A comprehensive approach to improving laboratory services in rural Zambia

Alcheikh, Ahmad; Chawe, Adon; Kowa, Sumbukeni; Banda, Isaac

doi:10.1182/bloodadvances.2019gs121633

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…[64] Warfarin is the most commonly used, followed by acenocoumarol. [64,65] Warfarin is cheap: a 5mg tablet cost 8 US cents in rural Zambia [28] or 14 US cents in Uganda. [66] However, being essential and cheap do not necessarily make medicines available or accessible.…”

Section: Challenges Accessing Anticoagulationmentioning

confidence: 99%

Improving anticoagulation in sub-Saharan Africa -- what are the challenges, and how can we overcome them?

Mouton

Blockman

Wiltshire

et al. 2020

Preprint

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Patients in sub-Saharan Africa generally have poor anticoagulation control. We review the potential reasons for this poor control, as well as the potential solutions. Challenges include the affordability and centralisation of anticoagulation care, problems with access to medicines and INR monitoring, the lack of locally-validated standardized dosing protocols, and low levels of anticoagulation knowledge among health care workers and patients. Increasing numbers of patients will need anticoagulation in the future because of the epidemiological transition in the region. We propose that locally-developed "warfarin care bundles" which address multiple anticoagulation challenges in combination may be the most appropriate solution in this setting currently.

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Section: Challenges Accessing Anticoagulationmentioning

confidence: 99%

Improving anticoagulation in sub-Saharan Africa -- what are the challenges, and how can we overcome them?

Mouton

Blockman

Wiltshire

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Warfarin is the most commonly used, followed by acenocoumarol 64,65 . Warfarin is cheap: a 5 mg tablet cost 8 US cents in rural Zambia 59 or 14 US cents in Uganda 66 . However, being essential and cheap does not necessarily make medicines available or accessible 67 .…”

Section: Challenges Accessing Anticoagulationmentioning

confidence: 99%

Improving anticoagulation in sub‐Saharan Africa: What are the challenges and how can we overcome them?

Mouton

Blockman

Sekaggya-Wiltshire

et al. 2021

Brit J Clinical Pharma

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Patients in sub-Saharan Africa generally have poor anticoagulation control. We review the potential reasons for this poor control, as well as the potential solutions.Challenges include the affordability and centralisation of anticoagulation care, problems with access to medicines and international normalised ratio monitoring, the lack of locally validated standardized dosing protocols, and low levels of anticoagulation knowledge among healthcare workers and patients. Increasing numbers of patients will need anticoagulation in the future because of the increasing burden of noncommunicable disease in the region. We propose that locally developed "warfarin care bundles" which address multiple anticoagulation challenges in combination may be the most appropriate solution in this setting currently.

show abstract

A comprehensive approach to improving laboratory services in rural Zambia

Cited by 2 publications

References 3 publications

Improving anticoagulation in sub-Saharan Africa -- what are the challenges, and how can we overcome them?

Improving anticoagulation in sub-Saharan Africa -- what are the challenges, and how can we overcome them?

Improving anticoagulation in sub‐Saharan Africa: What are the challenges and how can we overcome them?

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