Headache education and management in Cameroon: a healthcare provider study

García‐Azorín, David; Molina-Sanchez, Maria; Gómez‐Iglesias, Patricia; Delgado-Suárez, Celia; García‐Morales, Irene; Kurtis-Urra, Mónica; Monje, Mariana H.G.

doi:10.1007/s13760-021-01620-6

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Access to care and to effective treatment is challenging for persons with headache disorders in the United States ( 3 , 5 ) and in many higher income European countries ( 6 ). In LMICs, the situation is even more dire, due in part to the scarcity of trained physicians ( 13 , 32 , [38] , [39] , [40] , [41] ) and healthcare facilities. In countries where rural areas are prevailing, access to health services is even more difficult than in urban areas due to mobility constraints related to long distances to health facilities (with poor or potentially inexistent roads) ( 37 ) or to geographical barriers ( 8 ).…”

Section: Increase Access To Care and Treatment/ Educate And Empower P...mentioning

confidence: 99%

“…Headache disorders are among the first complaints for which over-the-counter drugs are consumed in Sub-Saharan Africa ( 53 ). Preventive treatments are almost never used ( 54 ), some treatments such as triptans are still exceptionally used, and the range of drugs used frequently are limited to simple analgesics such as paracetamol or aspirin ( 41 , 54 ). The high prevalence of medication overuse headache in some of these countries, mainly in urban regions, correlates with a difficult access to trained professional health care ( 7 , 9 ).…”

Section: Increase Access To Care and Treatment/ Educate And Empower P...mentioning

confidence: 99%

“…While this problem is significant in high-income countries ( 65 ), it is even more dire in low-income countries. Frontline healthcare providers have often received minimal training in neurology in general and in the diagnosis and management of headache disorders in particular ( 13 , 32 , 41 ). Many LMICs lack a neurological society, and some countries do not have a neurologist at all ( 39 , 66 ).…”

Section: Education Of Healthcare Providersmentioning

confidence: 99%

See 2 more Smart Citations

Advocacy for patients with headache disorders

Gouider

Lorenz

Craven³

et al. 2023

eNeurologicalSci

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Section: Increase Access To Care and Treatment/ Educate And Empower P...mentioning

confidence: 99%

Section: Increase Access To Care and Treatment/ Educate And Empower P...mentioning

confidence: 99%

Section: Education Of Healthcare Providersmentioning

confidence: 99%

See 1 more Smart Citation

Advocacy for patients with headache disorders

Gouider

Lorenz

Craven³

et al. 2023

eNeurologicalSci

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“…In Africa, recent community-based studies have reported migraine prevalence between 3 to 6.9%, and chronic tension-type headache prevalence at 1.7% ( 129 ). In a hospital-based study conducted in Cameroon, headache disorders accounted for about 34% of complaints in out-patient consultation ( 130 ).…”

Section: Specific Neurological Disturbances Related To Neuroinflammat...mentioning

confidence: 99%

The Interplay Between Neuroinfections, the Immune System and Neurological Disorders: A Focus on Africa

et al. 2022

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Neurological disorders related to neuroinfections are highly prevalent in Sub-Saharan Africa (SSA), constituting a major cause of disability and economic burden for patients and society. These include epilepsy, dementia, motor neuron diseases, headache disorders, sleep disorders, and peripheral neuropathy. The highest prevalence of human immunodeficiency virus (HIV) is in SSA. Consequently, there is a high prevalence of neurological disorders associated with HIV infection such as HIV-associated neurocognitive disorders, motor disorders, chronic headaches, and peripheral neuropathy in the region. The pathogenesis of these neurological disorders involves the direct role of the virus, some antiretroviral treatments, and the dysregulated immune system. Furthermore, the high prevalence of epilepsy in SSA (mainly due to perinatal causes) is exacerbated by infections such as toxoplasmosis, neurocysticercosis, onchocerciasis, malaria, bacterial meningitis, tuberculosis, and the immune reactions they elicit. Sleep disorders are another common problem in the region and have been associated with infectious diseases such as human African trypanosomiasis and HIV and involve the activation of the immune system. While most headache disorders are due to benign primary headaches, some secondary headaches are caused by infections (meningitis, encephalitis, brain abscess). HIV and neurosyphilis, both common in SSA, can trigger long-standing immune activation in the central nervous system (CNS) potentially resulting in dementia. Despite the progress achieved in preventing diseases from the poliovirus and retroviruses, these microbes may cause motor neuron diseases in SSA. The immune mechanisms involved in these neurological disorders include increased cytokine levels, immune cells infiltration into the CNS, and autoantibodies. This review focuses on the major neurological disorders relevant to Africa and neuroinfections highly prevalent in SSA, describes the interplay between neuroinfections, immune system, neuroinflammation, and neurological disorders, and how understanding this can be exploited for the development of novel diagnostics and therapeutics for improved patient care.

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Rethinking headache as a global public health case model for reaching the SDG 3 HEALTH by 2030

Martelletti,

Leonardi,

Ashina

et al. 2023

J Headache Pain

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The 2030 Agenda for Sustainable Development sets out, through 17 Sustainable Development Goals (SDGs), a path for the prosperity of people and the planet. SDG 3 in particular aims to ensure healthy lives and promote well-being for all at all ages and includes several targets to enhance health. This review presents a “headache-tailored” perspective on how to achieve SDG 3 by focusing on six specific actions: targeting chronic headaches; reducing the overuse of acute pain-relieving medications; promoting the education of healthcare professionals; granting access to medication in low- and middle-income countries (LMIC); implementing training and educational opportunities for healthcare professionals in low and middle income countries; building a global alliance against headache disorders. Addressing the burden of headache disorders directly impacts on populations’ health, as well as on the possibility to improve the productivity of people aged below 50, women in particular. Our analysis pointed out several elements, and included: moving forward from frequency-based parameters to define headache severity; recognizing and managing comorbid diseases and risk factors; implementing a disease management multi-modal management model that incorporates pharmacological and non-pharmacological treatments; early recognizing and managing the overuse of acute pain-relieving medications; promoting undergraduate, postgraduate, and continuing medical education of healthcare professionals with specific training on headache; and promoting a culture that favors the recognition of headaches as diseases with a neurobiological basis, where this is not yet recognized. Making headache care more sustainable is an achievable objective, which will require multi-stakeholder collaborations across all sectors of society, both health-related and not health-related. Robust investments will be needed; however, considering the high prevalence of headache disorders and the associated disability, these investments will surely improve multiple health outcomes and lift development and well-being globally.

show abstract

Headache education and management in Cameroon: a healthcare provider study

Cited by 4 publications

References 20 publications

Advocacy for patients with headache disorders

Advocacy for patients with headache disorders

The Interplay Between Neuroinfections, the Immune System and Neurological Disorders: A Focus on Africa

Rethinking headache as a global public health case model for reaching the SDG 3 HEALTH by 2030

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