Abstract:
:Sub-Saharan African (SSA) countries face a growing burden of cardiovascular disease (CVD), attributed to economic, nutritional, demographic, and epidemiological transitions. These factors increase the prevalence of CVD risk factors, and the CVD burden overlaps with a high prevalence of infectious diseases. This review aimed to understand CVD healthcare utilization determinants and levels in SSA. We conducted a systematic search of the literature on major databases for the period 2008⁻2018 using exhaustive combinations of CVD and utilization indicators as search terms. Eighteen studies from eight countries were included in this review. Most studies (88.8%) followed the quantitative methodology and largely focused on inpatient stroke care. Two-thirds of patients sought care within 24 h of suffering a stroke, and the length of stay (LOS) in hospital ranged between 6 and 81 days. Results showed a rising trend of CVD admissions within total hospital admissions. Coverage of physiotherapy services was limited and varied between countries. While few studies included rural populations, utilization was found to be negatively associated with rural residence and socioeconomic status. There is a need to extend healthcare provision in SSA to ensure access to the CVD continuum of care.
journal_name
Int J Environ Res Public Healthauthors
Chikafu H,Chimbari MJdoi
10.3390/ijerph16030419subject
Has Abstractpub_date
2019-02-01 00:00:00issue
3eissn
1661-7827issn
1660-4601pii
ijerph16030419journal_volume
16pub_type
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journal_title:International journal of environmental research and public health
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pub_type: 杂志文章,meta分析
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更新日期:2020-02-24 00:00:00
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更新日期:2020-08-26 00:00:00
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更新日期:2012-05-01 00:00:00
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