Digital Health in Francophone Sub-Saharan Africa: Catching Up!

2017 ◽  
Vol 27 (4) ◽  
pp. 342-345
Author(s):  
P. Lepère ◽  
B. Tchounga ◽  
D.-K. Ekouevi
2017 ◽  
Vol 27 (4) ◽  
pp. 348-353 ◽  
Author(s):  
C.-O. Bagayoko ◽  
G. Bediang ◽  
A. Anne ◽  
M. Niang ◽  
A.-K. Traoré ◽  
...  

2020 ◽  
Author(s):  
Aisha Walcott-Bryant ◽  
Sekou Remy ◽  
William Ogallo ◽  
Katherine Tryon ◽  
Winnie Shena ◽  
...  

BACKGROUND The rise of noncommunicable diseases in sub-Saharan Africa places strain on already stretched healthcare systems, that have traditionally focused on infectious diseases. Healthcare provision is fragmented, and there is a dearth of literature on the experiences, challenges, and solutions for improving the management of noncommunicable diseases in sub-Saharan private healthcare sectors. OBJECTIVE We investigated the management of hypertension in the Kenyan private healthcare sector to understand how a health information system could be used to address care continuity and quality challenges in the management of hypertension and other noncommunicable diseases. METHODS We conducted in-depth interviews and direct observations at 18 healthcare institutions in Kenya. We analyzed the data to identify the key challenges and proposed solutions to the challenges. We subsequently used the generated insights to propose the design of a digital health solution for enabling care quality and continuity at the study setting and similar ecosystems. RESULTS The private healthcare sector in Kenya is fragmented and faces challenges such as high cost of care, limited healthcare literacy, lack of self-management support, ineffective referral systems, inadequate care provider training, and inadequate regulation. Care coordination is hindered by suboptimal encounter data collection, limited view of patient histories, and little trust between care providers. Patient health records are siloed in multiple paper and electronic systems that lack integration. The proposed digital health platform system supports care coordination and continuity within fragmented healthcare systems by enabling patient-consented data sharing while ensuring that care providers in separate facilities have holistic views of the patient’s clinical and non-clinical history. CONCLUSIONS Health information systems can play a pivotal role in addressing the care continuity and quality challenges in the management of noncommunicable diseases in sub-Saharan Africa private healthcare sectors. Leveraging technology and processes to support patients managing chronic noncommunicable diseases in disparate clinical and nonclinical settings (e.g. at home and in support groups) is critical.


2020 ◽  
Vol 2 (4) ◽  
pp. e160-e162 ◽  
Author(s):  
Christine Holst ◽  
Felix Sukums ◽  
Danica Radovanovic ◽  
Bernard Ngowi ◽  
Josef Noll ◽  
...  

2021 ◽  
Vol 38 ◽  
Author(s):  
Yidnekachew Girma Mogessie ◽  
Blaise Ntacyabukura ◽  
Dawit Tesfagiorgis Mengesha ◽  
Mohamed Babiker Musa ◽  
Marie-Claire Wangari ◽  
...  

2016 ◽  
Vol 52 (2) ◽  
pp. 555-575 ◽  
Author(s):  
José Noguera-Santaella

2011 ◽  
Vol 11 (3) ◽  
pp. 1850236 ◽  
Author(s):  
Terutomo Ozawa ◽  
Christian Bellak

China has emerged as the most proactive partner for Africa’s growth by offering economic aid, investing in development projects in resource extraction and infrastructure building, and expanding trade. In this regard, a number of studies have recently explored China’s growing—yet still nascent—manufacturing investments in sub-Saharan Africa, which the World Bank hopes to see further expanded so as to ignite local industrialization. These studies look mainly at the Africa-side (host) conditions. In contrast, this paper stresses China-side (home) factors and examines the institutional issues involved in this hoped-for scheme of industrial transplantation. The central question addressed is whether the World Bank’s wish will actually come true. China’s potential in this scenario is assessed in terms of the “flying-geese” growth model that explains how comparatively disadvantaged industries in such a rapidly catching-up economy as China’s may be transplanted overseas. This article concludes that at the moment, China’s capacity to transform the sub-Saharan region into a vibrant manufacturing base via foreign direct investment (FDI) is still underdeveloped and quite limited.


2017 ◽  
Vol 1 (6) ◽  
pp. 533-537
Author(s):  
Lorenz von Seidlein ◽  
Borimas Hanboonkunupakarn ◽  
Podjanee Jittmala ◽  
Sasithon Pukrittayakamee

RTS,S/AS01 is the most advanced vaccine to prevent malaria. It is safe and moderately effective. A large pivotal phase III trial in over 15 000 young children in sub-Saharan Africa completed in 2014 showed that the vaccine could protect around one-third of children (aged 5–17 months) and one-fourth of infants (aged 6–12 weeks) from uncomplicated falciparum malaria. The European Medicines Agency approved licensing and programmatic roll-out of the RTSS vaccine in malaria endemic countries in sub-Saharan Africa. WHO is planning further studies in a large Malaria Vaccine Implementation Programme, in more than 400 000 young African children. With the changing malaria epidemiology in Africa resulting in older children at risk, alternative modes of employment are under evaluation, for example the use of RTS,S/AS01 in older children as part of seasonal malaria prophylaxis. Another strategy is combining mass drug administrations with mass vaccine campaigns for all age groups in regional malaria elimination campaigns. A phase II trial is ongoing to evaluate the safety and immunogenicity of the RTSS in combination with antimalarial drugs in Thailand. Such novel approaches aim to extract the maximum benefit from the well-documented, short-lasting protective efficacy of RTS,S/AS01.


1993 ◽  
Vol 47 (3) ◽  
pp. 555-556
Author(s):  
Lado Ruzicka

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