Health systems strengthening, dissemination, and implementation science in Africa: quo vadis?

Takoutsing, Berjo Dongmo; Ikwuegbuenyi, Chibuikem A.; Umutoni, Alice; Ogunfolaji, Oloruntoba; Bankole, Nourou Dine Adeniran; Mpokota, Racheal; Adegboyega, Gideon; Kanmounye, Ulrick Sidney; Dokponou, Yao Christian Hugues

doi:10.11604/pamj.2021.40.51.30399

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Workforce, service delivery, health information systems, access to essential medicines, health financing, and leadership and governance should be reinforced. These initiatives should be localized ( 3 , 5 , 38 – 41 ). Table 1 shows the strategies that can be used to strengthen the health systems in SSA.…”

Section: Recommendations On How Ssa Can Be Better Prepared For Future...mentioning

confidence: 99%

Emerging infectious disease outbreaks in Sub-Saharan Africa: Learning from the past and present to be better prepared for future outbreaks

Moyo

Mhango

Moyo

et al. 2023

Front. Public Health

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Section: Recommendations On How Ssa Can Be Better Prepared For Future...mentioning

confidence: 99%

Emerging infectious disease outbreaks in Sub-Saharan Africa: Learning from the past and present to be better prepared for future outbreaks

Moyo

Mhango

Moyo

et al. 2023

Front. Public Health

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Is mechanism of injury associated with outcome in spinal trauma? An observational cohort study from Tanzania

Ikwuegbuenyi,

Woodfield,

Waterkeyn

et al. 2024

PLoS ONE

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Background Traumatic spinal injury (TSI) is a disease of significant global health burden, particularly in low and middle-income countries where road traffic-related trauma is increasing. This study compared the demographics, injury patterns, and outcomes of TSI caused by road traffic accidents (RTAs) to non-traffic related TSI. Methods A retrospective analysis was conducted using a neurotrauma registry from the Muhimbili Orthopaedic Institute (MOI) in Tanzania, a national referral center for spinal injuries. Patient sociodemographic characteristics, injury level, and severity were compared across mechanisms of injury. Neurological improvement, neurological deterioration, and mortality were compared between those sustaining TSI through an RTA versus non-RTA, using univariable and multivariable analyses. Results A total of 626 patients were included, of which 302 (48%) were RTA-related. The median age was 34 years, and 532 (85%) were male. RTAs had a lower male preponderance compared to non-RTA causes (238/302, 79% vs. 294/324, 91%, p<0.001) and a higher proportion of cervical injuries (144/302, 48% vs. 122/324, 38%, p<0.001). No significant differences between RTA and non-RTA mechanisms were found in injury severity, time to admission, length of hospital stay, surgical intervention, neurological outcomes, or in-hospital mortality. Improved neurological outcomes were associated with incomplete injuries (AIS B-D), while higher mortality rates were linked to cervical injuries and complete (AIS A) injuries. Conclusion Our study in urban Tanzania finds no significant differences in outcomes between spinal injuries from road traffic accidents (RTAs) and non-RTA causes, suggesting the need for equitable resource allocation in spine trauma programs. Highlighting the critical link between cervical injuries and increased mortality, our findings call for targeted interventions across all causes of traumatic spinal injuries (TSI). We advocate for a comprehensive trauma care system that merges efficient pre-hospital care, specialized treatment, and prevention measures, aiming to enhance outcomes and ensure equity in trauma care in low- and middle-income countries.

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Health systems strengthening, dissemination, and implementation science in Africa: quo vadis?

Cited by 2 publications

References 3 publications

Emerging infectious disease outbreaks in Sub-Saharan Africa: Learning from the past and present to be better prepared for future outbreaks

Emerging infectious disease outbreaks in Sub-Saharan Africa: Learning from the past and present to be better prepared for future outbreaks

Is mechanism of injury associated with outcome in spinal trauma? An observational cohort study from Tanzania

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