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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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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.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|January 17, 2025
PubMed
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.

Keywords:
ObstaclesStroke careStroke in AfricaStroke servicesStroke specialistsStroke units in Africa

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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.