scholarly journals What are the priorities for prevention and control of non-communicable diseases and injuries in sub-Saharan Africa and South East Asia?

BMJ ◽  
2012 ◽  
Vol 344 (mar02 1) ◽  
pp. e586-e586 ◽  
Author(s):  
D. Chisholm ◽  
R. Baltussen ◽  
D. B. Evans ◽  
G. Ginsberg ◽  
J. A. Lauer ◽  
...  
Keyword(s):  
East Asia ◽  
Prevention And Control ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
South East Asia ◽  
Non Communicable Diseases ◽  
Sub Saharan ◽  
And Control

scholarly journals Things must not fall apart: the ripple effects of the COVID-19 pandemic on children in sub-Saharan Africa

2020 ◽  
Author(s):  
Modupe Coker ◽  
Morenike O. Folayan ◽  
Ian C. Michelow ◽  
Regina E. Oladokun ◽  
Nguavese Torbunde ◽  
...  
Keyword(s):  
Public Health ◽  
Child Health ◽  
Prevention And Control ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Non Communicable Diseases ◽  
Ripple Effects ◽  
Major Disease ◽  
Sub Saharan ◽  
And Control

Abstract Zero to 19 year-old children in sub-Saharan Africa bear a disproportionate proportion of the global burden of communicable and non-communicable diseases. Significant public health gains have been made in the fight against these diseases, however, factors such as underequipped health systems, disease outbreaks, conflict, and political instability continue to challenge prevention and control. The novel coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) introduces new challenges to public health programs in sub-Saharan Africa. Of particular concern are programs targeting major conditions among children, such as undernutrition, vaccine-preventable pneumonia and diarrhea, malaria, tuberculosis, HIV, and sickle cell disease. This article focuses on the impact of the COVID-19 pandemic on child health in sub-Saharan Africa. We review the epidemiology of major pediatric diseases and, referencing modeling projections, discuss the short- and long-term impact of the pandemic on major disease control. We deliberate on potential complications of SARS-CoV-2 co-infections/co-morbidities and identify critical social and ethical issues. Furthermore, we highlight the paucity of COVID-19 data and clinical trials in this region and the lack of child participants in ongoing studies. Lastly, approaches and interventions to mitigate the pandemic’s impact on child health outcomes are discussed. Impact Children in sub-Saharan Africa bear a disproportionate burden of communicable and non-communicable diseases globally; this remains true even as the COVID-19 pandemic persists. Amidst the fast-expanding COVID-19 literature, there is little comprehensive coverage of the pandemic’s indirect impact on child health in sub-Saharan Africa. This article comprehensively outlines the threat that the pandemic poses to major disease prevention and control for children in sub-Saharan Africa. It discusses the potential impact of SARS-CoV-2 co-infections/co-morbidities, highlights research gaps, and advocates for data and action to mitigate the ripple effects of the pandemic on this population.

scholarly journals Knowledge of primary healthcare workers regarding the prevention and control of non-communicable diseases in Osun State, Nigeria: A rural-urban comparison

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Adebowale F. Akinwumi ◽  
Olapeju A. Esimai ◽  
Olusola Fajobi ◽  
Ajibola Idowu ◽  
Oluwaseun T. Esan ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Adequate Knowledge ◽  
Rural And Urban ◽  
And Control

Background: There is a rising burden of non-communicable diseases (NCDs) in the sub-Saharan Africa, and calls for integration of management of selected NCDs with primary healthcare (PHC) have been unrelenting. Cost-effective interventions for the prevention and control of NCDs can be delivered at PHC facilities in low-resource settings by clinical healthcare workers (HCWs).Aim: This study compared the knowledge of HCWs in PHC facilities regarding the prevention and control of NCDs in rural and urban local government areas (LGAs) of Osun State.Setting: A comparative cross-sectional study was conducted amongst 400 eligible HCWs recruited using a multistage sampling technique in PHC facilities of six rural and six urban LGAs.Methods: A pretested self-administered case-scenarios questionnaire was used to assess the knowledge of HCWs regarding the prevention and control of three selected NCDs (diabetes, hypertension and chronic respiratory diseases). Both descriptive and inferential statistics were conducted.Results: The mean knowledge scores of HCWs regarding the prevention and control of the three NCDs were 17.76 ± 4.41 in rural and 17.62 ± 4.02 in urban LGAs out of 30 maximum scores. The proportion of HCWs with adequate knowledge in the rural LGAs (31.0%) was slightly higher than the urban LGAs (23.0%); however, it was not statistically significant (χ2 = 3.247; p = 0.072). The major determinants of adequate knowledge include cadre of HCWs, location, years in practice with professional certificate, NCD training course attendance and reported experience managing diabetic patients.Conclusion: The HCWs in PHC facilities in rural and urban LGAs of Osun State, Nigeria, had a poor knowledge regarding the prevention and control of NCDs. Training and re-training of less-skilled HCWs in the PHC facilities using relevant WHO NCD protocols and guidelines are imperatives to improve their knowledge about the prevention and control of NCDs.

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