiopia: A Cross-Sectional Study. International Journal of Current Science Research and Review. https://doi.org/10.47191/ijcsrr/v8-i9-11
  • Admass, A., Wudie, G., Gizachew, B., Adimas, B., & Kitu, M. (2025). Burden of Presbyopia among Adults Aged 40 and Above in North Mecha, Ethiopia, 2024. Journal of Health Science and Reports. https://doi.org/10.47363/jhs/2025(1)108
  • Agunyai, S.C., Oluwayori, A.E., & Ojakorotu, V. (2025). Comparative Analysis of the Functionality of Federalism in the Promotion of Unity in Diversity in Nigeria and Ethiopia. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.5586331
  • Asinakew, T., & Habte, T. (2024). Emergency Admissions and Associated Factors among Children Admitted to the Pediatric Emergency Unit at Selected Public Hospitals at Addis Ababa, Ethiopia – A Retrospective Cross-Sectional Study. Journal of Emergency Medicine: Open Access. https://doi.org/10.33140/jemoa.02.01.05
  • Bahre, W., Tadele, A., & Debebe, F. (2025). Quality of basic emergency obstetric and newborn care services from patients’ perspective in selected public health centers in Addis Ababa, Ethiopia 2022: A cross-sectional study. PLOS ONE. https://doi.org/10.1371/journal.pone.0320729
  • Baran, S. (2025). BRICS Expansion: Emerging of New Semi-Peripheries or Sub-Imperialism? A Comparative Analysis of Ethiopia, Nigeria and South Africa. Journal of Asian and African Studies. https://doi.org/10.1177/00219096251336371
  • Bortequaye, E.B., Hussain, R., Gebreselassie, H.A., Belayneh, B.K., Fissehatsion, F.A., Mamo, Y.A., Sinshaw, A.A., Milikit, Y.Z., Mekonnen, M.A., Gebremariam, S.T., Goraga, B.D., seifu, A.K., Belta, A.Z., Tesfaye, A.M., & Mergia, M.K. (2025). Determinants of Low Adherence to Antiretroviral Therapy Among Patients on Highly Active Antiretroviral Treatment at the Selective Public Hospital in Addis Ababa, Ethiopia, 2022. International Journal of Health & Medical Research. https://doi.org/10.58806/ijhmr.2025.v4i5n08
  • Dibie, R., & Barekew, M. (2025). HEALTH POLICY AND CHALLENGES IN ETHIOPIA. Transforming Healthcare in Africa. https://doi.org/10.2307/jj.24751877.18
  • Getahun, G.K., Shewamare, A., Andabob, W.A., Duressa, E.M., & Birhanu, M.Y. (2024). Healthcare professionals perceptions towards the determinants of effective emergency health care services in public health centres of Addis Ababa, Ethiopia. African Journal of Emergency Medicine. https://doi.org/10.1016/j.afjem.2024.08.003
  • Kibret, A. (2025). Ruptured Ovarian Ectopic Pregnancy A Case Report from Leku General Hospital, Ethiopia. Journal of Clinical Medicine & Health Care. https://doi.org/10.61440/jcmhc.2025.v2.20
  • Mario, L.D., Feleke, Y., Debebe, F., Bawoke, M.M., Amha, L.G., & Kefyalew, M. (2026). Availability of emergency drugs and essential resuscitation equipment and associated barriers in Addis Ababa Health Centers, Ethiopia: a mixed-methods study. African Journal of Emergency Medicine. https://doi.org/10.1016/j.afjem.2025.100938
  • Meno, F., sheikh, I., & Mosissa, T. (2025). The Effect of Public Health Expenditure on Health Outcomes in Ethiopia. Open Research Africa. https://doi.org/10.12688/openresafrica.16009.1
  • Merid, F., Ayalew, G., Shewangizaw, M., Manilal, A., Kejela, G., Teshome, T., & Hassen, H. (2025). Factors affecting the adherence to iron and folic acid supplementation among pregnant women in southern Ethiopia. Romanian Medical Journal. https://doi.org/10.37897/rmj.2025.2.8
  • Mohammednur, A.S., & Abdu, N.R. (2024). Quality of maternal care at public health centers of Siltie zone, Central Ethiopia 2022. medRxiv. https://doi.org/10.1101/2024.01.26.24301840
  • Omer, N., Ahmed, N., Melis, A.S., Araya, M.T., hmed Seid, M.S.A., & Yohans, Z. (2025). Magnitude and Determinants of Uncontrolled Blood Pressure among Adult Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis (2025). Journal of Diagnosis & Case Reports. https://doi.org/10.47363/jdcrs/2025(6)161
  • Sahiledengle, B., Mwanri, L., & Agho, K.E. (2024). Household environment associated with anaemia among children aged 6–59 months in Ethiopia: a multilevel analysis of Ethiopia demographic and health survey (2005–2016). BMC Public Health. https://doi.org/10.1186/s12889-024-17780-y
  • Sasie, S.D., Spigt, M., Aragaw, F.M., & Ayano, G. (2025). Stakeholder analysis to strengthen Public Health Emergency Management: A Delphi study from Ethiopia. Public Health. https://doi.org/10.1016/j.puhe.2025.106033
  • Tafesse Hidoto, K., Daka Gidebo, K., Meskele, M., & Domínguez, M.L.G. (2025). Acceptability of Maternity Waiting Home and its Associated Factors Among Women in Southern Ethiopia; A Community-Based CrossSectional Study. Journal of Womens Healthcare & Midwifery Research. https://doi.org/10.47363/jwhmr/2025(4)125
  • Watare, S.H., Badeso, M.H., Fufa, A.D., & Edea, Z.A. (2025). Assessing the implementation of the public health emergency operations centre in Ethiopia, 2017–2023. Journal of Interventional Epidemiology and Public Health. https://doi.org/10.37432/jieph-d-25-00204
  • Weldemariam, D.T., Awoke, M.G., & Aklilu, M.A. (2024). Review on Bovine Cryptosporidiosis, its Associated Risk Factors and Diagnostics Methods. SM Tropical Medicine Journal. https://doi.org/10.36876/2573-363x.smtmj.886873
  • Yimer, A., Mohammed, B., Melese, W., Dewau, R., Mebratu, W., Endawkie, A., Seid, J., & Hassen, A. (2024). Risk Factors of Chronic Kidney Disease Among Patients Attending at Dessie Comprehensive Specialized Hospital, Dessie, Amhara Region, Northeastern Ethiopia: Unmatched Case–Control Study. Advancements in Journal of Urology and Nephrology. https://doi.org/10.33140/ajun.06.01.04
  • Yishere, F., & Getachew, B. (2025). Surgical Site Infection and Associated Factors Among Cesarean Delivery in Selected Comprehensive Emergency Obstetric and Newborn Care Providing Health Centers in Addis Ababa, Ethiopia. https://doi.org/10.21203/rs.3.rs-7887487/v1
  • Zena, D., Kebede, A., Getachew, E., Ferede, A., Akale, M., & Bekele, M. (2025). Knowledge and Practice on Diabetic Foot Self-Care and Its Associated Factors Among Diabetic Patients at Asella Referral and Teaching Hospital, Arsi University, Southeast Ethiopia. Series of Endocrinology, Diabetes and Metabolism. https://doi.org/10.54178/jsedmv7i1001