Stroke services in Africa: What is there and what is needed

Author:

Roushdy Tamer1,Aref Hany1ORCID,Kesraoui Selma2,Temgoua Michael3,Nono Kiatoko Ponte4,Gebrewold Meron Awraris5ORCID,Peter Waweru6,Gopaul Urvashy78,Belahsen Mohammed Faouzi9,Ben-Adji Djibrilla10,Melifonwu Rita11ORCID,Pugazhendhi Sanjeev12,Woodcock Noëmie13,Mohamed Muhyadin Hassan14,Rossouw Anastasia15,Matuja Sarah16,Ruanda Mark Koba17,Mhiri Chokri18,Saylor Deanna1920,Nahas Nevine El1,Shokri Hossam1ORCID

Affiliation:

1. Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

2. Department of Neurology, Blida Hospital University, Blida, Algeria

3. Institute of Applied Neurosciences and Functional Rehabilitation, Bethesda Hospital, Yaoundè, Cameroon

4. Initiative Plus Hospital Center, Kinshasa, Democratic Republic of the Congo

5. College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia

6. Kenyatta University Teaching, Referral & Research Hospital, Nairobi, Kenya

7. University of Mauritius, Moka, Mauritius

8. KITE-University Health Network (UHN), Toronto, ON, Canada

9. Neurology Department, Hassan II University Hospital, Sidi Mohamed Ben Abdellah University, Fez, Morocco

10. Centre Hospitalier Régional (CHR) de Maradi, Maradi, Niger

11. Stroke Rehabilitation, Stroke Action Nigeria, Abuja, Nigeria

12. Ministry of Health, Victoria, Seychelles

13. Seychelles Stroke Foundation, Mahe, Seychelles

14. Department of Neurology, East Africa University Hospital, Bosaso, Somalia

15. Frere Hospital, East London, South Africa

16. Department of Internal Medicine, Bugando Medical Centre/Catholic University of Health and Allied Sciences, Mwanza, Tanzania

17. Emergency Medicine Department, Mnazi Mmoja Hospital, Zanzibar, Tanzania

18. Department of Neurology, Habib Bourguiba University Hospital, Sfax, Tunisia

19. Department of Medicine, University Teaching Hospital, Lusaka, Zambia

20. Department of Neurology, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA

Abstract

Background: Over the past few years, the incidence and prevalence of stroke has been rising in most African countries and has been reported as one of the leading causes of morbidity and mortality. To study this problem, we need to realize the quality and availability of stroke care services as a priori to improve them. Methods and Results: In this study, we investigated the availability of different stroke-related services in 17 countries from different African regions. An online survey was conducted and fulfilled by stroke specialists and included primary prevention, acute management, diagnostic tools, medications, postdischarge services, and stroke registries. The results showed that although medications for secondary prevention are available, yet many other services are lacking in various countries. Conclusion: This study displays the deficient aspects of stroke services in African countries as a preliminary step toward active corrective procedures for the improvement of stroke-related health services.

Publisher

SAGE Publications

Subject

Neurology

Reference30 articles.

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