scholarly journals Rehabilitation and Reintegration Programming Following Female Genital Fistula Surgery: A Scoping Review

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Alison M El Ayadi
Keyword(s):  
Scoping Review ◽  
Data Extraction ◽  
Grey Literature ◽  
Sub Saharan Africa ◽  
Social Reintegration ◽  
Fistula Surgery ◽  
Medical Librarian ◽  
Sub Saharan ◽  
Genital Fistula ◽  
Full Text Screening

Aims: To examine the range of rehabilitation and reintegration services provided as adjunct to genital fistula surgery, map the existing programming and outcomes, and identify areas where additional research is necessary. Methods: Our scoping review is informed by existing methodological frameworks and conducted in accordance with PRISMA guidelines.The search strategy was designed in collaboration with a medical librarian and is applied to nine biomedical, public health, and social science databases. Grey literature is identified through targeted searches and relevant organizational websites. Two primary reviewers independently screened titles and abstracts of all articles, followed by full-text screening and standardized data extraction. Eligible articles will discuss research or programmatic efforts around service provision in adjunct to surgery. Results: The literature review is currently underway and preliminary results including summary tables and narrative will be available to share at the ISOFS conference. Conclusions: The results of this scoping review will help in understanding and describing what is known and unknown about rehabilitation and social reintegration of women following genital fistula surgery in sub-Saharan Africa and may be useful in developing and evaluating social reintegration projects.

scholarly journals Rehabilitation and reintegration programming adjunct to female genital fistula surgery: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027991 ◽  
Author(s):  
Alison M El Ayadi ◽  
Caitlyn E Painter ◽  
Alexandre Delamou ◽  
Jill Barr-Walker ◽  
Susan Obore ◽  
...  
Keyword(s):  
Scoping Review ◽  
Search Strategy ◽  
Data Extraction ◽  
Grey Literature ◽  
Traumatic Injury ◽  
Research Priorities ◽  
Sub Saharan Africa ◽  
Fistula Surgery ◽  
Genital Fistula ◽  
Female Genital

IntroductionFemale genital fistula is a debilitating traumatic injury, largely birth-associated, globally affecting up to 2 million women, mostly in sub-Saharan Africa. Fistula has significant physical, psychological and economic consequences. Women often face challenges in reintegrating and resuming prior roles despite successful surgery. Synthesising the evidence on services adjunct to fistula surgery and their outcomes is important for developing the evidence base for best practices and identifying research priorities. This scoping review seeks to examine the range of rehabilitation and reintegration services provided as adjunct to genital fistula surgery, map the existing programming and outcomes, and identify areas for additional research.Methods and analysisOur scoping review is informed by existing methodological frameworks and will be conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses-ScR guidelines. The search strategy will be applied to nine biomedical, public health and social science databases. The initial search was completed on 27 September 2018. Grey literature will be identified through targeted Google searches and from organisational websites identified as relevant by the United Nations Population Fund (UNFPA) Campaign to End Fistula. We will iteratively build our search strategy through term harvesting and review, and search reference lists of reports and articles to identify additional studies. Two reviewers will independently screen titles and abstracts, followed by full-text screening of all potentially relevant articles and standardised data extraction. Articles eligible for inclusion will discuss research or programmatic efforts around service provision in adjunct to surgery among females with genital fistula. Data will be presented in summary tables accompanied by narrative description.Ethics and disseminationEthics approval is not required for a scoping review. Our results can be used to inform policy, serve as support for funding and development of reintegration programmes and highlight areas for subsequent research. Results will be disseminated at relevant conferences and published in a peer-reviewed journal.

scholarly journals Financing of surgery and anaesthesia in sub-Saharan Africa: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051617
Author(s):  
Martilord Ifeanyichi ◽  
Ellis Aune ◽  
Mark Shrime ◽  
Jakub Gajewski ◽  
Chiara Pittalis ◽  
...  
Keyword(s):  
Scoping Review ◽  
Current Knowledge ◽  
Data Extraction ◽  
Grey Literature ◽  
National Level ◽  
Sub Saharan Africa ◽  
Health Priorities ◽  
Situational Analysis ◽  
Sub Saharan ◽  
Anaesthesia Care

