دورية أكاديمية
Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review.
| العنوان: | Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review. |
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| المؤلفون: | Lukama L; College of Health Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.; Department of Otorhinolaryngology, Head and Neck Surgery, Ndola Teaching Hospital, Ndola, Zambia., Aldous C; College of Health Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa., Kuhn W; College of Health Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa., Michelo C; Global Health Institute, Nkwazi Research University, Lusaka, Zambia., Kalinda C; Bill and Joyce Cummings Institute of Global Health, University of Global Health Equity, Kigali, Rwanda.; Howard College Campus, College of Health Sciences, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa. |
| المصدر: | Global health action [Glob Health Action] 2024 Dec 31; Vol. 17 (1), pp. 2370102. Date of Electronic Publication: 2024 Jun 27. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101496665 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1654-9880 (Electronic) Linking ISSN: 16549880 NLM ISO Abbreviation: Glob Health Action Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2016- > : Philadelphia, PA : Taylor & Francis Original Publication: Häggeby : Co-Action Publishing |
| مواضيع طبية MeSH: | Otorhinolaryngologic Diseases*/therapy, Humans ; Africa, Southern ; Otolaryngology/organization & administration ; Delivery of Health Care/organization & administration ; Health Services Accessibility/organization & administration |
| مستخلص: | Background: While ear, nose, and throat (ENT) diseases are a substantial threat to global health, comprehensive reviews of ENT services in Southern Africa remain scarce. Objective: This scoping review provides a decade-long overview of ENT services in Southern Africa and identifies gaps in healthcare provision. From the current literature, we hope to provide evidence-based recommendations to mitigate the challenges faced by the resource-limited ENT service. Data Sources: PubMed, Web of Science, EBSCOhost, Cochrane Library, Cochrane Library, and Scopus. Review Methods: On several databases, we conducted a comprehensive literature search on both quantitative and qualitative studies on ENT services in Southern Africa, published between 1 January 2014 and 27 February 2024. The extracted data from the analyzed studies was summarized into themes. Results: Four themes in the fourteen studies included in the final analysis described the existing ENT services in Southern Africa: 1. Workforce scarcity and knowledge inadequacies, 2. Deficiencies in ENT infrastructure, equipment, and medication, 3. Inadequate ENT disease screening, management, and rehabilitation and 4. A lack of telehealth technology. Conclusion: The Southern African ENT health service faces many disease screening, treatment, and rehabilitation challenges, including critical shortages of workforce, equipment, and medication. These challenges, impeding patient access to ENT healthcare, could be effectively addressed by implementing deliberate policies to train a larger workforce, increase ENT funding for equipment and medication, promote telehealth, and reduce the patient cost of care. |
