دورية أكاديمية
أعرض في EDS

Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review.

التفاصيل البيبلوغرافية
العنوان: Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review.
المؤلفون: Okpechi IG; Department of Medicine, University of Alberta, Edmonton, Canada. Ikechi.Okpechi@uct.ac.za.; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa. Ikechi.Okpechi@uct.ac.za., Chukwuonye II; Department of Internal Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria., Ekrikpo U; Division of Nephrology, University of Uyo, Akwa Ibo State, Uyo, Nigeria., Noubiap JJ; Division of Cardiology, Department of Medicine, University of California-San Francisco, San Francisco, CA, USA., Raji YR; Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria., Adeshina Y; Division of Nephrology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria., Ajayi S; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.; Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria., Barday Z; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Chetty M; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Davidson B; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Effa E; Department of Medicine, University of Calabar, Calabar, Nigeria.; Department of Internal Medicine, Edward Francis Small Teaching Hospital, Banjul, The Gambia., Fagbemi S; Department of Epidemiology, Ondo State Ministry of Health, Ondo, Nigeria., George C; Non-Communicable Disease Research Unit, South Africa Medical Research Council, Cape Town, South Africa., Kengne AP; Non-Communicable Disease Research Unit, South Africa Medical Research Council, Cape Town, South Africa., Jones ESW; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Liman H; Division of Nephrology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria., Makusidi M; Division of Nephrology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria., Muhammad H; Division of Nephrology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria., Mbah I; Dept of Medicine College of Med and Health Sciences, Bingham University, Jos, Nigeria., Ndlovu K; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Ngaruiya G; School of Nursing, Mount Kenya University, Thika, Kenya., Okwuonu C; Department of Internal Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria., Samuel-Okpechi U; Department of Internal Medicine, Federal Medical Centre, Abuja, Nigeria., Tannor EK; Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Ulasi I; Department of Medicine, University of Nigeria, Ituku Ozalla, Enugu State, Nigeria., Umar Z; Department of Epidemiology, Ondo State Ministry of Health, Ondo, Nigeria., Wearne N; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Bello AK; Department of Medicine, University of Alberta, Edmonton, Canada.
المصدر: BMC health services research [BMC Health Serv Res] 2023 May 05; Vol. 23 (1), pp. 446. Date of Electronic Publication: 2023 May 05.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Noncommunicable Diseases* , Hypertension*/epidemiology , Hypertension*/therapy, Humans ; Counseling ; Kidney ; Malawi
مستخلص: Background: Human resources for health (HRH) shortages are a major limitation to equitable access to healthcare. African countries have the most severe shortage of HRH in the world despite rising communicable and non-communicable disease (NCD) burden. Task shifting provides an opportunity to fill the gaps in HRH shortage in Africa. The aim of this scoping review is to evaluate task shifting roles, interventions and outcomes for addressing kidney and cardiovascular (CV) health problems in African populations.
Methods: We conducted this scoping review to answer the question: "what are the roles, interventions and outcomes of task shifting strategies for CV and kidney health in Africa?" Eligible studies were selected after searching MEDLINE (Ovid), Embase (Ovid), CINAHL, ISI Web of Science, and Africa journal online (AJOL). We analyzed the data descriptively.
Results: Thirty-three studies, conducted in 10 African countries (South Africa, Nigeria, Ghana, Kenya, Cameroon, Democratic Republic of Congo, Ethiopia, Malawi, Rwanda, and Uganda) were eligible for inclusion. There were few randomized controlled trials (n = 6; 18.2%), and tasks were mostly shifted for hypertension (n = 27; 81.8%) than for diabetes (n = 16; 48.5%). More tasks were shifted to nurses (n = 19; 57.6%) than pharmacists (n = 6; 18.2%) or community health workers (n = 5; 15.2%). Across all studies, the most common role played by HRH in task shifting was for treatment and adherence (n = 28; 84.9%) followed by screening and detection (n = 24; 72.7%), education and counselling (n = 24; 72.7%), and triage (n = 13; 39.4%). Improved blood pressure levels were reported in 78.6%, 66.7%, and 80.0% for hypertension-related task shifting roles to nurses, pharmacists, and CHWs, respectively. Improved glycaemic indices were reported as 66.7%, 50.0%, and 66.7% for diabetes-related task shifting roles to nurses, pharmacists, and CHWs, respectively.
