Scoping review protocol on the use of telephone in the implementation of citizen participation in the processes of developing health system strengthening reforms/policies in Sub-Saharan Africa (participation in decision-making) v1 (protocols.io.bky7kxzn)

IntroductionOver 5 billion people in the world do not have access to safe, affordable surgical and anaesthesia care when needed. In order to improve health outcomes in patients with surgical conditions, both access to care and the quality of care need to be improved. A recent commission on high-quality health systems highlighted that poor-quality care is now a bigger barrier than non-utilisation of the health system for reducing mortality.AimTo carry out a systematic review to provide an evidence-based summary of hospital-based interventions associated with improved quality of surgical and anaesthesia care in sub-Saharan African countries (SSACs).Methods and analysisThree search strings (1) surgery and anaesthesia, (2) quality improvement hospital-based interventions and (3) SSACs will be combined. The following databases EMBASE, Global Health, MEDLINE, CINAHL, Web of Science and Scopus will be searched. Further relevant studies will be identified from national and international health organisations and publications and reference lists of all selected full-text articles. The review will include all type of original articles in English published between 2008 and 2019. Article screening, data extraction and assessment of methodological quality will be done by two reviewers independently and any disputes will be resolved by a third reviewer or team consensus. Three types of outcomes will be collected including clinical, process and implementation outcomes. The primary outcome will be mortality. Secondary outcomes will include other clinical outcomes (major and minor complications), as well as process and implementation outcomes. Descriptive statistics and outcomes will be summarised and discussed. For the primary outcome, the methodological rigour will be assessed.Ethics and disseminationThe results will be published in a peer reviewed open access journal and presented at national and international conferences. As this is a review of secondary data no formal ethical approval is required.PROSPERO registration numberCRD42019125570.

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Prevention of Congenital Transmission of Malaria in Sub-Saharan African Countries: Challenges and Implications for Health System Strengthening

Journal of Tropical Medicine ◽

10.1155/2012/648456 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Kayode O. Osungbade ◽

Olubunmi O. Oladunjoye

Keyword(s):

Health System ◽

Health Systems ◽

Preventive Measures ◽

Sub Saharan Africa ◽

Health System Strengthening ◽

African Countries ◽

Congenital Transmission ◽

Public Health Burden ◽

Sub Saharan ◽

Congenital Malaria

Objectives. Review of burden of congenital transmission of malaria, challenges of preventive measures, and implications for health system strengthening in sub-Saharan Africa.Methods. Literature from Pubmed (MEDLINE), Biomed central, Google Scholar, and Cochrane Database were reviewed.Results. The prevalence of congenital malaria in sub-Saharan Africa ranges from 0 to 23%. Diagnosis and existing preventive measures are constantly hindered by weak health systems and sociocultural issues. WHO strategic framework for prevention: intermittent preventive therapy (IPT), insecticide-treated nets (ITNs), and case management of malaria illness and anaemia remain highly promising; though, specific interventions are required to strengthen the health systems in order to improve the effectiveness of these measures.Conclusion. Congenital malaria remains a public health burden in sub-Saharan Africa. Overcoming the challenges of the preventive measures hinges on the ability of national governments and development partners in responding to the weak health systems.

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Patient-public engagement strategies for health system improvement in sub-Saharan Africa: a systematic scoping review

BMC Health Services Research ◽

10.1186/s12913-021-07085-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Samuel Egyakwa Ankomah ◽

Adam Fusheini ◽

Christy Ballard ◽

Emmanuel Kumah ◽

Gagan Gurung ◽

...

Keyword(s):