ObjectiveThis study aimed to provide an overview of current knowledge and situational analysis of financing of surgery and anaesthesia across sub-Saharan Africa (SSA).SettingSurgical and anaesthesia services across all levels of care—primary, secondary and tertiary.DesignWe performed a scoping review of scientific databases (PubMed, EMBASE, Global Health and African Index Medicus), grey literature and websites of development organisations. Screening and data extraction were conducted by two independent reviewers and abstracted data were summarised using thematic narrative synthesis per the financing domains: mobilisation, pooling and purchasing.ResultsThe search resulted in 5533 unique articles among which 149 met the inclusion criteria: 132 were related to mobilisation, 17 to pooling and 5 to purchasing. Neglect of surgery in national health priorities is widespread in SSA, and no report was found on national level surgical expenditures or budgetary allocations. Financial protection mechanisms are weak or non-existent; poor patients often forego care or face financial catastrophes in seeking care, even in the context of universal public financing (free care) initiatives.ConclusionFinancing of surgical and anaesthesia care in SSA is as poor as it is underinvestigated, calling for increased national prioritisation and tracking of surgical funding. Improving availability, accessibility and affordability of surgical and anaesthesia care require comprehensive and inclusive policy formulations.

scholarly journals Intersectional stigma and its impact on HIV prevention and care among MSM and WSW in sub-Saharan African countries: a protocol for a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e047280
Author(s):  
Gamji M’Rabiu Abubakari ◽  
Debbie Dada ◽  
Jemal Nur ◽  
DeAnne Turner ◽  
Amma Otchere ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Data Extraction ◽  
Grey Literature ◽  
Secondary Data ◽  
Well Being ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Scoping Reviews ◽  
Sub Saharan ◽  
Meta Analyses

IntroductionResearch has established that various forms of stigma (HIV stigma, gender non-conforming stigma and same-gender sex stigma) exist across Sub-Saharan Africa and have consequences for the utilisation of HIV prevention and care services. Stigmas are typically investigated in HIV literature individually or through investigating individual populations and the various stigmas they may face. The concept of intersectionality highlights the interconnected nature of social categorisations and their ability to create interdependent systems of discrimination based on gender, race, sexuality and so on. Drawing from perspectives on intersectionality, intersectional stigma denotes the convergence of multiple marginalised identities within an individual or a group, the experiences of stigma associated with these identities as well as the synergistic impact of these experiences on health and well-being. With respect to HIV, public health scholars can examine the impacts of intersectional stigmas on HIV prevention and care utilisation.Methods and analysisReviewers will search systematically through MEDLINE, Global Health, Embase, Scopus, Web of Science Core Collection and Africa Index Medicus and citations for quantitative studies, qualitative studies and grey literature that include data on stigma and HIV among men who have sex with men and women who have sex with women in Sub-Saharan Africa. Eligible studies will include primary or secondary data on stigma related to HIV risk factors experienced by this population. Studies will be written in French or English and be published between January 1991 and November 2020. All screening and data extraction will be performed in duplicate, and if discrepancies arise, they will be settled by GM’RA, LEN, DD or AO. Findings from this study will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews.Ethics and disseminationEthics approval is not required as there will be no human participants and no protected data will be used in this study. We will disseminate findings through peer-reviewed manuscripts, conferences and webinars.

scholarly journals Knowledge, attitude, perception, and preventative practices towards COVID-19 in sub-Saharan Africa: A scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249853
Author(s):  
Ugochinyere Ijeoma Nwagbara ◽  
Emmanuella Chinonso Osual ◽  
Rumbidzai Chireshe ◽  
Obasanjo Afolabi Bolarinwa ◽  
Balsam Qubais Saeed ◽  
...  
Keyword(s):  
Scoping Review ◽  
Positive Attitude ◽  
Grey Literature ◽  
Further Education ◽  
Sub Saharan Africa ◽  
World Health ◽  
African Countries ◽  
Preventive Practices ◽  
Adequate Knowledge ◽  
Sub Saharan

Background Knowledge, attitudes, perception, and preventative practices regarding coronavirus- 2019 (COVID-19) are crucial in its prevention and control. Several studies have noted that the majority of people in sub-Saharan African are noncompliant with proposed health and safety measures recommended by the World Health Organization (WHO) and respective country health departments. In most sub-Saharan African countries, noncompliance is attributable to ignorance and misinformation, thereby raising questions about people’s knowledge, attitudes, perception, and practices towards COVID-19 in these settings. This situation is particularly of concern for governments and public health experts. Thus, this scoping review is aimed at mapping evidence on the knowledge, attitudes, perceptions, and preventive practices (KAP) towards COVID-19 in sub-Saharan Africa (SSA). Methods Systematic searches of relevant articles were performed using databases such as the EBSCOhost, PubMed, Science Direct, Google Scholar, the WHO library and grey literature. Arksey and O’Malley’s framework guided the study. The risk of bias for included primary studies was assessed using the Mixed Method Appraisal Tool (MMAT). NVIVO version 10 was used to analyse the data and a thematic content analysis was used to present the review’s narrative account. Results A total of 3037 eligible studies were identified after the database search. Only 28 studies met the inclusion criteria after full article screening and were included for data extraction. Studies included populations from the following SSA countries: Ethiopia, Nigeria, Cameroon, Uganda, Rwanda, Ghana, Democratic Republic of Congo, Sudan, and Sierra Leone. All the included studies showed evidence of knowledge related to COVID-19. Eleven studies showed that participants had a positive attitude towards COVID-19, and fifteen studies showed that participants had good practices towards COVID-19. Conclusions Most of the participants had adequate knowledge related to COVID-19. Despite adequate knowledge, the attitude was not always positive, thereby necessitating further education to convey the importance of forming a positive attitude and continuous preventive practice towards reducing contraction and transmission of COVID‐19.

