Assessment of the general public's knowledge of stroke: A cross-sectional study in Yaoundé, Cameroon

Nansseu, Jobert Richie; Atangana, Cedric Paterson; Petnga, Saint-Just; Kamtchum‐Tatuene, Joseph; Noubiap, Jean Jacques

doi:10.1016/j.jns.2017.05.004

Cited by 16 publications

(23 citation statements)

References 20 publications

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“…In this study, more than three-quarters of the population were aware of the preventable and urgent nature of the stroke. These results are similar to those found in previous studies [ 19 20 ]. Also, the majority of respondents mentioned that stroke is a disabling disease, which is consistent with the results found in a study of Arab-Muslim Israelis which highlighted that stroke is always associated with physical burden, disability, and dependence [ 11 ].…”

Section: Discussionsupporting

confidence: 93%

“…As for respondents’ knowledge of risk factors for stroke, this study has found that high blood pressure, depression and stress were the most well-known risk factors with a percentage near 50%. This is similar to the results of a wide range of studies conducted in several countries [ 11 12 13 19 21 22 23 24 25 ]. A remarkable lack of knowledge of the population regarding the risk factors for stroke, and especially the most well-known and classic ones, have been detected in our context.…”

Section: Discussionsupporting

confidence: 90%

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Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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Background: Stroke is increasingly becoming a major cause of disability and mortality. However, it can be prevented by raising awareness about risk factors and early health care management of patients. Objective: The aim of this study is to assess the level of knowledge on stroke, its risk factors, and warning signs in the population attending urban primary health care centers in the city of Agadir, Morocco. Methods: This is a multicentric cross-sectional study with a descriptive and analytical purpose. The study was conducted at five urban primary health care centers in Agadir in centralwest Morocco. All persons over the age of 18 years who consulted the health centers and who agreed to fill in the questionnaire were recruited, except for the foreign population and health workers. An interview questionnaire was used to assess the level of knowledge on stroke. Findings: A total of 469 participants were involved in the study. The median knowledge score was 8 (Interquartile range 4-13). High blood pressure (55.7%), depression and stress (48.8%) were the most well-known risk factors. Sudden weakness of the face, arms or legs (37.3%) was the main warning sign cited by the participants. Multivariate analysis revealed that illiteracy (OR 1.92; CI 95% : 1.08-3.44) primary education (OR 3.43; CI 95% : 1.63-7.21), rural residential (OR 1.67; CI 95% : 1.07-2.59), no history of stroke among respondents (OR 16.41; CI 95% : 4.37-61.59) and no history of stroke among relatives, acquaintances, or neighbors (OR 4.42; CI 95% : 2.81-6.96), were independently associated with a lower level of knowledge of stroke (Table 4). Conclusions: The low level of knowledge on stroke among this Moroccan population indicates the importance of implementing stroke education initiatives in the community. More specifically, proximity education and awareness programs ought to be considered to anchor lifestyle preventive behaviors along with appropriate and urgent actions regarding the warning signs of stroke.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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“…While waiting for resource and infrastructure improvements, low-to-middle income countries like Malawi can implement some simple solutions to improve stroke care in their local settings. These include raising population awareness about stroke symptoms and risk factors using well-designed communication strategies, 14 investing in telemedicine for teaching and case management, 15 , 16 and strengthening partnerships with high-income countries for the financial, logistic, and training support. There are ongoing discussions between Queen Elizabeth Central Hospital, the Malawi- Liverpool-Wellcome Trust Clinical Research Programme, and international partners (University College London Hospitals and the University of Liverpool), in view of initiating a collaborative platform to address some of these challenges in the short term.…”

Section: Discussionmentioning

confidence: 99%

Challenges of stroke management in resource-limited settings: A case-based reflection

Gadama¹,

Mwangalika²,

Kinley³

et al. 2017

Mal. Med. J

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A 19-year-old man presented with a 1-year history of headache, generalised body weakness, progressive memory loss, and disorientation. One month prior to admission, there was aggravation of the weakness of the right upper limb, with new-onset difficulty with mastication, speech impairment, apathy, and urinary incontinence. On clinical examination, the patient had a motor aphasia and a right-sided hemiparesis with increased muscle tone and hyperreflexia. A noncontrast computed tomography (CT) scan of the brain revealed large ischaemic strokes extending beyond the classical vascular territories. Cerebrospinal fluid analysis showed a mildly increased protein level. The electrocardiogram revealed an irregular sinus bradycardia. The remainder of the cardiovascular and laboratory workup was unremarkable. Considering a working diagnosis of central nervous system vasculitis, the patient was treated with aspirin, prednisolone, and physiotherapy. However, he died suddenly a few weeks later. Based on this case, we discuss the challenges of stroke management in resource-limited settings, provide practical tips for general practitioners, reflect on the potential avenues for short- and long-term action, and introduce the budding collaboration platform between the University College London, the University of Liverpool, the Queen Elizabeth Central Hospital, and the Malawi-Liverpool-Wellcome Trust Clinical Research Programme.

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“…The advantages of polypills to the patient include ease and convenience of taking the drugs, cost‐saving benefits, reduced inappropriate drug interactions and adverse outcomes, and improved safety caused by decreased risk of confusion between tablets or accidental overdosing . Ease, convenience, safety, and simplicity of manipulation offered by polypills are tremendously interesting for LMICs mainly characterized by low literacy rates and poor level of knowledge about CVD and their risk factors . This represents a major impediment to patients’ therapeutic education, especially in a context of chronic diseases and polymedication, which requires good knowledge of the different molecules to be taken and respective dosages.…”

Section: Expected Benefits Of Polypills In Lmicsmentioning

confidence: 99%

“…13,17,22,27 Ease, convenience, safety, and simplicity of manipulation offered by polypills are tremendously interesting for LMICs mainly characterized by low literacy rates and poor level of knowledge about CVD and their risk factors. 28 This represents a major impediment to patients' therapeutic education, especially in a context of chronic diseases and polymedication, which requires good knowledge of the different molecules to be taken and respective dosages.…”

Section: From a Patient's Viewpointmentioning

confidence: 99%

Fixed‐dose combination therapy to reduce the growing burden of cardiovascular disease in low‐ and middle‐income countries: feasibility and challenges

Nansseu

Tankeu

Kamtchum‐Tatuene

et al. 2018

J of Clinical Hypertension

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Cardiovascular disease (CVD) has become a major concern in low-and middle-income countries, which bear about 80% of the cardiovascular mortality worldwide. Curbing the burden of CVD implies the management and control of many cardiovascular risk factors that act synergistically to increase cardiovascular mortality. Such actions may require expensive polymedications in a context of limited resources. Therefore, alternative solutions for CVD prevention in low-and middle-income countries are urgently needed. In this context, the concept of a fixed-dose combination therapy, a polypill composed of drugs known to effectively treat or prevent CVD, has been proposed as a scalable strategy to overcome nonadherence to polymedications and reduce costs.While this has recently been approved in more than 30 countries across America and Europe, there is a crucial need to analyze the potential benefits and challenges related to cardiovascular polypills implementation and vulgarization in low-and middle-income countries, the epicenter of CVD.

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Assessment of the general public's knowledge of stroke: A cross-sectional study in Yaoundé, Cameroon

Cited by 16 publications

References 20 publications

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Challenges of stroke management in resource-limited settings: A case-based reflection

Fixed‐dose combination therapy to reduce the growing burden of cardiovascular disease in low‐ and middle‐income countries: feasibility and challenges

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