Health System ◽

Scoping Review ◽

Public Engagement ◽

Health Research ◽

Service Design ◽

Sub Saharan Africa ◽

Advisory Boards ◽

Health System Improvement ◽

System Improvement ◽

Sub Saharan

Abstract Background Actively involving patients and communities in health decisions can improve both peoples’ health and the health system. One key strategy is Patient-Public Engagement (PPE). This scoping review aims to identify and describe PPE research in Sub-Saharan Africa; systematically map research to theories of PPE; and identify knowledge gaps to inform future research and PPE development. Methods The review followed guidelines for conducting and reporting scoping reviews. A systematic search of peer-reviewed English language literature published between January 1999 and December 2019 was conducted on Scopus, Medline (Ovid), CINAHL and Embase databases. Independent full text screening by three reviewers followed title and abstract screening. Using a thematic framework synthesis, eligible studies were mapped onto an engagement continuum and health system level matrix to assess the current focus of PPE in Sub-Saharan Africa. Results Initially 1948 articles were identified, but 18 from 10 Sub-Saharan African countries were eligible for the final synthesis. Five PPE strategies implemented were: 1) traditional leadership support, 2) community advisory boards, 3) community education and sensitisation, 4) community health volunteers/workers, and 5) embedding PPE within existing community structures. PPE initiatives were located at either the ‘involvement’ or ‘consultation’ stages of the engagement continuum, rather than higher-level engagement. Most PPE studies were at the ‘service design’ level of the health system or were focused on engagement in health research. No identified studies reported investigating PPE at the ‘individual treatment’ or ‘macro policy/strategic’ level. Conclusion This review has successfully identified and evaluated key PPE strategies and their focus on improving health systems in Sub-Saharan Africa. PPE in Sub-Saharan Africa was characterised by tokenism rather than participation. PPE implementation activities are currently concentrated at the ‘service design’ or health research levels. Investigation of PPE at all the health system levels is required, including prioritising patient/community preferences for health system improvement.

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Mapping evidence on malnutrition screening tools for children under 5 years in sub-Saharan Africa: a scoping review protocol

Systematic Reviews ◽

10.1186/s13643-020-01309-6 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Tlharihani Phisac Maphosa ◽

Delarise Maud Mulqueeny ◽

Ernest Osei ◽

Desmond Kuupiel ◽

Tivani P. Mashamba-Thompson

Keyword(s):

Scoping Review ◽

Screening Tools ◽

Sub Saharan Africa ◽

Review Protocol ◽

Sub Saharan ◽

Children Under 5

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Barriers and facilitators of Patient-Public Engagement for health system improvement in Sub-Saharan Africa: a systematic scoping review

Health Policy OPEN ◽

10.1016/j.hpopen.2021.100055 ◽

2021 ◽

pp. 100055

Author(s):

Samuel Egyakwa Ankomah ◽

Adam Fusheini ◽

Sarah Derrett

Keyword(s):

Health System ◽

Scoping Review ◽

Public Engagement ◽

Barriers And Facilitators ◽

Sub Saharan Africa ◽

Health System Improvement ◽

System Improvement ◽

Sub Saharan

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Knowledge, Attitude, Perception and Preventive Practice Towards Novel Coronavirus 2019 in Sub-Saharan Africa: A Scoping Review Protocol

10.21203/rs.3.rs-104159/v1 ◽

2020 ◽

Author(s):

Ugochinyere Ijeoma Nwagbara ◽

Emmanuella Chinonso Osuala ◽

Rumbidzai Chireshe ◽

Obasanjo Afolabi Bolarinwa

Keyword(s):

Scoping Review ◽

Keyword Search ◽

Grey Literature ◽

Relevant Literature ◽

Sub Saharan Africa ◽

World Health ◽

Future Research ◽

Review Protocol ◽

Sub Saharan ◽

Novel Coronavirus

Abstract Background: Recent statistics and studies have shown the adverse effects of the novel coronavirus 2019 (COVID-19) on population health and how knowledge, attitude, perception and practice (KAP) towards the virus can be the main key to limiting its spread in the absence of a vaccine. Thus, this study aims at mapping evidence on the KAP towards COVID-19 in sub-Saharan Africa (SSA) using scoping review.Methods: The study will employ a systematic scoping review to identify, describe, and map literature on the KAP towards COVID-19 in SSA. The primary search will include peer-reviewed and grey literature. The search will be performed using the EBSCOhost platform and a keyword search from the following electronic databases will be conducted: PubMed/MEDLINE, Google Scholar, Science Direct, World Health Organization (WHO) library, and grey literature. The study selection will be guided by the inclusion and exclusion criteria. A data charting table will be used to extract information from the included studies. Data will be analysed using NVIVO version 10 and a thematic content analysis will be used to present narrative account of the review.Discussion: We anticipate finding relevant literature on the KAP towards COVID-19 in SSA. The results of this study will help reveal research gaps in KAP towards COVID-19 and this will guide future research and highlight the new concepts discovered. Systematic review protocol registration: Open Science Framework https://osf.io/sdm46/.

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