scholarly journals Knowledge, attitudes, and perceptions of long‐acting reversible contraceptive (LARC) methods among healthcare workers in sub‐Saharan Africa

2021 ◽  
Author(s):  
Laura Rouncivell ◽  
Simbarashe Takuva ◽  
Neo Ledibane ◽  
Alfred Musekiwa ◽  
Trudy D Leong
Keyword(s):  
Healthcare Workers ◽  
Sub Saharan Africa ◽  
Attitudes And Perceptions ◽  
Sub Saharan ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

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.

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 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 Community perceptions of barriers to management of chronic psychotic disorders and knowledge and attitudes about long-acting injectable antipsychotic medication: qualitative study in Dar es Salaam, Tanzania

BJPsych Open ◽  
2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Carol Blixen ◽  
Isaac Lema ◽  
Jessie Mbwambo ◽  
Sylvia Kaaya ◽  
Jennifer B. Levin ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Focus Groups ◽  
Psychotic Disorders ◽  
Mental Healthcare ◽  
Community Context ◽  
Sub Saharan Africa ◽  
Behavioural Intervention ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Long Acting

Background Low- and middle-income countries (LMICs) experience a disproportionate burden from chronic psychotic disorders (CPDs), which are the most disabling conditions among people aged 10–24 in Sub-Saharan Africa. Poor medication adherence is seen in approximately half of individuals with CPDs in Sub-Saharan Africa, and is a major driver of relapse. A CPD treatment approach that combines the use of long-acting injectable (LAI) antipsychotic medications with a brief and practical customised adherence-enhancement behavioural intervention (CAE-L) was recently developed and tested for use in the USA. Aims To use a qualitative cross-sectional analysis to gather information on potentially modifiable barriers to management of CPDs, and assess attitudes about LAIs from community participants in Tanzania. Findings were intended to refine the CAE-L curriculum for use in Tanzania. Method In-depth interviews and focus groups were conducted with 44 participants (patients with CPD, caregivers, mental healthcare providers). All interviews and focus groups were audiotaped, translated, transcribed and analysed using content analysis, with an emphasis on dominant themes. Results Findings indicated that promoting medication adherence and management of CPDs in the Tanzanian setting needs to consider the individual with CPD, the family, the healthcare setting and the broader community context. Conclusions Qualitative findings enabled the study team to better understand the real-time barriers to medication adherence, LAI use and management of CPDs more broadly. Refinement of the CAE-L is expected to pave the way for an intervention trial for individuals with CPDs that is culturally and linguistically appropriate to the Tanzanian setting.

scholarly journals Introducing the Dapivirine Vaginal Ring in Sub-Saharan Africa: What Can We Learn from Oral PrEP?

2021 ◽  
Author(s):  
Neeraja Bhavaraju ◽  
Kathleen Shears ◽  
Katie Schwartz ◽  
Saiqa Mullick ◽  
Patriciah Jeckonia ◽  
...  
Keyword(s):  
Scale Up ◽  
Vaginal Ring ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
Prevention Method ◽  
Long Acting ◽  
Exposure Prophylaxis ◽  
Effective Use ◽  
Method Mix ◽  
Oral Prep

Abstract Purpose of review Clinical trials have found that the dapivirine vaginal ring (DVR) is safe to use and effective at reducing women’s risk of acquiring HIV infection. As countries prepare for the introduction of this novel long-acting, woman-controlled prevention method, an examination of key learnings from oral pre-exposure prophylaxis (PrEP) delivery will help programs leverage successful innovations and approaches to support DVR scale-up and expand the method mix for HIV prevention. Recent findings Intensive efforts over the past 5 years have yielded lessons on how to facilitate access to oral PrEP; expand service delivery for PrEP; address the knowledge, attitudes, and skills providers need to support PrEP initiation and effective use; develop messaging that builds community and partner support and combats stigma; and understand the cyclical nature of PrEP use. Summary Evidence from oral PrEP introduction and scale-up can help inform and expedite DVR introduction.

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