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Revisiting Africa's Stroke Obstacles and Services (SOS)
Tamer Roushdy1, Ahmed Elbassiouny1, Selma Kesraoui2
1Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Summary
Stroke care in Africa shows improvement, yet significant obstacles persist in areas like telestroke services and post-discharge support. Addressing these challenges is crucial for better stroke patient outcomes across the continent.
Area of Science:
- Neurology
- Public Health
- Global Health
Background:
- Stroke is a leading non-communicable disease in Africa, necessitating intensified efforts to manage its growing burden.
- Effective stroke management strategies are critical to address the challenges faced in African healthcare systems.
Purpose of the Study:
- To re-evaluate the status of stroke services and identify persistent obstacles in 17 African countries.
- To compare current stroke care infrastructure and practices with previous findings from 2021/22.
Main Methods:
- A follow-up survey was administered to stroke specialists and national stroke societies across 17 African nations.
- The survey assessed manpower, acute stroke services, rehabilitation, stroke units, telestroke, awareness campaigns, and registries.
Main Results:
- Improvements were observed in several aspects of stroke care services.
- Significant obstacles remain in implementing telestroke, acute management, secondary prevention, and post-discharge services.
- Challenges are multifaceted, encompassing governmental, medical, and societal factors.
Conclusions:
- Stroke services in Africa demonstrate progress in some areas, remain stable in others, and have regressed in a few since 2021/22.
- Collaborative management of obstacles identified by specialists is essential for enhancing stroke victim care.
- Addressing these barriers collectively and individually by country will improve stroke services and patient well-being in Africa.
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