Science Policy Priorities and Implementation Strategies in Sub-Saharan Africa: The Experience of Ghana

1992 ◽  
Vol 4 (1) ◽  
pp. 87-101 ◽  
Author(s):  
E. A. Gyasi
Keyword(s):  
Science Policy ◽  
Implementation Strategies ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Lauren G. Johnson ◽  
Allison Armstrong ◽  
Caroline M. Joyce ◽  
Anne M. Teitelman ◽  
Alison M. Buttenheim
Keyword(s):  
Systematic Review ◽  
Cervical Cancer ◽  
Cancer Prevention ◽  
Implementation Strategies ◽  
Cervical Cancer Prevention ◽  
Sub Saharan Africa ◽  
Sub Saharan

Rehabilitation of Individuals With Schizophrenia: a Scoping Review Protocol of Evidence From Sub-saharan Africa

2020 ◽  
Author(s):  
Oyeyemi Olajumoke Oyelade ◽  
Nokuthula Gloria Nkosi-Mafutha
Keyword(s):  
Mental Illness ◽  
Scoping Review ◽  
Psychosocial Rehabilitation ◽  
Implementation Strategies ◽  
Implementation Process ◽  
Principal Investigator ◽  
Mental Illnesses ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
Independent Decision

Abstract Background: The rehabilitation of an individual with mental illness is an evidenced-based approach to reducing the burden of the illness and the associated stigma globally. Specifically, in Africa, it has promising value for African life and the African economy. Psychosocial rehabilitation is described as a set of approaches that aim to assist an individual in achieving restoration from a state of dependency caused by schizophrenia to a state of being an independent decision-maker. However, there seems to be a dearth of literature and implementation of psychosocial rehabilitation in Africa. Therefore, it is necessary to map articles on how rehabilitation is conducted for people living with the most chronic form of mental illness, schizophrenia, in Africa.Methods: This study will adopt the Arsey and O’Malley scoping review framework to search and compile relevant articles. This process will involve three steps: title screening, which will be performed solely by the principal investigator, followed by abstract and full-text screening, which will be performed independently by two reviewers (the principal investigator and co-investigator). The data charting form will be used by both reviewers for screening, while Rayyan QCRI, a systematic reviews web app, will be used for tracking the screening records. The quality of articles identified for screening will be assessed by the Mixed Method Appraisal Tool (MMAT), and content analysis of the screened articles will be performed with NVivo.Discussion: This study has the likelihood of revealing a research gap in rehabilitation approaches and methods. The results of the review will constitute part of the available evidence that the researchers aim to adopt in the broader part of the project, which aims to develop implementation strategies for the rehabilitation of chronic mental illnesses, specifically schizophrenia, in Sub-Saharan Africa. The implementation process also encompasses the dissemination of the findings of this review to stakeholders, which will enhance their knowledge of the current state of Sub-Saharan Africa and may stimulate support for the implementation of rehabilitation strategies.

MDG 6—What about Disabled People?

2009 ◽  
Vol 11 (1) ◽  
pp. 109-126 ◽  
Author(s):  
Simon Godziek
Keyword(s):  
International Development ◽  
Implementation Strategies ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Disabled People ◽  
Access To Treatment ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Relationship Of

The 2008 UNAIDS Global Update estimated that there were 33 million people living with HIV and that, of these, 67 per cent of adults and 90 per cent of children live in sub-Saharan Africa. There were 2.7 million new infections during 2007 and 2.1 million AIDS deaths, 76 per cent in sub-Saharan Africa. The aims of Millennium Development Goal (MDG) 6 are to arrest the spread of HIV and to promote access to treatment. However, the vulnerability to HIV of people with disabilities, their need for HIV & AIDS information and the constraints they face in accessing treatment have largely been ignored by international development academics and practitioners when disabled people may account for 10 per cent of the world's population and 80 million Africans are estimated to be disabled. Why, then, are disabled people not mentioned anywhere in descriptions of or implementation strategies for MDG 6? This article will use the case study of the relationship of disabled people in Mozambique to HIV & AIDS to draw out the reasons for disabled people being ignored throughout HIV & AIDS policy and services and then provide recommendations to bring about disabled people's inclusion.