scholarly journals Public health-relevant consequences of the COVID-19 pandemic on malaria in sub-Saharan Africa: a scoping review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna-Katharina Heuschen ◽  
Guangyu Lu ◽  
Oliver Razum ◽  
Alhassan Abdul-Mumin ◽  
Osman Sankoh ◽  
...  
Keyword(s):  
Public Health ◽  
Scoping Review ◽  
Access To Health Care ◽  
Grey Literature ◽  
Malaria Prevention ◽  
Sub Saharan Africa ◽  
Clinical Aspects ◽  
Eligibility Criteria ◽  
Malaria Burden ◽  
Sub Saharan

Abstract Background The COVID-19 pandemic has resulted in unprecedented challenges to health systems worldwide, including the control of non-COVID-19 diseases. Malaria cases and deaths may increase due to the direct and indirect effects of the pandemic in malaria-endemic countries, particularly in sub-Saharan Africa (SSA). This scoping review aims to summarize information on public health-relevant effects of the COVID-19 pandemic on the malaria situation in SSA. Methods Review of publications and manuscripts on preprint servers, in peer-reviewed journals and in grey literature documents from 1 December, 2019 to 9 June, 2021. A structured search was conducted on different databases using predefined eligibility criteria for the selection of articles. Results A total of 51 papers have been included in the analysis. Modelling papers have predicted a significant increase in malaria cases and malaria deaths in SSA due to the effects of the COVID-19 pandemic. Many papers provided potential explanations for expected COVID-19 effects on the malaria burden; these ranged from relevant diagnostical and clinical aspects to reduced access to health care services, impaired availability of curative and preventive commodities and medications, and effects on malaria prevention campaigns. Compared to previous years, fewer country reports provided data on the actual number of malaria cases and deaths in 2020, with mixed results. While highly endemic countries reported evidence of decreased malaria cases in health facilities, low endemic countries reported overall higher numbers of malaria cases and deaths in 2020. Conclusions The findings from this review provide evidence for a significant but diverse impact of the COVID-19 pandemic on malaria in SSA. There is the need to further investigate the public health consequences of the COVID-19 pandemic on the malaria burden. Protocol registered on Open Science Framework: https://doi.org/10.17605/OSF.IO/STQ9D

scholarly journals Mapping evidence on the burden and distribution of childhood obesity in sub-Saharan Africa: a scoping review protocol

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Frederick I. Danquah ◽  
Matilda Yeboah ◽  
Vitalis Bawontuo ◽  
Desmond Kuupiel
Keyword(s):  
Childhood Obesity ◽  
Scoping Review ◽  
Data Extraction ◽  
Meta Analysis ◽  
Research Direction ◽  
Sub Saharan Africa ◽  
Future Research ◽  
Adverse Health Outcomes ◽  
Unpublished Studies ◽  
Sub Saharan

Abstract Background Obesity in childhood is associated with adverse health outcomes and complications throughout the life-span of a child. Available evidence suggests a dramatic increase in childhood obesity in sub-Saharan Africa (SSA) over the past two decades. The health risks associated with obesity/overweight are particularly problematic in children due to the potential for long-term health concerns. The researchers propose to conduct a systematic scoping review to map evidence on the burden and distribution of childhood obesity in SSA. Methods The study will be guided by the scoping review framework proposed by Arksey and O’Malley. A comprehensive literature search will be performed in the following electronic databases: PubMed, Web of Science, African Index Medicus, and CINAHL with full text via EBSCOhost platform. Primary studies both published in peer-reviewed journals and gray literature such as unpublished studies, thesis, and studies in press addressing the research topic will be included. One reviewer will conduct title screening, and the results will be exported to Mendeley Desktop library. Two independent reviewers will perform both abstract and full article screening in parallel as well as data extraction from eligible studies. The Preferred Reporting Items for Systematic Reviews and Meta-analysis: Extension for Scoping Review (PRISMA-ScR) will be utilized to present the study findings of the proposed scoping review. NVivo version 11.0 will be used to extract the relevant outcomes from the included studies, a content thematic analysis performed, and the results reported using a narrative approach. The Mixed Method Quality Appraisal Tool Version 2018 will be used to assess the methodological quality of all included studies. Discussion We anticipate that the proposed study will contribute to the existing body of knowledge on childhood obesity, identify gaps in knowledge on the topic, inform future research direction, and provide evidence-based information to strengthen health systems and policies on childhood obesity towards achieving the WHO global target of halting the rise in obesity by 2025.