Conclusion: Despite the numerus HRH challenges that are present in Africa for CV and kidney health, this study suggests that task shifting initiatives can improve process of care measures (access and efficiency) as well as identification, awareness and treatment of CV and kidney disease in the region. The impact of task shifting on long-term outcomes of kidney and CV diseases and the sustainability of NCD programs based on task shifting remains to be determined.
(© 2023. The Author(s).)
References: BMJ Glob Health. 2019 Jan 29;4(1):e001084. (PMID: 30775003)
Int J Clin Pharm. 2020 Dec;42(6):1469-1479. (PMID: 32960427)
Nephrology (Carlton). 2021 Dec;26(12):948-960. (PMID: 34288246)
BMC Public Health. 2020 Jan 13;20(1):44. (PMID: 31931762)
Diabet Med. 2014 Aug;31(8):987-93. (PMID: 24766179)
BMJ. 2019 Oct 31;367:l5873. (PMID: 31672760)
Lancet. 2018 Jul 21;392(10143):245-252. (PMID: 29866374)
PLoS Med. 2016 Nov 22;13(11):e1002178. (PMID: 27875542)
Lancet. 2015 May 16;385(9981):1975-82. (PMID: 25777665)
BMJ Glob Health. 2017 May 29;2(2):e000256. (PMID: 29081996)
Int J Pharm Pract. 2016 Oct;24(5):341-8. (PMID: 26990673)
JBI Evid Synth. 2020 Oct;18(10):2119-2126. (PMID: 33038124)
Ann Emerg Med. 2001 Nov;38(5):505-12. (PMID: 11679861)
Cochrane Database Syst Rev. 2019 Apr 15;4:CD010412. (PMID: 30982950)
Int J Environ Res Public Health. 2007 Jun;4(2):93-100. (PMID: 17617671)
Clin J Am Soc Nephrol. 2014 Sep 5;9(9):1526-35. (PMID: 25135764)
PLoS One. 2016 Jan 26;11(1):e0145634. (PMID: 26812079)
PLoS Med. 2021 Jan 14;18(1):e1003408. (PMID: 33444372)
PLoS Med. 2018 May 1;15(5):e1002561. (PMID: 29715303)
Lancet Glob Health. 2021 Feb;9(2):e170-e180. (PMID: 33242455)
J Family Med Prim Care. 2018 Jul-Aug;7(4):684-692. (PMID: 30234038)
Int J Stroke. 2019 Aug;14(6):630-638. (PMID: 30465630)
BMC Health Serv Res. 2021 Sep 29;21(1):1027. (PMID: 34587959)
Science. 2012 Sep 21;337(6101):1499-501. (PMID: 22997329)
Curationis. 2019 May 29;42(1):e1-e9. (PMID: 31170800)
Int J Integr Care. 2022 Jan 31;22(1):6. (PMID: 35136387)
Public Health Nutr. 2016 Jan;19(1):142-55. (PMID: 25872641)
J Hypertens. 2013 Jan;31(1):201-7. (PMID: 23137954)
J Res Pharm Pract. 2019 Dec 27;8(4):208-213. (PMID: 31956634)
Front Public Health. 2018 Oct 23;6:302. (PMID: 30406070)
BMJ Glob Health. 2022 Apr;7(Suppl 1):. (PMID: 35414522)
BMJ Glob Health. 2021 Jan;6(1):. (PMID: 33461978)
Lancet Glob Health. 2019 Jun;7(6):e761-e771. (PMID: 31097278)
Hum Resour Health. 2010 Mar 31;8:8. (PMID: 20356363)
Public Health Action. 2019 Dec 21;9(4):142-147. (PMID: 32042605)
Science. 2010 Dec 3;330(6009):1324-5. (PMID: 21127233)
