Home care for COVID-19 patients: Niger’s experience; about 2,037 cases in the city of Niamey

Moussa Saley et al., IJID Regions, doi:10.1016/j.ijregi.2026.100897, Apr 2026
Retrospective 2,037 COVID-19 outpatients in Niger receiving home-based care, showing a 95% recovery rate and 0.7% mortality. 98.7% received hydroxychloroquine and/or azithromycin treatment. Only 3.9% required hospitalization.
Moussa Saley et al., 14 Apr 2026, retrospective, Niger, peer-reviewed, mean age 39.0, 10 authors, study period April 2020 - March 2021. Contact: nassirousaidouc@gmail.com.
Abstract: ## Journal Pre-proof Home care for COVID-19 patients: Niger's experience; about 2,037 cases in the city of Niamey S Moussa Saley , N Saidou Chaibou , M Mamadou Boulama , Z Ali , O R Ganda , Yahay´ e Hanki , A E Ako¨ ına , A G Mamadou , I Alkassoum Salifou , E Adehossi PII: S2772-7076(26)00060-3 DOI: https://doi.org/10.1016/j.ijregi.2026.100897 Reference: IJREGI 100897 To appear in: IJID Regions Received date: 10 February 2026 Revised date: 3 April 2026 Accepted date: 11 April 2026 Please cite this article as: S Moussa Saley , N Saidou Chaibou , M Mamadou Boulama , Z Ali , O R Ganda , Yahay´ e Hanki , A E Ako¨ ına , A G Mamadou , I Alkassoum Salifou , E Adehossi , Home care for COVID-19 patients: Niger's experience; about 2,037 cases in the city of Niamey, IJID Regions (2026), doi: https://doi.org/10.1016/j.ijregi.2026.100897 This is a PDF of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability. This version will undergo additional copyediting, typesetting and review before it is published in its final form. As such, this version is no longer the Accepted Manuscript, but it is not yet the definitive Version of Record; we are providing this early version to give early visibility of the article. Please note that Elsevier's sharing policy for the Published Journal Article applies to this version, see: https://www.elsevier.com/about/ policies-and-standards/sharing#4-published-journal-article. Please also note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. - © 2026 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) Highlights - Home care managed 2,037 mild COVID-19 cases in Niamey, Niger. - 94.8% of patients recovered, most between days 10-15 of treatment. - Hydroxychloroquine/azithromycin used in 98.6% of cases, with few side effects. - Only 3.9% required hospitalization; mortality rate was 0.7%. - Home monitoring proved effective in resource-limited settings. Home care for COVID-19 patients: Niger's experience; about 2,037 cases in the city of Niamey Moussa Saley S 1,2,3 , Saidou Chaibou N 1 , Mamadou Boulama M 1 , Ali Z 1, Ganda O R 3 , Yahayé Hanki 2,3 , Akoïna A E 1 , Mamadou A G 2,3 , Alkassoum Salifou I 1 , Adehossi E 1,3 1 Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger 2 Infectious Diseases Department, Niamey National Hospital, Niamey, Niger 3 Ministry of Public Health: COVID-19 Care Commission, Niamey, Niger Corresponding author : SAIDOU CHAIBOU Nassirou E-mail : nassirousaidouc@gmail.com Tel : 0022667459648 Abstract Introduction : This study aimed to describe the epidemiological, clinical, therapeutic and clinical course profiles of patients receiving home care for COVID-19 in the city of Niamey. Patients and methods: This was a descriptive, retrospective, cross-sectional study conducted over a one-year period, from April 2020 to March 2021, focusing on the management of patients with COVID-19 in Niamey. All patients presenting with a mild form of the disease, identified and monitored by mobile teams, were included in this study. Results: A total of 2,037 patients were included. Men accounted for 69.1% (n =..
