Shortage of healthcare workers in sub-Saharan Africa: a nephrological perspective

2011 ◽  
Author(s):  
S. Naicker ◽  
J.B. Eastwood ◽  
J. Plange-Rhule ◽  
R.C. Tutt
Keyword(s):  
Healthcare Workers ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Bernardo Nuche-Berenguer ◽  
Linda E. Kupfer
Keyword(s):  
Systematic Review ◽  
Health Systems ◽  
Diabetes Care ◽  
Healthcare Workers ◽  
Scale Up ◽  
Sub Saharan Africa ◽  
Diagnostic Tools ◽  
Inclusion Criteria ◽  
Care Health ◽  
Sub Saharan

Background. Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective. We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology. We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results. Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms. Conclusion. Although chronic care health systems in SSA have developed significantly in the last decade, the capacity for managing diabetes remains in its infancy. We identified pilot projects to enhance these capacities. The scale-up of these pilot interventions and the integration of diabetes care into existing robust chronic disease platforms may be a feasible approach to begin to tackle the upcoming pandemic in diabetes. Nonetheless, much more work needs to be done to address the health system-wide deficiencies in diabetes care. More research is also needed to determine how to integrate diabetes care into the healthcare system in SSA.

Tuberculosis and HIV co-infection in healthcare workers in England and Wales, 1999–2005

2011 ◽  
Vol 140 (10) ◽  
pp. 1873-1879 ◽  
Author(s):  
J. P. CROFTS ◽  
M. E. KRUIJSHAAR ◽  
V. DELPECH ◽  
F. NCUBE ◽  
I. ABUBAKAR
Keyword(s):  
Healthcare Workers ◽  
Independent Predictor ◽  
Sub Saharan Africa ◽  
Trend Test ◽  
England And Wales ◽  
Hiv Surveillance ◽  
National Tuberculosis ◽  
Recent Trends ◽  
Sub Saharan ◽  
Post Entry

SUMMARYThis study used linked national tuberculosis (TB) and HIV surveillance data to investigate recent trends and factors associated with HIV co-infection (TB-HIV) in healthcare workers (HCWs) with TB in England and Wales. Methods applied were the χ2 trend test and logistic regression. Overall 14% (231/1627) of HCWs with TB were co-infected with HIV, increasing from 8% in 1999 to 14% in 2005 (P<0·001). Most (78%) HCWs were non-UK born and 74% of these developed TB ⩾2 years post-entry. Being born in Sub-Saharan Africa was an independent predictor for TB-HIV, especially for female HCWs (odds ratio 66·5, 95% confidence interval 16·3–271·1), who also had a lower median CD4 count than other co-infected women (106/mm3, interquartile range 40–200, P<0·01). Voluntary HIV testing of new HCWs should be encouraged as an opportunity for early diagnosis. Post-entry, a high index of clinical suspicion for TB in those most at risk remains important.

scholarly journals Knowledge, attitude and self-reported practice of healthcare workers on infection control in a health facility in Akure, Nigeria

2021 ◽  
Author(s):  
Abiola O. Oluwagbemiga ◽  
Shade J. Akinsete ◽  
Godson R. Ana ◽  
Olusola O. Ogunseye
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Healthcare Workers ◽  
Water Source ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Modes Of Transmission ◽  
Hospital Infection Control ◽  
Sub Saharan

Background: Infection control is pivotal in reducing healthcare-associated infections (HAIs), one of the leading causes of morbidity with growing prevalence in sub-Saharan Africa. Objectives: We investigated the knowledge, attitude and self-reported hygiene practices towards hospital infection control among healthcare workers (HCWs) at the State Specialist Hospital, Akure, Nigeria. Methods: This descriptive cross-sectional study involving self-administered, structured questionnaires administered to 137 randomly selected HCWs (19 doctors, 66 nurses and 52 health assistants) was conducted in 2015. Descriptive and inferential statistics were used for data analysis at 5% level of significance. Results: Mean age of HCWs was 39.81 ± 8.69 years. Majority (84.7%) was trained on hand hygiene and was knowledgeable about HAIs (86.9%), modes of transmission (57.7%) and effectiveness of hand hygiene (94.9%). However, about half (48.9%) of the HCWs reported did not adhere to hand hygiene often, because of the distance between a water source and the wards. This study also showed that there are relationships between categories of respondents and their knowledge of routes of HAI transmission (P < 0.01) and practice of hand hygiene after contacts with hospital surfaces (P < 0.01). Conclusions: Hospital and hand hygiene can be improved by ensuring water supply located close to the wards. There is need for the provision of clear guidance on procedures for hospital hygiene and sanitation.

