ArticleFrontiers in neurology
Healthcare service provided for headache patients in selected African countries: a cross-sectional survey of clinician perspectives.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
28 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Headache disorders represent a major global health burden that is highly prevalent across the continent of Africa; however, they remain underdiagnosed and inadequately managed. The objective of this study was to evaluate the availability, accessibility, and organizational structure of headache care services across African countries and to detect major challenges and barriers to optimal care from the perspective of headache-treating clinicians. Methods: Countries were chosen using a stratified sampling strategy based on World Bank income classification [low-income countries (LICs), lower-middle-income countries (LMICs), and upper-middle-income countries (UMICs)] to ensure balanced representation across economic strata. Within each stratum, eligible neurologists were identified through national neurology societies and indexed publications. Of 120 invited clinicians from 40 countries, 73 neurologists from 28 countries responded (response rate 60.8%). Participants were invited to fill out a structured online questionnaire to assess the healthcare system structure (including workforce capacity, healthcare system characteristics, and diagnostic infrastructure), availability of the essential and newer headache medications, and perceived barriers to optimal care in their countries. Results: Significant discrepancies were observed in workforce capacity, defined as the reported number of neurologists per country ranging from 10 (IQR: 4.75-34.5) in LICs to 200 (IQR: 97-700) in UMICs ( Conclusion: Headache care across African countries is facing substantial inequities in human resources, workforce capabilities, and access to proper care. Addressing these challenges requires fostering the healthcare systems, training of non-specialist healthcare providers, expanding insurance coverage, and increasing awareness of headache disorders in health policy to enhance patient outcomes.
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