scholarly journals Mapping Evidence of the Power Relations Between Domestic Workers and Their Employers in Sub-Saharan Africa: a Scoping Review Protocol

2021 ◽  
Author(s):  
Thobeka Ntini ◽  
Delarise Mulqueeny ◽  
Vishanthie Sewpaul
Keyword(s):  
Scoping Review ◽  
Search Engines ◽  
Power Relations ◽  
Grey Literature ◽  
Domestic Work ◽  
Domestic Workers ◽  
Sub Saharan Africa ◽  
Future Research ◽  
International Labour Organization ◽  
Sub Saharan

Abstract Background Across various intersectional lines, including race, class and gender, domestic work is profoundly exploitative than other comparable occupations. The private household, within which domestic workers (DWs) work and function, provides for a space of complex and nuanced dynamics of power. According to the International Labour Organization there are more than 65 million DWs in the world, and Africa is the third largest employer of DWs, with more than 5.2 million DWs reported. The inception of the Domestic Workers Convention (No. 189) (C189) in 2011 sought to protect DWs from all forms of exploitation and discrimination in the workplace, the convention brought global attention to the violation of their human rights and inequalities within the domestic work sector. Although there are more than 5.2 million DWs in Africa, 39/46 countries in sub-Saharan Africa (SSA) have not ratified this convention. Due to the extremely low ratification of the C189 and scanty evidence on the power relations between DWs and their employers in SSA, this scoping review is relevant to detect the extent and characteristics of domestic work in SSA since the introduction of C189 in September 2011. Methods The literature that will be included in this scoping review are published peer-reviewed articles, grey literature from relevant departmental websites, humanitarian organisations and theses. Electronic searches of databases and search engines such as Google, Google Scholar, EBSCOhost, EBSCO Discovery Service, Scopus, World Bank and International Labour Organization (ILO) for literature published between September 2011-2021. Other search engines will include screening citations and references of appearing literature within the stipulated time period. All retrieved literature will be exported to an Endnote X9 library. Duplicate documents will be deleted prior to commencement of title screening. An adapted Mixed Method Appraisal Tool (MMAT), developed in a Google form, will be used by two reviewers to quality assess and describe all included studies (qualitative, mixed methods and quantitative). Discussion We anticipate mapping relevant literature on the power relations between domestic workers and their employers in sub-Saharan Africa. Once analysis and summary is finalised, the data will be useful to guide future research.

scholarly journals Public health relevant consequences of the COVID-19 pandemic on malaria in sub-Saharan Africa: A scoping review

2021 ◽  
Author(s):  
Anna-Katharina Heuschen ◽  
Guangyu Lu ◽  
Oliver Razum ◽  
Alhassan Abdul-Mumin ◽  
Osman Sankoh ◽  
...  
Keyword(s):  
Public Health ◽  
Scoping Review ◽  
Access To Health Care ◽  
Grey Literature ◽  
Malaria Prevention ◽  
Sub Saharan Africa ◽  
Clinical Aspects ◽  
Eligibility Criteria ◽  
Malaria Burden ◽  
Sub Saharan

Background: The COVID-19 pandemic has resulted in unprecedented challenges to health systems worldwide, including the control of non-COVID-19 diseases. Malaria cases and deaths may increase due to the direct and indirect effects of the pandemic in malaria endemic countries, particularly in sub-Saharan Africa (SSA). Objectives: This scoping review aims to summarize information on public health relevant effects of the COVID-19 pandemic on the malaria situation in SSA. Methods: Review of publications and manuscripts on preprint servers, in peer-reviewed journals and in grey literature documents from December 1, 2019, to June 9, 2021. A structured search was conducted on different databases using predefined eligibility criteria for the selection of articles. Results: A total of 51 papers have been included in the analysis. Modeling papers have predicted a significant increase in malaria cases and malaria deaths in SSA due to the effects of the COVID-19 pandemic. Many papers provided potential explanations for expected COVID-19 effects on the malaria burden; these ranged from relevant diagnostic and clinical aspects, to reduced access to health care services, impaired availability of curative and preventive commodities and medications, and effects on malaria prevention campaigns. Compared to previous years, fewer country reports provided data on the actual number of malaria cases and deaths in 2020, with mixed results. While highly endemic countries reported evidence of decreased malaria cases in health facilities, low endemic countries reported an overall higher numbers of malaria cases and deaths in 2020. Conclusions: The findings from this review provide evidence for a significant but diverse impact of the COVID-19 pandemic on malaria in SSA. There is the need to further investigate the public health consequences of the Covid-19 pandemic on the malaria burden.