scholarly journals Seroprevalence of Hepatitis B and C among Healthcare Workers in Dutse Metropolis Jigawa State, Nigeria

2018 ◽  
Author(s):  
N.M. Sani ◽  
I. Bitrus ◽  
A.M. Sarki ◽  
N.S. Mujahid
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Public Health Problem ◽  
Sub Saharan Africa ◽  
Chromatographic Technique ◽  
Major Public Health Problem ◽  
Care Workers ◽  
Sub Saharan

AbstractHepatitis is one of the neglected infectious diseases in sub Saharan Africa and most of the available data is based on blood donors. Health care workers (HCWs) often get infected as a result of their close contact with patients. A cross sectional study was conducted to determine the prevalence of hepatitis B and C among this group of professionals with a view to improving the quality of care to their patients. Hepatitis B and C infections pose a major public health problem worldwide. While infection is highest in the developing world particularly Asia and sub-Saharan Africa, healthcare workers are at higher risk of acquiring blood-borne viral infections, particularly Hepatitis B and C which are mostly asymptomatic. This study was aimed at determining the prevalence of Hepatitis B and C infections and associated risk factors among health care workers in Dutse Metropolis, Jigawa State - Nigeria. A standard rapid immuno-chromatographic technique i.e. rapid ELISA was used to screen all sera for Hepatitis B surface antigen (HBsAg) and Hepatitis C viral antibody (HCVAb) respectively. Strips containing coated antibodies and antigens to HBV and HCV respectively were removed from the foil. Strips were labeled according to samples. Using a separate disposable pipette, 2 drops of the sample (plasma) were added into each test strip and allowed to run across the absorbent pad. Results were read after 15 minutes. The prevalence of HBV and HCV infection in 100 healthcare workers was determined by testing the plasma collected from the clients during their normal checkup using HBsAg and HCVAb test strips. Results were subjected to statistical analysis using chi-square test. The prevalence of HBV among HCWs was 19 out of 100 (19.0%) and that of HCV was 5 out of 100 (5.0%) where in both cases, higher prevalence was observed among female nurses. It was also observed that all HCV positive cases were recorded among nurses only. The study revealed that nurses are at greater risk of contracting HBV and HCV due to their frequent contact with patients. It is therefore recommended that effective vaccination and other infection control measures be encouraged among healthcare workers.

scholarly journals Occupational tuberculosis in healthcare workers in sub-Saharan Africa: A systematic review

2018 ◽  
Vol 74 (3) ◽  
pp. 95-108 ◽  
Author(s):  
Faith O Alele ◽  
Richard C. Franklin ◽  
Theophilus I. Emeto ◽  
Peter Leggat
Keyword(s):  
Systematic Review ◽  
Healthcare Workers ◽  
Sub Saharan Africa ◽  
Sub Saharan

Knowledge, Attitudes, and Perceptions of COVID-19 among Healthcare and Non-Healthcare Workers in Sub-Saharan Africa: A Web-Based Survey

2021 ◽  
Author(s):  
Bernadine N. Ekpenyong ◽  
Uchechukwu L. Osuagwu ◽  
Chundung Asabe Miner ◽  
Godwin O. Ovenseri-Ogbomo ◽  
Emmanuel Kwasi Abu ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Sub Saharan Africa ◽  
Web Based ◽  
Attitudes And Perceptions ◽  
Sub Saharan

scholarly journals Implementing a mobile diagnostic unit to increase access to imaging and laboratory services in western Kenya

2018 ◽  
Vol 3 (5) ◽  
pp. e000947 ◽  
Author(s):  
Roshni Dhoot ◽  
John M Humphrey ◽  
Patrick O'Meara ◽  
Adrian Gardner ◽  
Clement J McDonald ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Resource Limited Settings ◽  
Western Kenya ◽  
Remote Areas ◽  
Diagnostic Unit ◽  
Resource Limited ◽  
Laboratory Services ◽  
Sub Saharan

Access to basic imaging and laboratory services remains a major challenge in rural, resource-limited settings in sub-Saharan Africa. In 2016, the Academic Model Providing Access to Healthcare programme in western Kenya implemented a mobile diagnostic unit (MDU) outfitted with a generator-powered X-ray machine and basic laboratory tests to address the lack of these services at rural, low-resource, public health facilities. The objective of this paper is to describe the design, implementation, preliminary impact and operational challenges of the MDU in western Kenya. Since implementing the MDU at seven rural health facilities serving a catchment of over half a million people, over 4500 chest radiographs have been performed, with one or more abnormalities detected in approximately 30% of radiographs. We observed favorable feedback and uptake of MDU services by healthcare workers and patients. However, various operational challenges in the design and construction of the MDU and the transmission and reporting of radiographs in remote areas were encountered. Our experience supports the feasibility of deploying an MDU to increase access to basic radiology and laboratory services in rural, resource-limited settings.

