دورية أكاديمية
Cost of transport is a barrier to access to headache care in sub-Saharan Africa: An observational study in an HIV-positive population.
| العنوان: | Cost of transport is a barrier to access to headache care in sub-Saharan Africa: An observational study in an HIV-positive population. |
|---|---|
| المؤلفون: | Leone M; Department of Neurology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; DREAM Program, Rome, Italy. Electronic address: massimo.leone@istituto-besta.it., Giani L; Department of Neurology, Maugeri IRCCS Foundation, Milan, Italy., Mwazangati M; DREAM Program, Blantyre, Malawi., Uluduz D; Cerrahpaşa School of Medicine, Istanbul, Turkey., Şaşmaz T; Mersin University School of Medicine, Mersin, Turkey., Tolno VT; DREAM Program, Blantyre, Malawi., Guidotti G; DREAM Program, Rome, Italy; Health Department, Azienda Sanitaria Locale (ASL) Roma 1, Regione Lazio, Rome, Italy., Steiner TJ; Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway; Department of Neurology, University of Copenhagen, Copenhagen, Denmark; Division of Brain Sciences, Imperial College London, London, UK. |
| المصدر: | Journal of the neurological sciences [J Neurol Sci] 2024 Sep 15; Vol. 464, pp. 123162. Date of Electronic Publication: 2024 Aug 05. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0375403 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5883 (Electronic) Linking ISSN: 0022510X NLM ISO Abbreviation: J Neurol Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier, <19 -> |
| مواضيع طبية MeSH: | Health Services Accessibility*/economics , Health Services Accessibility*/statistics & numerical data, Humans ; Male ; Female ; Adult ; Adolescent ; Middle Aged ; Child ; Young Adult ; Aged ; Headache/therapy ; Headache/epidemiology ; Headache/economics ; HIV Infections/epidemiology ; HIV Infections/economics ; Africa South of the Sahara/epidemiology ; Malawi/epidemiology ; Prevalence ; Transportation/economics |
| مستخلص: | Introduction: Headache disorders are the largest contributor to all years lived with disability attributed to neurological disorders. In sub-Saharan Africa (SSA), with 1.2 billion inhabitants, headache prevalence is similar to that of Western countries but with widely inadequate access to care. Cost of transport to healthcare facilities hampers access to care, leading to abandonment and low retention. The aim of this observational study in Malawi was to investigate cost of transport and its likely impact on implementation of WHO's-Intersectoral Global Action Plan (IGAP) in an HIV+ population also complaining of, and requiring treatment for, an active headache disorder. Methods: The study was conducted at the Disease Relief through Excellent and Advanced Means (DREAM) centre in Blantyre, Malawi, in collaboration with the Global Campaign against Headache as an extension of a previous study. Enquiries about distance and costs of travel were added to the previously published questionnaire. Results: We included 495 consecutive HIV+ patients aged 6-65 years who had been followed for at least 1 year. One-year prevalence of any headache was 76.6%; 28.7% missed at least one appointment because of transport costs. Higher costs of transport were associated with higher probability of missing visits (p < 0.001), while costs were higher for those living in rural areas than for those in urban (p < 0.001). Conclusions: Awareness of cost and affordability of transport in SSA may suggest strategies to improve access to headache care. Given the disability attributable to headache, this is necessary if the IGAP strategic objectives and targets are to be achieved. Competing Interests: Declaration of competing interest None. (Copyright © 2024 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Access to care; Cost; Global campaign against headache; HIV; Headache; Intersectoral global action plan; Sub-Saharan Africa; Transport |
| تواريخ الأحداث: | Date Created: 20240815 Date Completed: 20240825 Latest Revision: 20240827 |
| رمز التحديث: | 20240827 |
| DOI: | 10.1016/j.jns.2024.123162 |
| PMID: | 39146880 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1878-5883 |
|---|---|
| DOI: | 10.1016/j.jns.2024.123162 |