Prim Care Diabetes. 2009 Aug;3(3):181-8. (PMID: 19748331)
Bull World Health Organ. 1998;76(6):633-40. (PMID: 10191559)
Afr J Prim Health Care Fam Med. 2018 Apr 11;10(1):e1-e8. (PMID: 29781685)
J Clin Hypertens (Greenwich). 2009 Oct;11(10):564-72. (PMID: 19817937)
Educ Prim Care. 2019 Jul;30(4):230-236. (PMID: 31154948)
Lancet Glob Health. 2017 Apr;5(4):e408-e417. (PMID: 28229924)
Kidney Int Rep. 2022 Apr 06;7(6):1341-1353. (PMID: 35685314)
PLoS One. 2021 Feb 25;16(2):e0247464. (PMID: 33630935)
Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: 30178033)
J Am Coll Cardiol. 2019 Oct 15;74(15):1897-1906. (PMID: 31487546)
Arch Public Health. 2019 May 23;77:23. (PMID: 31143446)
Kidney Int Rep. 2020 Jul 17;5(10):1805-1810. (PMID: 33102975)
BMC Health Serv Res. 2017 Dec 4;17(Suppl 2):698. (PMID: 29219082)
BMJ Glob Health. 2019 Oct 5;4(Suppl 9):e001115. (PMID: 31681482)
J Innov Health Inform. 2018 Oct 31;25(3):176-182. (PMID: 30398461)
Implement Sci. 2010 Sep 20;5:69. (PMID: 20854677)
Cardiovasc J Afr. 2020 May-Jun;31(3):213-215. (PMID: 32627803)
PLoS One. 2018 Mar 14;13(3):e0194191. (PMID: 29538415)
BMC Health Serv Res. 2018 Dec 4;18(1):934. (PMID: 30514376)
Qual Health Res. 2019 Sep;29(11):1535-1548. (PMID: 31274060)
Bull World Health Organ. 2009 Mar;87(3):225-30. (PMID: 19377719)
BMC Public Health. 2014 Jun 09;14:575. (PMID: 24912531)
Kidney Int. 2021 May;99(5):1073-1076. (PMID: 33711332)
Implement Sci. 2020 Mar 4;15(1):13. (PMID: 32131852)
Hum Resour Health. 2020 Dec 3;18(1):97. (PMID: 33272307)
BMJ Open. 2019 Apr 2;9(4):e026799. (PMID: 30944139)
Lancet Glob Health. 2015 Dec;3(12):e746-57. (PMID: 26497599)
Kidney Int Suppl (2011). 2021 May;11(2):e11-e23. (PMID: 33981467)
Lancet Glob Health. 2019 Oct;7(10):e1375-e1387. (PMID: 31537368)
Lancet Glob Health. 2021 Nov;9(11):e1528-e1538. (PMID: 34678197)
BMC Health Serv Res. 2010 Dec 14;10:339. (PMID: 21144064)
J Ren Care. 2016 Dec;42(4):196-204. (PMID: 27593393)
Ethn Dis. 2009 Spring;19(1 Suppl 1):S1-60-4. (PMID: 19484878)
QJM. 2011 Jul;104(7):571-4. (PMID: 21278061)
Afr J Prim Health Care Fam Med. 2020 Feb 20;12(1):e1-e9. (PMID: 32129650)
Diabet Med. 2008 May;25(5):606-11. (PMID: 18445175)
Glob Heart. 2020 Dec 01;15(1):77. (PMID: 33299773)
فهرسة مساهمة: Keywords: Africa; Cardiovascular disease; Chronic kidney disease; Diabetes; Health workforce; Hypertension; Task shifting
تواريخ الأحداث: Date Created: 20230505 Date Completed: 20230508 Latest Revision: 20230508
رمز التحديث: 20230508
مُعرف محوري في PubMed: PMC10163711
DOI: 10.1186/s12913-023-09416-5
PMID: 37147670
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-023-09416-5