DOI record: { "DOI": "10.1016/j.ijregi.2026.100897", "ISSN": [ "2772-7076" ], "URL": "http://dx.doi.org/10.1016/j.ijregi.2026.100897", "alternative-id": [ "S2772707626000603" ], "article-number": "100897", "assertion": [ { "label": "This article is maintained by", "name": "publisher", "value": "Elsevier" }, { "label": "Article Title", "name": "articletitle", "value": "Home care for COVID-19 patients: Niger’s experience; about 2,037 cases in the city of Niamey" }, { "label": "Journal Title", "name": "journaltitle", "value": "IJID Regions" }, { "label": "CrossRef DOI link to publisher maintained version", "name": "articlelink", "value": "https://doi.org/10.1016/j.ijregi.2026.100897" }, { "label": "Content Type", "name": "content_type", "value": "article" }, { "label": "Copyright", "name": "copyright", "value": "© 2026 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases." } ], "author": [ { "affiliation": [], "family": "Moussa Saley", "given": "S", "sequence": "first" }, { "ORCID": "https://orcid.org/0009-0005-1631-1393", "affiliation": [], "authenticated-orcid": false, "family": "Saidou Chaibou", "given": "N", "sequence": "additional" }, { "affiliation": [], "family": "Mamadou Boulama", "given": "M", "sequence": "additional" }, { "affiliation": [], "family": "Ali", "given": "Z", "sequence": "additional" }, { "affiliation": [], "family": "Ganda", "given": "O R", "sequence": "additional" }, { "affiliation": [], "family": "Hanki", "given": "Yahayé", "sequence": "additional" }, { "affiliation": [], "family": "Akoïna", "given": "A E", "sequence": "additional" }, { "affiliation": [], "family": "Mamadou", "given": "A G", "sequence": "additional" }, { "affiliation": [], "family": "Alkassoum Salifou", "given": "I", "sequence": "additional" }, { "affiliation": [], "family": "Adehossi", "given": "E", "sequence": "additional" } ], "container-title": "IJID Regions", "container-title-short": "IJID Regions", "content-domain": { "crossmark-restriction": true, "domain": [ "clinicalkey.com", "clinicalkey.com.au", "clinicalkey.es", "clinicalkey.fr", "clinicalkey.jp", "elsevier.com", "sciencedirect.com" ] }, "created": { "date-parts": [ [ 2026, 4, 15 ] ], "date-time": "2026-04-15T20:04:35Z", "timestamp": 1776283475000 }, "deposited": { "date-parts": [ [ 2026, 4, 15 ] ], "date-time": "2026-04-15T20:04:38Z", "timestamp": 1776283478000 }, "indexed": { "date-parts": [ [ 2026, 4, 15 ] ], "date-time": "2026-04-15T20:51:09Z", "timestamp": 1776286269486, "version": "3.50.1" }, "is-referenced-by-count": 0, "issued": { "date-parts": [ [ 2026, 4 ] ] }, "language": "en", "license": [ { "URL": "https://www.elsevier.com/tdm/userlicense/1.0/", "content-version": "tdm", "delay-in-days": 0, "start": { "date-parts": [ [ 2026, 4, 1 ] ], "date-time": "2026-04-01T00:00:00Z", "timestamp": 1775001600000 } }, { "URL": "https://www.elsevier.com/legal/tdmrep-license", "content-version": "tdm", "delay-in-days": 0, "start": { "date-parts": [ [ 2026, 4, 1 ] ], "date-time": "2026-04-01T00:00:00Z", "timestamp": 1775001600000 } }, { "URL": "http://creativecommons.org/licenses/by/4.0/", "content-version": "vor", "delay-in-days": 10, "start": { "date-parts": [ [ 2026, 4, 11 ] ], "date-time": "2026-04-11T00:00:00Z", "timestamp": 1775865600000 } } ], "link": [ { "URL": "https://api.elsevier.com/content/article/PII:S2772707626000603?httpAccept=text/xml", "content-type": "text/xml", "content-version": "vor", "intended-application": "text-mining" }, { "URL": "https://api.elsevier.com/content/article/PII:S2772707626000603?httpAccept=text/plain", "content-type": "text/plain", "content-version": "vor", "intended-application": "text-mining" } ], "member": "78", "original-title": [], "page": "100897", "prefix": "10.1016", "published": { "date-parts": [ [ 2026, 4 ] ] }, "published-print": { "date-parts": [ [ 2026, 4 ] ] }, "publisher": "Elsevier BV", "reference": [ { "key": "10.1016/j.ijregi.2026.100897_bib0001", "unstructured": "World Health Organization. Director-General’s remarks at the media briefing on 2019-nCoV on 11 February 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-feb-2020. Accessed 12 February 2020." }, { "key": "10.1016/j.ijregi.2026.100897_bib0002", "unstructured": "Ministry of Solidarity and Health. Management in the community by doctors of symptomatic patients during the COVID-19 epidemic. Paris; 16 March 2020. Available at: https://solidarites-sante.gouv.fr/IMG/pdf/COVID-19-fichemedecinv16032020finalise-pdf." }, { "key": "10.1016/j.ijregi.2026.100897_bib0003", "unstructured": "MSP/HP/AS. National guidelines for the management of COVID-19 in Niger, updated in 2021." }, { "key": "10.1016/j.ijregi.2026.100897_bib0004", "unstructured": "Ministry of Public Health, Population and Social Affairs. COVID-19 Committee Niger. Case definitions for surveillance. Updated September 2022." }, { "key": "10.1016/j.ijregi.2026.100897_bib0005", "series-title": "Home care for patients with suspected or confirmed COVID-19 and management of their contacts: interim guidance", "year": "2020" }, { "key": "10.1016/j.ijregi.2026.100897_bib0006", "unstructured": "Directorate-General for Decentralisation and Local Authorities (DGDCT). Niamey – Regional presentation [Internet]. Available at: https://decentralisation-niger.net/index.php/regions/niamey. Accessed 22 March 2026." }, { "key": "10.1016/j.ijregi.2026.100897_bib0007", "unstructured": "RIFEFF. Tourist information on Niamey [Internet]. Available at: https://www.rifeff.org/colloque2009/documents/infos. Accessed 22 March 2026." }, { "key": "10.1016/j.ijregi.2026.100897_bib0008", "unstructured": "World Population Review. Niamey Population 2026 [Internet]. Available at: https://worldpopulationreview.com/cities/niger/niamey. Accessed 29 March 2026." }, { "key": "10.1016/j.ijregi.2026.100897_bib0009", "unstructured": "Express Immobilier. Map of communes and districts of Niamey. Niamey (Niger): ExpressImmobilier.com; 2021. Available at: https://expressimmobilier.com/niamey-a-k-a-nialla. Accessed 31 March 2026." }, { "key": "10.1016/j.ijregi.2026.100897_bib0010", "series-title": "Demographic projections of Niger", "year": "2019" }, { "DOI": "10.1016/S0140-6736(20)30211-7", "article-title": "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study", "author": "Chen", "doi-asserted-by": "crossref", "first-page": "507", "issue": "10223", "journal-title": "Lancet", "key": "10.1016/j.ijregi.2026.100897_bib0011", "volume": "395", "year": "2020" }, { "author": "Amankaye", "first-page": "50", "key": "10.1016/j.ijregi.2026.100897_bib0012", "series-title": "Epidemiological and clinical aspects of COVID-19 in elderly subjects in Niamey (Niger)", "year": "2021" }, { "article-title": "Home care for COVID-19 patients: a successful model for non-severe COVID-19 patients in developing countries", "author": "Alishan", "issue": "1", "journal-title": "Cureus", "key": "10.1016/j.ijregi.2026.100897_bib0013", "volume": "14", "year": "2022" }, { "article-title": "Epidemiological, clinical, and evolutionary aspects of COVID-19 in active patients admitted to the National Hospital of Niamey, Niger", "author": "Gado", "issue": "8–9", "journal-title": "Med Afr Noire", "key": "10.1016/j.ijregi.2026.100897_bib0014", "volume": "69", "year": "2022" }, { "DOI": "10.3389/fmed.2023.1255798", "article-title": "Digital health for remote home monitoring of patients