scholarly journals The Place of Spiritual and Traditional Beliefs in Stroke Rehabilitation in Sub-Saharan Africa: A Scoping Review

2019 ◽  
pp. 1-16
Author(s):  
Martins Chidi Nweke ◽  
Eze Christian Kanayo
Keyword(s):  
Scoping Review ◽  
Stroke Rehabilitation ◽  
Selection Process ◽  
Traditional Approach ◽  
Holistic Approach ◽  
Sub Saharan Africa ◽  
Health Seeking ◽  
Traditional Beliefs ◽  
Sub Saharan ◽  
The Impact

Aims: This systematic scoping review aimed at mapping evidence available on the impact of spiritual and traditional beliefs on perception of stroke vis-a-vis stroke rehabilitation in sub-Saharan Africa. Study Design: Systematic scoping review. Place and Duration of Study: This study was conducted in June, 2019 as a preliminary step to study underway in the University of Nigeria Enugu Campus. Methodology: Literature search was undertaken of PubMed, CINAHL, EBSCOhost Academic Search Complete and PsycINFO. The selection process was aided with use of EndNote X8. A total of 17 peer-reviewed articles were included. Thematic contents analysis was done using NVIVO 12. Five emerging themes were synthesized. Results show that a small but significant number of the respondents possessed poor knowledge and perception of stroke, and this affected the health seeking behaviors. Results: Although many of the participants would seek formal healthcare when a stroke occurs, some believed stroke is purely a spiritual event and should be addressed spiritually, while a few advocated for integration of traditional and orthodox healthcare approaches. Being a clinical worker, educated or a Christian was associated with good knowledge of stroke. For the participants who preferred spiritual or traditional approach to formal healthcare, traditional or religious inclination, level of education, hospital cost and hospital-related ill-treatment are the propelling factors. Conclusion: Spiritual and traditional beliefs possess a significant place in stroke rehabilitation in sub-Saharan Africa. We commend that holistic approach with a spiritual component be adopted in stroke rehabilitation across sub-Saharan Africa.

scholarly journals Jatropha Curcas Development as Intervention Potential to Tackling Land, Energy and Food Challenges of Rural Communities in Dryland Sub-Saharan Africa

Proceedings ◽  
2020 ◽  
Vol 36 (1) ◽  
pp. 85
Author(s):  
Joshua Ogunwole ◽  
Gunnar Kirchhof ◽  
Birhanu Z. Birhanu ◽  
Sjoerd Duiker ◽  
Luiz F. Pires
Keyword(s):  
Rural Communities ◽  
Jatropha Curcas ◽  
Energy Requirement ◽  
Sustainable Use ◽  
Holistic Approach ◽  
Sub Saharan Africa ◽  
Household Food Security ◽  
Dry Land ◽  
Sub Saharan ◽  
The Impact

Global population growth is placing increasing pressures on land for food and feed production as well as energy security. In particular in sub-Saharan Africa (SSA), these issues require urgent attention. This is clearly stated in The United Nations Global Goals for Sustainable Development emphasizing the importance of sustainable use of land resources to increase food productivity and energy requirement. SSA lags behind most regions of the world in household food security and access to energy. The rural agriculture-dependent communities of SSA are the hardest hit by food and energy scarcity and the impact is felt most by communities in the dryland farming areas. In terms of energy supply appropriate measures and interventions are required to address this challenge. Jatropha curcas L. oil fast tracked itself from obscurity to prominence. Its main advantage is the high content of methyl ester (or bio-diesel). It conforms to EN 14214 specifications, exhibiting emission reduction potential and qualifying as a lucrative bio-diesel alternative to fossil diesel. This paper proposes a focus on Jatropha technology as a holistic approach to tackling the land, energy and food degradation challenges in unison for dry-land SSA. The new Jatropha strategy would be innovative and environmentally friendly soil resource recapitalization and supply feed stock for rural energy generation while fulfilling the criteria of delivering other benefits, such as addressing land use conflict for food and energy production

scholarly journals Rehabilitation approaches for children living with HIV in sub-Saharan Africa: a protocol for scoping review

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Stacy Maddocks ◽  
Saul Cobbing ◽  
Jill Hanass-Hancock ◽  
Verusia Chetty
Keyword(s):  
Scoping Review ◽  
Selection Process ◽  
Grey Literature ◽  
Boolean Logic ◽  
Sub Saharan Africa ◽  
Rehabilitation Intervention ◽  
Paediatric Care ◽  
Scoping Reviews ◽  
Sub Saharan ◽  
Living With Hiv

Abstract Background A large number of children living with chronic conditions such as HIV experience impairments and disabilities. Current sub-Saharan African healthcare systems are challenged with paediatric care that does not integrate rehabilitation into management of chronic diseases such as HIV. Furthermore, little attention is paid to societal inclusion, community engagement and educational needs of these children. Integration of paediatric care and rehabilitation in a holistic approach can help to overcome the challenges associated with living disabilities. This scoping review proposes a synthesis of existing evidence on rehabilitation intervention strategies to increase functioning and to address disability-related barriers in children living with HIV and disability in sub-Saharan Africa. Methods A scoping review will be conducted to systematically map evidence on rehabilitation intervention for children living with HIV in sub-Saharan Africa. Studies in sub-Saharan Africa from December 2012 to 2019 on rehabilitation interventions for children aged 5 to 10 years living with HIV will be included in the review. Peer-reviewed primary studies, as well as grey literature, will be identified from electronic databases including Google Scholar; PubMed; Medline; CINAHL and Cochrane. The search strings using keywords such as “HIV”, “impairment”, “disability”, “neurocognitive impairment”, “behavioural”, “rehabilitation” and “intervention” will be conducted using Boolean logic. Two groups of independent reviewers will conduct all title, abstract and full article screening. The study selection process will be mapped using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A predesigned data-charting table will supplement the extraction of data. NVIVO software will aide in the thematic analysis of the data. Discussion The information from studies will be discussed in relation to the research questions using a critical narrative to explore the emergent themes. The quality of studies will be appraised using the mixed method appraisal tool. The scoping review will provide a baseline of evidence on rehabilitation interventions for children living with HIV in sub-Saharan Africa. The scoping review will inform healthcare providers, scholars and policy developers about the current use of rehabilitation interventions and what gaps need to be addressed with further research and intervention development. Systematic review registration OSF Center for Open Science: https://osf.io/ed7zb/

