### Summary box In 2020, Africa had a lower incidence of COVID-19 infections and deaths per 100 000 population compared with many high-income counterparts.1 2 Various reasons were hypothesised to contribute to this phenomenon, including political commitment, prompt contact tracing, demographic pyramid, genetics among others.2 3 This story changed in mid-2021. Then, many countries that were thought to have ‘successfully’ suppressed COVID-19 infections were battling surging infections and deaths. For example, in Uganda, between July 2020 and May 2021, there were only 362 COVID-19 related deaths officially recorded. This completely changed in June 2021 when there were over 1500 deaths in single month.1 The deaths in 1 month were five-times more than those that occurred during the entire preceding pandemic period. …

中文翻译：

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撒哈拉以南非洲基本 RMNCAH 服务的快速政策制定：COVID-19 大流行期间发生了什么以及未来需要发生什么？

### 摘要框 2020 年，与许多高收入国家相比，非洲每 10 万人口中的 COVID-19 感染和死亡发生率较低。1 2 假设各种原因导致这一现象，包括政治承诺、及时接触追踪、人口金字塔、遗传学等。2 3 这个故事在 2021 年年中发生了变化。然后，许多被认为“成功”抑制了 COVID-19 感染的国家正在与激增的感染和死亡作斗争。例如，在乌干达，2020 年 7 月至 2021 年 5 月期间，官方记录的与 COVID-19 相关的死亡人数仅为 362 人。这种情况在 2021 年 6 月完全改变了，当时单月有 1500 多人死亡。1 1 个月内的死亡人数是之前整个大流行期间死亡人数的五倍。…