scholarly journals Unintended Pregnancies Among HIV Positive Women In Sub Saharan Africa: A Scoping Review Protocol

2021 ◽  
Author(s):  
Oguntade Racheal Tomilola ◽  
Ojewole Elizabeth Bolanle ◽  
Ogunrombi Modupe Olufunmi
Keyword(s):  
Scoping Review ◽  
Grey Literature ◽  
Well Being ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cochrane Library ◽  
Hiv Positive ◽  
Unintended Pregnancies ◽  
Hiv Positive Women ◽  
Sub Saharan

Abstract Background: Unintended pregnancies pose a severe threat to the well-being of HIV-positive women and their unborn children. Factors contributing to the high incidence of unintended pregnancies include contraceptive failure, low uptake of contraceptives, and misuse of contraceptives. Despite various contraceptive options, an increased incidence of unintended pregnancies is rampant among HIV-positive women in the region of sub-Saharan Africa. This study seeks to present evidence of unintended pregnancies among women living with HIV in sub-Saharan Africa, including those using contraceptives.Method: This study entails a scoping review to survey and interrogate the literature to provide evidence for the incidence of unintended pregnancies among HIV-positive women in sub-Saharan Africa. A proposed framework by Arksey and O'Malley will guide this scoping review. Peer-reviewed articles which address the research questions will constitute the main search. Electronic databases such as EBSCOhost, Cochrane Library, World of Science, World Health Organization (WHO) library databases, Science Direct, Google Scholar PubMed, and grey literature search will be involved. References list from studies included will also be searched. The investigation of articles will be done employing keywords from the studies included. The inclusion and exclusion criteria will guide two separate reviewers with the screening of abstracts and full papers. To summarize the findings from this review, thematic content analysis will be done using NVivo version 11.Discussion: We expect that this review will add to the current body of knowledge on the incidence of unintended pregnancies among HIV-positive women, identify gaps for further future research, and show evidence that may contribute to strengthening the health system's regulations, guidelines, and policies that may help prevent unintended pregnancies among HIV positive women. Registration DOI: 10.17605/OSF.IO/EY3R5

scholarly journals Knowledge, Attitude, Perception and Preventive Practice Towards Novel Coronavirus 2019 in Sub-Saharan Africa: A Scoping Review Protocol

2020 ◽  
Author(s):  
Ugochinyere Ijeoma Nwagbara ◽  
Emmanuella Chinonso Osuala ◽  
Rumbidzai Chireshe ◽  
Obasanjo Afolabi Bolarinwa
Keyword(s):  
Scoping Review ◽  
Keyword Search ◽  
Grey Literature ◽  
Relevant Literature ◽  
Sub Saharan Africa ◽  
World Health ◽  
Future Research ◽  
Review Protocol ◽  
Sub Saharan ◽  
Novel Coronavirus

Abstract Background: Recent statistics and studies have shown the adverse effects of the novel coronavirus 2019 (COVID-19) on population health and how knowledge, attitude, perception and practice (KAP) towards the virus can be the main key to limiting its spread in the absence of a vaccine. Thus, this study aims at mapping evidence on the KAP towards COVID-19 in sub-Saharan Africa (SSA) using scoping review.Methods: The study will employ a systematic scoping review to identify, describe, and map literature on the KAP towards COVID-19 in SSA. The primary search will include peer-reviewed and grey literature. The search will be performed using the EBSCOhost platform and a keyword search from the following electronic databases will be conducted: PubMed/MEDLINE, Google Scholar, Science Direct, World Health Organization (WHO) library, and grey literature. The study selection will be guided by the inclusion and exclusion criteria. A data charting table will be used to extract information from the included studies. Data will be analysed using NVIVO version 10 and a thematic content analysis will be used to present narrative account of the review.Discussion: We anticipate finding relevant literature on the KAP towards COVID-19 in SSA. The results of this study will help reveal research gaps in KAP towards COVID-19 and this will guide future research and highlight the new concepts discovered. Systematic review protocol registration: Open Science Framework https://osf.io/sdm46/.

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