scholarly journals Implementation Strategies to Enhance Youth-Friendly Sexual and Reproductive Health Services in Sub-Saharan Africa: A Systematic Review

2021 ◽  
Vol 3 ◽  
Author(s):  
Chisom Obiezu-Umeh ◽  
Ucheoma Nwaozuru ◽  
Stacey Mason ◽  
Titilola Gbaja-Biamila ◽  
David Oladele ◽  
...  
Keyword(s):  
Young People ◽  
Health Services ◽  
Scale Up ◽  
Implementation Strategies ◽  
Evidence Base ◽  
Sub Saharan Africa ◽  
Reproductive Health Services ◽  
Implementation Outcomes ◽  
Sub Saharan ◽  
Youth Friendly

Introduction: Youth-friendly health service (YFHS) interventions are a promising, cost-effective approaches to delivering sexual and reproductive services that cater to the developmental needs of young people. Despite a growing evidence-base, implementation of such interventions into practice have proven to be challenging in sub-Saharan Africa (SSA). Thus, the purpose of this review is to synthesize existing evidence on YFHS implementation in SSA and understand which implementation strategies were used, in what context, how they were used, and leading to which implementation outcomes.Methods: A comprehensive literature search in PubMed, Embase, Scopus, and CINAHL, was conducted to identify peer-reviewed research articles published from database inception up until August 2020. Eligible studies were required to include young people (ages 10–24 years) in sub-Saharan Africa. Studies that described implementation strategies, as conceptualized by the Expert Recommendations for Implementing Change (ERIC) project, used to enhance the implementation of YFHS were included. Implementation outcomes were extracted using Proctor and colleagues' 8 taxonomy of implementation outcomes.Results: We identified 18 unique interventions (reported in 23 articles) from an initial search of 630 articles, including seven from East Africa, seven from South Africa, and four from West Africa. In most studies (n = 15), youth-friendly health services were delivered within the context of a health facility or clinic setting. The most frequently reported categories of implementation strategies were to train and educate stakeholders (n = 16) followed by infrastructure change (n = 10), to engage consumers (n = 9), the use of evaluative and iterative strategies (n = 8), support clinicians (n = 8), and providing interactive assistance (n = 6). The effectiveness of the strategies to enhance YFHS implementation was commonly measured using adoption (n = 15), fidelity (n = 7), acceptability (n = 5), and penetration (n = 5). Few studies reported on sustainability (n = 2), appropriateness (n = 1), implementation cost (n = 1) and feasibility (n = 0).Conclusion: Results of the review emphasize the need for further research to evaluate and optimize implementation strategies for promoting the scale-up and sustainability of evidence-based, YFHS interventions in resource-constrained settings. This review also highlights the need to design robust studies to better understand which, in what combination, and in what context, can implementation strategies be used to effectively enhance the implementation of YFHS interventions.

scholarly journals Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Amy Elizabeth Barrera-Cancedda ◽  
Kathryn A. Riman ◽  
Julianna E. Shinnick ◽  
Alison M. Buttenheim
Keyword(s):  
Infectious Diseases ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Implementation Strategies ◽  
Healthcare Systems ◽  
Sub Saharan Africa ◽  
Infection Prevention And Control ◽  
Emerging Infections ◽  
Sub Saharan ◽  
And Control

