Development of a framework for increasing asthma awareness in Chitungwiza, Zimbabwe

Ndarukwa, Pisirai; Chimbari, Moses John; Sibanda, Elopy

doi:10.1186/s40733-019-0052-2

Cited by 3 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strategies that improve medication access, including initiatives like the WHO Essential Medicines List, low-cost equipment like plastic spacers 39 and implementing culturally appropriate educational programmes for healthcare workers and the public, remain vital. 40 41 …”

Section: Discussionmentioning

confidence: 99%

Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review

2021

View full text Add to dashboard Cite

ObjectiveTo identify reasons for poor asthma control in African children and adolescents.DesignSystematic reviewData sourcesPubMed, Scopus, CINHAL, PsycINFO, MEDLINE and Web of Science databases were systematically searched up to 31 May 2020. Hand searching was done on Sabinet, African Journal online and Google Scholar.Eligibility criteriaStudies identifying barriers to asthma control, where asthma control was assessed by the validated Asthma Control Test/Child Asthma Control Test and/or Asthma Control Questionnaire were included.Data extraction and synthesisTwo reviewers independently selected studies for inclusion with disagreements resolved by a research team discussion, including a third reviewer. Data were extracted using the Cochrane Effective Practice and Organization of Care data collection form. The quality of the included studies was assessed using the modified Newcastle-Ottawa quality assessment scale. Identified barriers were reported in a thematic narrative synthesis.Primary outcomesPoorly controlled asthma and associated factors.ResultsFrom 914 records, three studies conducted between 2014 and 2019 in Nigeria, Uganda and South Africa met the inclusion criteria. A total of 883 children aged 4–19 years were analysed. Older age, concurrent allergy and city-dwelling significantly impacted asthma control. Few children with asthma symptoms in the community had ever used inhaled corticosteroids (6.7%) and identified reasons included lack of asthma diagnosis (38.8%) and no prescribed treatment (47.6%).ConclusionAsthma control in African children is impacted by age, allergy, urbanisation and lack of access to asthma diagnosis and treatment. More studies focusing on identifying barriers to asthma control in Africa are needed.PROSPERORegistration no: CRD42020196755)

show abstract

Section: Discussionmentioning

confidence: 99%

Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review

2021

View full text Add to dashboard Cite

show abstract

“…The ability of the healthcare workers and patients to take healthcare decisions can be enhanced by knowledge of asthma symptoms and signs. Poor health literacy is a barrier to the knowledge of asthma among children and adults [12]. Asthma education programs are limited [2].…”

Section: Introductionmentioning

confidence: 99%

Importance of Following Proper Inhalation Techniques and Awareness Regarding Asthma among Clinical Patients

Gunasekara

Ranawaka

Chathuranga

et al. 2021

JOCAMR

View full text Add to dashboard Cite

Aims: Asthma is one of the biggest health burdens on the Sri Lankan population. Achievement of treatment goals isdetermined mainlythrough pharmacological management. The main objective of this study was to evaluate the patient inhaler handling techniques and their awareness regarding their disease condition, as well as to find out how an educational intervention effects patients‘ inhaler handling techniques. Study Design: A Prospective cross sectional study used. Place and Duration of Study: National Hospital for Respiratory Diseases, Welisara and Colombo South Teaching Hospital, Kalubowila between June 2017 to August 2017. Methodology: Clinically diagnosed asthma patients were randomly divided into Control and Test groups. Control comprised 94 patients and the test comprised 93 patients. Their baseline knowledge about asthma and inhaler-using technique were assessed in 1st month by using an interviewer-administered questionnaire and checklist respectively. The test group was given both information leaflet and verbal instructions. Again, all the participants were assessed for the inhaler techniques on their next clinic day by using the same questionnaire and the checklist. Results: After the educational intervention, there was a statistically significant improvement in the test group, in the adherence to the nine steps, including critical steps, regarding all 3 device types (PMDI, DPI, and PMDI with Spacer) in the 2nd-month visit. (at P =.05) When considering awareness about asthma in the total population, most participants were knowledgeable regarding asthma. Conclusion: We observed gaps in knowledge between current practice and what is expected in patients with asthma regarding their inhaler therapy. This might be due to the quality of instructions delivered by health care providers being insufficient and them lacking the time to observe patients individually for the inhaler techniques. Awareness regarding asthma and inhalation techniques can be raised by using information leaflets as well as through verbal counseling.

show abstract

“… 4 It accounts for a significant global morbidity and healthcare costs. 5 Approximately, 235 million people suffer from asthma and a mortality of over 300 000 reported annually. 6 …”

Section: Introductionmentioning

confidence: 99%

Protocol for a scoping review to evaluate the extent of utilisation of healthcare services by asthma patients in sub-Saharan African countries

2021

Self Cite

View full text Add to dashboard Cite

IntroductionHealth systems in sub-Saharan African (SSA) countries are fragile and centralised. Consequently, majority of people have restricted access to healthcare services. Given the rise in the prevalence and burden of asthma in SSA, it is imperative to scrutinise the utilisation of healthcare services by people with asthma. We aim to understand, through this review, the extent of utilisation of healthcare services by asthma patients in SSA countries.Methods and analysisArksey and O’Malley’s scoping review methodology framework will be used to guide the conduct of this scoping review. We will conduct a search of the literature on the electronic databases: Medline, (using PubMed interface), EMBASE, EBSCOHOST, Web of Science and Google Scholar, grey literature sources and the reference lists of key studies to identify studies appropriate for inclusion. Two reviewers will independently screen all abstracts and full-text studies for inclusion. Registration of the proposed scoping review on the PROSPERO has indicated that no similar work has been or is being done elsewhere. We will review studies published on the subject from January 2009 to May 2020 in SSA.Ethics and disseminationThe proposed scoping review will contribute towards the knowledge base on utilisation of healthcare services particularly for people with asthma. This will provide a better understanding of the extent of utilisation of healthcare services by asthma patients and ultimately contribute to improvement of quality of care for people suffering from asthma. The results from the review will enlighten and guide healthcare practitioners and researchers on developing appropriate and feasible interventions to increase the utilisation of healthcare services by asthma patients in resource-constrained settings in SSA countries. Results of this scoping review will be disseminated through a peer-reviewed publication, conference presentations and a 1-day stakeholder meeting.PROSPERO registration numberCRD42020154127.

show abstract

Development of a framework for increasing asthma awareness in Chitungwiza, Zimbabwe

Cited by 3 publications

References 24 publications

Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review

Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review

Importance of Following Proper Inhalation Techniques and Awareness Regarding Asthma among Clinical Patients

Protocol for a scoping review to evaluate the extent of utilisation of healthcare services by asthma patients in sub-Saharan African countries

Contact Info

Product

Resources

About