ArticleBMJ open2021
Towards universal health coverage for people with stroke in South Africa: a scoping review.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
13 citing papers in PubMed.
- Value of CT perfusion imaging in wake-up strokes - a comparative study of patients qualifying for thrombolysis vs those not suitable for thrombolysis.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Risk of Major Adverse Cardiovascular Events With Dolutegravir Versus Efavirenz-Based Antiretroviral Therapy: Emulated Target Trials Using Routine, De-identified Data From South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026Article
- Barriers to thrombolysis in acute ischaemic stroke: an epidemiological review from a tertiary hospital in the Eastern Cape, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Functional outcomes post-stroke: Evidence from private rehabilitation facilities in South Africa between 2006 and 2023.Health SA = SA Gesondheid · 2026Article
- Stakeholders' views on public-private partnerships for rehabilitation services in South Africa ahead of National Health Insurance.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Enhancing Intersectoral Collaboration in Maternal Healthcare for the Realization of Universal Health Coverage in Kenya: The Perspectives of Health Facility Administrators in Kilifi County, Kenya.International journal of environmental research and public health · 2025Article
- Epidemiological trends and age-period-cohort effects on intracerebral hemorrhage burden across the BRICS-plus from 1992 to 2021.Frontiers in neurology · 2025Article
- The impact of tobacco smoking and smoking cessation on lung cancer and stroke incidence among people with HIV on antiretroviral therapy in South Africa: a simulation modeling study.BMJ global health · 2024Article
- Analyzing stroke burden and risk factors in India using data from the Global Burden of Disease Study.Scientific reports · 2024Article
- Evidence-based rehabilitation medicine: definition, foundation, practice and development.Medical review (2021) · 2024Review
- South African medical rehabilitation services delivery: a mixed method exploring the views of stakeholders on availability, accessibility, quality, affordability, equity, effectiveness, and efficiency.The Pan African medical journal · 2024Article
- Access to health care for people with stroke in South Africa: a qualitative study of community perspectives.BMC health services research · 2022Article
- Evaluation of the feasibility and acceptability of ReWin-A digital therapeutic rehabilitation innovation for people with stroke-related disabilities in India.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesTo explore the opportunities and challenges within the health system to facilitate the achievement of universal health coverage (UHC) for people with stroke (PWS) in South Africa (SA).
settingSA.
designScoping review. SEARCH
methodsWe conducted a scoping review of opportunities and challenges to achieve UHC for PWS in SA. Global and Africa-specific databases and grey literature were searched in July 2020. We included studies of all designs that described the healthcare system for PWS. Two frameworks, the Health Systems Dynamics Framework and WHO Framework, were used to map data on governance and regulation, resources, service delivery, context, reorientation of care and community engagement. A narrative approach was used to synthesise results.
resultsFifty-nine articles were included in the review. Over half (n=31, 52.5%) were conducted in Western Cape province and most (n=41, 69.4%) were conducted in urban areas. Studies evaluated a diverse range of health system categories and various outcomes. The most common reported component was service delivery (n=46, 77.9%), and only four studies (6.7%) evaluated governance and regulation. Service delivery factors for stroke care were frequently reported as poor and compounded by context-related limiting factors. Governance and regulations for stroke care in terms of government support, investment in policy, treatment guidelines, resource distribution and commitment to evidence-based solutions were limited. Promising supporting factors included adequately equipped and staffed urban tertiary facilities, the emergence of Stroke units, prompt assessment by health professionals, positive staff attitudes and care, two clinical care guidelines and educational and information resources being available.
conclusionThis review fills a gap in the literature by providing the range of opportunities and challenges to achieve health for all PWS in SA. It highlights some health system areas that show encouraging trends to improve service delivery including comprehensiveness, quality and perceptions of care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.