| References: | PLoS One. 2023 Feb 9;18(2):e0281686. (PMID: 36758061) Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1724-1732. (PMID: 38566698) BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) Folia Phoniatr Logop. 2023;75(4):201-207. (PMID: 37062271) J Glob Health. 2017 Jun;7(1):010302. (PMID: 28567275) Health Serv Insights. 2022 Nov 10;15:11786329221135424. (PMID: 36386271) Curr Opin Otolaryngol Head Neck Surg. 2022 Jun 1;30(3):201-206. (PMID: 35635116) Arch Pathol Lab Med. 2022 Aug 1;146(8):1018-1023. (PMID: 34871360) Glob Health Action. 2017;10(1):1289736. (PMID: 28485648) Trop Doct. 2014 Jul;44(3):135-9. (PMID: 24569097) Ann Afr Med. 2020 Jan-Mar;19(1):20-25. (PMID: 32174611) Biomed Res Int. 2020 Mar 20;2020:1980123. (PMID: 32280679) JAMA Otolaryngol Head Neck Surg. 2023 Oct 1;149(10):904-911. (PMID: 37651133) Int J Pediatr Otorhinolaryngol. 2023 Feb;165:111448. (PMID: 36682223) Hum Resour Health. 2020 Jul 1;18(1):47. (PMID: 32611357) Glob Health Action. 2022 Dec 31;15(1):2067395. (PMID: 35730572) Otolaryngol Clin North Am. 2018 Jun;51(3):607-617. (PMID: 29525391) OTO Open. 2018 May 22;2(2):2473974X18777220. (PMID: 30480217) J Telemed Telecare. 2023 Jun;29(5):331-348. (PMID: 33535916) Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5188-5193. (PMID: 36742562) PLoS One. 2017 Dec 19;12(12):e0188703. (PMID: 29261683) Cureus. 2023 Aug 18;15(8):e43729. (PMID: 37727177) Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Sep;135(5S):S79-S83. (PMID: 30143398) BMC Health Serv Res. 2018 Jul 16;18(1):553. (PMID: 30012128) J Laryngol Otol. 2020 Oct 05;:1-5. (PMID: 33016257) Health Policy Plan. 2023 Jun 16;38(6):719-725. (PMID: 37130061) Head Neck. 2016 Aug;38(8):1242-7. (PMID: 27028850) BMC Health Serv Res. 2019 Jul 2;19(1):443. (PMID: 31266482) Head Neck. 2019 Jun;41(6):1824-1829. (PMID: 30652381) Afr J Disabil. 2016 Sep 09;5(1):227. (PMID: 28730052) Pan Afr Med J. 2021 Feb 22;38:198. (PMID: 33995804) J Community Health. 2019 Aug;44(4):668-674. (PMID: 30949965) PLoS One. 2015 Jan 13;10(1):e0116897. (PMID: 25584960) Am J Rhinol Allergy. 2020 Nov;34(6):742-750. (PMID: 32437223) Lancet. 2021 Mar 13;397(10278):996-1009. (PMID: 33714390) Health Econ Rev. 2020 May 27;10(1):14. (PMID: 32462272) BMJ Open. 2018 Apr 28;8(4):e021467. (PMID: 29705769) Afr Health Sci. 2021 Dec;21(4):1887-1897. (PMID: 35283961) J Telemed Telecare. 2023 Mar 14;:1357633X231158839. (PMID: 36916156) Int J Pediatr Otorhinolaryngol. 2021 Feb;141:110587. (PMID: 33360694) Int J Pediatr Otorhinolaryngol. 2016 Mar;82:1-7. (PMID: 26857305) Int J Environ Res Public Health. 2022 Jun 24;19(13):. (PMID: 35805438) J Laryngol Otol. 2020 Jan;134(1):3-7. (PMID: 31964445) Trop Med Int Health. 2019 Jul;24(7):817-828. (PMID: 31001894) Ear Nose Throat J. 2020 Sep;99(8):501-502. (PMID: 31170820) BMC Med Educ. 2023 Mar 3;23(1):145. (PMID: 36869302) Front Med (Lausanne). 2022 Apr 07;9:874114. (PMID: 35463011) |
| فهرسة مساهمة: | Keywords: Ear, nose, and throat (ENT); Southern Africa; health services; resource-limited setting Local Abstract: [plain-language-summary] Main findings: Ear, nose and throat (ENT) healthcare in Southern Africa faces critical shortages of workforce, equipment, and medication for disease screening, treatment and rehabilitation. Added knowledge: In this review, we identify challenges in the resource-limited Southern African ENT healthcare provision and provide evidence-based recommendations to mitigate these challenges. Global health impact for policy and action: Improving ENT service delivery in the resource-limited world requires deliberate policies that improve health worker training, expand financing and resource availability, incorporate new technology, and lower patient costs of care. |
| تواريخ الأحداث: | Date Created: 20240627 Date Completed: 20240627 Latest Revision: 20240726 |
| رمز التحديث: | 20240727 |
| مُعرف محوري في PubMed: | PMC11212562 |
| DOI: | 10.1080/16549716.2024.2370102 |
| PMID: | 38932660 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1654-9880 |
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| DOI: | 10.1080/16549716.2024.2370102 |