scholarly journals The evolution and adoption of World Health Organization policy guidelines on antiretroviral therapy initiation in sub-Saharan Africa: A scoping review

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabina M. Govere ◽  
Moses J. Chimbari
2020 ◽  
Author(s):  
Kagiso Kgakge ◽  
Mbuzeleni Hlongwa ◽  
Themba Ginindza

Abstract Background Globally, work related musculoskeletal disorders (WMSD) have emerged as a major occupational public health concern among healthcare workers (HCW), in particular the nurses who are at the forefront of the healthcare delivery system. The 2016 Global Burden of Disease (GBD) data for non-communicable diseases reports that Disability Adjusted Life Year (DALYs) for musculoskeletal conditions increased by 61.6% between 1990 and 2016, with an increase of 19.6% between 2006 and 2016. Furthermore, World Health Organization (WHO, 2018), states that the sustainable development goals (SDGs) and the Decade of Healthy Ageing (DHA) 2020–2030 offer a timely and favorable opportunity for increased global attention and action on musculoskeletal health both at national and global level because the burden of disease profiles are shifting from communicable conditions to predominantly long-term non-communicable diseases, commonly including musculoskeletal conditions. Literature indicates that musculoskeletal disorders (MSD) constitute a notable occupational problem among the nurses with low back pain (LBP) being the most prevalent with consequent occupational injuries. There is an increase in literature regarding the MSD which poses a major threat to the health of nurses, hence there is need to investigate measures that can be used to mitigate the burden of LBP among nurses. Therefore, the scoping review will map the existing evidence on prevalence, incidence, mortality, risk factors and economic costs associated with MSD among nurses in Sub Saharan Africa (SSA). Methods and analysis Scoping review will be done to explore, describe and map literature on the prevalence, incidence, mortality, risk factors, and economic costs related to MSD among nurses in SSA. The search will be done using databases such as PubMed, MEDLINE, CINAHL, Google Scholar, nursing academic editions and World Health Organization (WHO) library databases. The search will look for primary studies within peer-reviewed articles as well as gray literature. The list of references from included studies will also be searched. This scoping review will be reported in accordance to the MOOSE and PRISMA-ScR guidelines. The NVivo 12 data analysis software will be used to generate themes, and a thematic content analysis will be used to give the narrative account of the review. Discussion At the end, this study anticipates to uncover the relevant literature in SSA in regard to prevalence, incidence, mortality, risk factors and costs related to MSD among nurses, furthermore findings from this study will help in identifying research gaps, informing policy, priority in funding and planning and to guide future research.


2004 ◽  
Vol 184 (5) ◽  
pp. 379-380 ◽  
Author(s):  
Mike. J. Crawford

Since 1948 the World Health Organization has had the challenging task of trying to achieve ‘the attainment by all peoples of the highest possible level of health’ (World Health Organization, 1946). A central part of this work has involved assessing the extent of health-related problems in different parts of the world and advocating for the implementation of effective strategies to address these problems. For many years the World Health Organization has expressed concerns about the relatively low level of funding assigned to mental health services in many countries. Estimates based on data collected in 2000 show that in most of sub-Saharan Africa and South-East Asia there are fewer than one mental health nurse and one psychiatrist per 100 000 people (World Health Organization, 2001). Two papers produced with the support of the World Health Organization and published in this issue of the Journal strengthen the argument for additional funding for mental health services. In the first paper, üstün and colleagues (2004, this issue) summarise data on the relative impact of common health-related problems in different regions of the world, and in an accompanying paper Chisholm and others (2004, this issue) estimate the cost-effectiveness of different interventions for depression in these different areas.


PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0224257 ◽  
Author(s):  
Andrea G. Tenner ◽  
Hendry R. Sawe ◽  
Stas Amato ◽  
Joseph Kalanzi ◽  
Muhumpu Kafwamfwa ◽  
...  

Author(s):  
Kiran Waterhouse

Underdeveloped regions of the world are plagued by a high prevalence of communicable diseases. Their deleterious effects on the quality of human life in such areas are clearly observable, making this a phenomenon worthy of sustained investigation. While no single factor determines the success or failure of development in a region, social scientists have attributed a measurable reduction in development capabilities to the enormously suppressive economic, social and psychological burdens of these communicable diseases. The institution of the World Health Organization, an agency of the United Nations, exists with a mandate to mitigate the harms of high disease burdens upon afflicted populations. In this paper, I evaluate the efficacy of the World Health Organization (WHO)’s work combating communicable diseases in Sub-Saharan Africa through an examination of its liberal methodology. To do so, I examine the mandate and methods of the World Health Organization with the aim of comprehending how its institutional features successfully promote consensus building and collaboration between domestic and international actors. I conclude that the WHO’s success stems from its entrenched philosophy of liberalism, an international relations perspective focused on creating cooperative ties between international actors. This finding is significant because it provides insight into how the social nature of communicable diseases makes international cooperation within all relevant political levels of analysis an indispensible component of disease management strategies.


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