with COVID-19 requiring oxygen: a cohort study and literature review", "author": "Chaytee", "doi-asserted-by": "crossref", "journal-title": "Front Med.", "key": "10.1016/j.ijregi.2026.100897_bib0015", "volume": "10", "year": "2024" }, { "DOI": "10.1016/j.medmal.2020.06.201", "article-title": "Multidisciplinary management of SARS-CoV-2 infected patients kept at home: role of a smartphone-based telemonitoring system during a health crisis", "author": "Lejeune", "doi-asserted-by": "crossref", "first-page": "S99", "issue": "6", "journal-title": "Med Mal Infect", "key": "10.1016/j.ijregi.2026.100897_bib0016", "volume": "50", "year": "2020" }, { "author": "Camara", "first-page": "51", "key": "10.1016/j.ijregi.2026.100897_bib0017", "series-title": "Epidemiological profile of COVID-19 cases in Commune 6 of the Bamako District, Mali. Doctoral thesis in medicine", "year": "2021" }, { "DOI": "10.1056/NEJMoa2002032", "article-title": "Clinical characteristics of coronavirus disease 2019 in China", "author": "Guan", "doi-asserted-by": "crossref", "first-page": "1708", "issue": "18", "journal-title": "N Engl J Med", "key": "10.1016/j.ijregi.2026.100897_bib0018", "volume": "382", "year": "2020" }, { "DOI": "10.1016/j.tmaid.2020.101663", "article-title": "Clinical and microbiological effect of a combination of hydroxychloroquine and azithromycin in 80 COVID-19 patients with at least a six-day follow-up: a pilot observational study", "author": "Gautret", "doi-asserted-by": "crossref", "journal-title": "Travel Med Infect Dis", "key": "10.1016/j.ijregi.2026.100897_bib0019", "volume": "34", "year": "2020" }, { "key": "10.1016/j.ijregi.2026.100897_bib0020", "unstructured": "Bouinoune B. Evaluation of the medical and psychological impact of the CHU Martinique home monitoring and teleconsultation unit for suspected COVID-19 patients during the epidemic period in Martinique. Human Medicine and Pathology. 2024. Available at: Université des Antilles repository. Accessed 22 March 2026." }, { "author": "Coulibaly", "first-page": "50", "key": "10.1016/j.ijregi.2026.100897_bib0021", "series-title": "Outcome of patients recovered from COVID-19 at CHU Point G and assessment of the feasibility of follow-up using technological tools: mobile application. Doctoral thesis in medicine", "year": "2021" }, { "key": "10.1016/j.ijregi.2026.100897_bib0022", "unstructured": "Sermo. COVID-19 Real-Time Barometer Study, Wave I: 25–27 March 2020. Available at: https://public-cdn.sermo.com/COVID19/c8/be4e/4edbd4/dbd4ba4ac5a3b3d9a479f99cc5/wave-i-sermo-COVID-19-global-analysis-final.pdf. Accessed 30 November 2020." }, { "DOI": "10.1016/S0140-6736(20)30566-3", "article-title": "Clinical course and risk factors for mortality in adult patients hospitalised with COVID-19 in Wuhan, China: a retrospective cohort study", "author": "Zhou", "doi-asserted-by": "crossref", "first-page": "1054", "issue": "10229", "journal-title": "Lancet", "key": "10.1016/j.ijregi.2026.100897_bib0023", "volume": "395", "year": "2020" } ], "reference-count": 23, "references-count": 23, "relation": {}, "resource": { "primary": { "URL": "https://linkinghub.elsevier.com/retrieve/pii/S2772707626000603" } }, "score": 1, "short-title": [], "source": "Crossref", "subject": [], "subtitle": [], "title": "Home care for COVID-19 patients: Niger’s experience; about 2,037 cases in the city of Niamey", "type": "journal-article", "update-policy": "https://doi.org/10.1016/elsevier_cm_policy" }
Please send us corrections, updates, or comments. c19early involves the extraction of 200,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. IMA and WCH provide treatment protocols.
  or use drag and drop   
Submit