Abstract Background Despite impressive reductions in infectious disease burden within Sub-Saharan Africa (SSA), half of the top ten causes of poor health or death in SSA are communicable illnesses. With emerging and re-emerging infections affecting the region, the possibility of healthcare-acquired infections (HAIs) being transmitted to patients and healthcare workers, especially nurses, is a critical concern. Despite infection prevention and control (IPC) evidence-based practices (EBP) to minimize the transmission of HAIs, many healthcare systems in SSA are challenged to implement them. The purpose of this review is to synthesize and critique what is known about implementation strategies to promote IPC for nurses in SSA. Methods The databases, PubMed, Ovid/Medline, Embase, Cochrane, and CINHAL, were searched for articles with the following criteria: English language, peer-reviewed, published between 1998 and 2018, implemented in SSA, targeted nurses, and promoted IPC EBPs. Further, 6241 search results were produced and screened for eligibility to identify implementation strategies used to promote IPC for nurses in SSA. A total of 61 articles met the inclusion criteria for the final review. The articles were evaluated using the Joanna Briggs Institute’s (JBI) quality appraisal tools. Results were reported using PRISMA guidelines. Results Most studies were conducted in South Africa (n = 18, 30%), within the last 18 years (n = 41, 67%), and utilized a quasi-experimental design (n = 22, 36%). Few studies (n = 14, 23%) had sample populations comprising nurses only. The majority of studies focused on administrative precautions (n = 36, 59%). The most frequent implementation strategies reported were education (n = 59, 97%), quality management (n = 39, 64%), planning (n = 33, 54%), and restructure (n = 32, 53%). Penetration and feasibility were the most common outcomes measured for both EBPs and implementation strategies used to implement the EBPs. The most common MAStARI and MMAT scores were 5 (n = 19, 31%) and 50% (n = 3, 4.9%) respectively. Conclusions As infectious diseases, especially emerging and re-emerging infectious diseases, continue to challenge healthcare systems in SSA, nurses, the keystones to IPC practice, need to have a better understanding of which, in what combination, and in what context implementation strategies should be best utilized to ensure their safety and that of their patients. Based on the results of this review, it is clear that implementation of IPC EBPs in SSA requires additional research from an implementation science-specific perspective to promote IPC protocols for nurses in SSA.

RTS,S/AS01, a vaccine targeting pre-erythrocytic stages of Plasmodium falciparum

2017 ◽  
Vol 1 (6) ◽  
pp. 533-537
Author(s):  
Lorenz von Seidlein ◽  
Borimas Hanboonkunupakarn ◽  
Podjanee Jittmala ◽  
Sasithon Pukrittayakamee
Keyword(s):  
Protective Efficacy ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Phase Iii ◽  
European Medicines Agency ◽  
Older Children ◽  
Pivotal Phase ◽  
Malaria Epidemiology ◽  
Maximum Benefit ◽  
Sub Saharan

RTS,S/AS01 is the most advanced vaccine to prevent malaria. It is safe and moderately effective. A large pivotal phase III trial in over 15 000 young children in sub-Saharan Africa completed in 2014 showed that the vaccine could protect around one-third of children (aged 5–17 months) and one-fourth of infants (aged 6–12 weeks) from uncomplicated falciparum malaria. The European Medicines Agency approved licensing and programmatic roll-out of the RTSS vaccine in malaria endemic countries in sub-Saharan Africa. WHO is planning further studies in a large Malaria Vaccine Implementation Programme, in more than 400 000 young African children. With the changing malaria epidemiology in Africa resulting in older children at risk, alternative modes of employment are under evaluation, for example the use of RTS,S/AS01 in older children as part of seasonal malaria prophylaxis. Another strategy is combining mass drug administrations with mass vaccine campaigns for all age groups in regional malaria elimination campaigns. A phase II trial is ongoing to evaluate the safety and immunogenicity of the RTSS in combination with antimalarial drugs in Thailand. Such novel approaches aim to extract the maximum benefit from the well-documented, short-lasting protective efficacy of RTS,S/AS01.

Mortality and Society in Sub-Saharan Africa

1993 ◽  
Vol 47 (3) ◽  
pp. 555-556
Author(s):  
Lado Ruzicka
Keyword(s):  
Sub Saharan Africa ◽  
Sub Saharan
Sign in / Sign up

Export Citation Format

Share Document