scholarly journals Changing men or changing health systems? A scoping review of interventions, services and programmes targeting men’s health in sub-Saharan Africa

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Thierry Beia ◽  
Karina Kielmann ◽  
Karin Diaconu
Keyword(s):  
Global Health ◽  
Health Systems ◽  
Scoping Review ◽  
Men’S Health ◽  
Sub Saharan Africa ◽  
Men's Health ◽  
Health Issues ◽  
Health Seeking ◽  
Gender Neutral ◽  
Sub Saharan

Abstract Background Sex and gender have been shown to influence health literacy, health seeking behaviour, and health outcomes. However, research examining the links between gender and health has mainly focused on women’s health, which is a long-standing global health priority. We examine literature focused on the ‘missing men’ in global health research, in particular empirical studies that document interventions, programmes, and services targeting men’s health issues in Sub-Saharan Africa. Within these studies, we identify dominant conceptualisations of men and men’s health and how these have influenced the design of men’s health interventions and services. Methods This is a scoping review of published and grey literature. Following comprehensive searches, we included 56 studies in the review. We conducted a bibliographic analysis of all studies and used inductive methods to analyse textual excerpts referring to conceptualizations of men and service design. An existing framework to categorise services, interventions, or programs according to their gender-responsiveness was adapted and used for the latter analysis. Results From the included studies, we distinguished four principal ways in which men were conceptualized in programs and interventions: men are variously depicted as ‘gatekeepers’; ‘masculine’ men, ‘marginal’ men and as ‘clients. Additionally, we classified the gender-responsiveness of interventions, services or programmes described in the studies within the following categories: gender-neutral, −partnering, −sensitive and -transformative. Interventions described are predominantly gender-neutral or gender-partnering, with limited data available on transformative interventions. Health systems design features – focused mainly on achieving women’s access to, and uptake of services – may contribute to the latter gap leading to poor access and engagement of men with health services. Conclusion This review highlights the need for transformation in sub-Saharan African health systems towards greater consideration of men’s health issues and health-seeking patterns.

Conflicts in Biafra, Katanga and Cabinda as a result of the geopolitical legacy of colonialism

2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova
Keyword(s):  
Democratic Republic ◽  
Economic Factor ◽  
Colonial Period ◽  
Sub Saharan Africa ◽  
Negative Consequences ◽  
Post Colonial ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
The Republic ◽  
The Impact

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.

Crowdsourcing Covid-19 signals in sub-Saharan Africa: Leveraging digital contributor networks for participatory surveillance of Covid-19 symptoms and deaths (Preprint)

2020 ◽  
Author(s):  
Ngozi A Erondu ◽  
Sagal A Ali ◽  
Mohamed Ali ◽  
Schadrac C Agbla
Keyword(s):  
Public Health ◽  
Sub Saharan Africa ◽  
Specific Information ◽  
Surveillance Systems ◽  
Health Seeking ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Local Networks ◽  
The World ◽  
Sub Saharan

BACKGROUND In sub-Saharan Africa, underreporting of cases and deaths has been attributed to various factors including, weak disease surveillance, low health-seeking behaviour of flu like symptoms, and stigma of Covid-19. There is evidence that SARS-CoV-2 spread mimics transmission patterns of other countries across the world. Since the Covid-19 pandemic has changed the way research can be conducted and in light of restrictions on travel and risks to in-person data collection, innovative approaches to collecting data must be considered. Nearly 50% of Africa’s population is a unique mobile subscriber and it is one of the fastest growing smart-phone marketplaces in the world; hence, mobile phone platforms should be considered to monitor Covid-19 trends in the community. OBJECTIVE We demonstrate the use of digital contributor platforms to survey individuals about cases of flu-like symptoms and instances of unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia, and Zimbabwe. METHODS Rapid cross-sectional survey of individuals with severe flu and pneumonia symptoms and unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia and Zimbabwe RESULTS Using a non-health specific information platform, we found COVID-19 signals in five African countries, specifically: •Across countries, nearly half of the respondents (n=739) knew someone who had severe flu or pneumonia symptoms in recent months. •One in three respondents from Somalia and one in five from Zimbabwe respondents said they knew more than five people recently displaying flu and/or pneumonia symptoms. •In Somalia there were signals that a large number of people might be dying outside of health facilities, specifically in their homes or in IDP or refugee camps. CONCLUSIONS Existing digital contributor platforms with local networks are a non-traditional data source that can provide information from the community to supplement traditional government surveillance systems and academic surveys. We demonstrate that using these distributor networks to for community surveys can provide periodic information on rumours but could also be used to capture local sentiment to inform public health decision-making; for example, these insights could be useful to inform strategies to increase confidence in Covid19 vaccine. As Covid-19 continues to spread somewhat silently across sub-Saharan Africa, regional and national public health entities should consider expanding event-based surveillance sources to include these systems.

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