Willingness to comply with physical distancing measures against COVID-19 in four African countries.

### Summary box The world is facing an unprecedented crisis related to the COVID-19 pandemic with many unknowns, which has led to much confusion and anxiety.1 Public health measures have for centuries been the cornerstone of the response to epidemics.2 Among them, physical distancing measures aim to reduce contact between infected and uninfected people.3 As part of the global COVID-19 response, they have been widely used to slow down the spread of the virus in several countries. Despite their overall acceptance, they have been poorly documented, particularly in Africa, and debates persist on their appropriateness and practicality in the context of low-income countries. Many political, ethical and socioeconomic questions arise.4 This article describes the implementation of these measures in four West-African countries—Mali, Burkina Faso, Senegal and Guinea—and discusses people’s willingness to comply with them. We draw on our experiences in crisis management through a collaborative project known as ‘COVID-19 19 en Afrique Francophone’.5 The countries participating in this project were selected on the basis of a call for applications as part of an initiative by the Francophone Africa and Fragility Network, which brings together more than 100 national and international experts.6 In terms of population, Senegal has the highest number of cases, deaths and tested peoples. It is followed by Guinea concerning the number of cases. Burkina Faso …