scholarly journals Establishing Cardiopulmonary Resuscitation Services in Sub-Saharan Africa: A Survey of Suggestions Made by Health Care Workers in Cross River State, Nigeria

2018 ◽  
Vol 6 (5) ◽  
pp. 944-948
Author(s):  
Queeneth Ndukwe Kalu ◽  
Oboko Oboko Oku ◽  
Ini-Abasi Udo Ilori
Keyword(s):  
Health Care ◽  
Cardiopulmonary Resuscitation ◽  
Capacity Building ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Cross River ◽  
Care Workers ◽  
Sub Saharan

BACKGROUND: Rising trend in Non-Communicable Diseases (NCDs) in developing countries often result in sudden death, which are largely preventable through effective cardiopulmonary resuscitation (CPR). Most communities in Sub-Saharan Africa, however, lack access to CPR services, due to a deficiency in requirements for the establishment of such services. These requirements can be grouped into a triad of awareness, infrastructure and capacity building.AIM: This study was aimed at assessing the perceived need and recommendations for improvement in CPR services in Cross River State.METHODS: Proportionate sampling was used to recruit healthcare workers in this cross-sectional study. Data was obtained using semi-structured open-ended questionnaire consisting of recommendations for improving CPR services. Responses were coded and grouped into three essential areas. Data were entered and analysed using SPSS version 20.0.RESULT: Two hundred and twenty-nine (229) questionnaires were completed; mean age of respondents was 42.1 ± 11.2 years. The commonest cadre of healthcare worker was nurses (135, 59.0%). One, two, and three areas of suggestions were made by 55.5%, 37.1%, and 7.4% of respondents, respectively. Suggestions included training of health care workers on CPR (111, 48.5%) and provision of resuscitation equipment (95, 41.5%). Sixty-five respondents (29.3%) recommended creating awareness and means of contact, while some respondents recommended capacity building (132, 57.6%) and resuscitation infrastructure set-up (149, 65.1%).CONCLUSION: Healthcare workers perceive an urgent need for the establishment of CPR services in our health facilities and communities. There is need to address the triad of awareness, infrastructure and capacity building for the establishment of CPR services peculiar to Sub-Saharan Africa.

scholarly journals Knowledge, attitudes, and perceptions of long-acting reversible contraceptive (LARC) methods among healthcare workers in sub-Saharan Africa: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Laura Rouncivell ◽  
Simbarashe Takuva ◽  
Neo Ledibane ◽  
Alfred Musekiwa ◽  
Trudy D Leong
Keyword(s):  
Systematic Review ◽  
Publication Bias ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Contraceptive Device ◽  
Attitudes And Perceptions ◽  
Sub Saharan ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

ABSTRACTObjectiveTo assess the knowledge, attitudes, and perceptions (KAP) of long-acting reversible contraceptive (LARC) methods among healthcare workers (HCW’s) in sub-Saharan Africa (SSA).MethodsA systematic review and meta-analysis were conducted following the PRISMA methodology. Two authors independently searched three electronic databases for studies published between 2000 and January 2020 reporting on the KAP of LARC methods among HCW’s in SSA. Titles and abstracts were screened against eligibility criteria, data were extracted and the included studies were assessed for risk of bias. A meta-analysis of proportions for 11 pre-determined questions relating to LARC KAP was performed. Heterogeneity was explored using the I2-statistic and publication bias investigated using funnel plots and Egger’s tests.ResultsTwenty-two studies comprising of 11 272 HCW’s from 11 SSA countries were included. Forty-one percent (95% CI: 20%, 61%) of HCW’s had received intrauterine contraceptive device (IUCD) insertion training while 63% (95% CI: 44%, 81%) expressed a desire for training. Only 27% (95% CI: 18%, 36%) deemed IUCD appropriate for HIV-infected women. Restrictions for IUCD and injectables based on a minimum age were imposed by 56% (95% CI: 33%, 78%) and 60% (95% CI: 36%, 84%), respectively. Minimum parity restrictions were observed among 29% (95% CI: 9%, 50%) of HCW’s for IUCDs and 36% (95% CI: 16%, 56%) for injectable contraceptives. Heterogeneity was high and publication bias was present in two of the 11 questions.ConclusionThe systematic review and meta-analysis indicate that unnecessary provider-imposed restrictions may hinder the uptake of LARC methods by women in SSA.

Sign in / Sign up

Export Citation Format

Share Document