Publications Scientifiques

[ Article ] Management of stroke in sub-Saharan Africa: current issues

Date de soumission: 19-02-2017
Année de Publication: 2010
Entité/Laboratoire Autres laboratoires
Document type : Article
Discipline(s) : Santé Publiques, Services médicaux & soins de santé
Titre Management of stroke in sub-Saharan Africa: current issues
Auteurs Adoukonou Thierry [1], VALLAT JM [2], Joubert J. [3], Macian F. [4], Kabore R. AKPA [5], MAGY Luce-Perrine [6], Houinato Dismand [7], Preux Pierre-Marie [8],
Journal: Revue Neurologique
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 166
DOI: 10.1016/j.neurol.2010.06.004
Resume In sub-Saharan Africa, stroke is likely to present an increasingly important public health problem with a larger relative share of overall morbidity and mortality. Overall, sub-Saharan Health Care is characterized by a lack of human resources, lack of facilities for special investigations, and especially an absence of specific programs addressing the prevention of cardiovascular conditions. Current data on the epidemiology of stroke in sub-Saharan Africa, although sparse and fragmentary, indicate a comparatively high incidence of cerebral hemorrhage associated with high blood pressure, while ischemic stroke in black Africans still appears to be related primarily to small artery disease, HIV infection, and sickle cell disease. With urbanization, the role of large-vessel atherosclerosis is increasing. It is thus essential to coordinate government funding, health care professionals and development agencies to address this rising health problem. Access to health care needs to be better structured, and screening programs should be developed in order to identify and treat vascular risk factors. Improved training of health care professionals is also required in the areas of prevention, diagnosis and management of stroke. Implementation of best-practice recommendations for the management of stroke adapted to the specificities and resources of African countries would help rationalize the scarce resources currently available.
Mots clés Management, stroke, sub-Saharan Africa
Pages 882 - 893
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