While healthcare delivery in sub-Saharan Africa (SSA) has made notable strides, the benefits of improved access predominantly favour urban areas, leaving rural communities largely underserved. A multitude of barriers contribute to this disparity, including inadequate funding, a shortage of trained medical professionals, insufficient transportation, underdeveloped infrastructure, and entrenched educational and cultural beliefs. As rural SSA populations grapple with escalating burdens in infectious diseases such as HIV, malaria, tuberculosis, and heightened risks during childbirth and pregnancy, it becomes imperative to confront these obstacles in healthcare delivery and enhance healthcare provision in these regions.
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References
1.
Existing HIV and TB laboratory systems facilitating COVID-19 testing in Africa. Geneva: World Health Organization (WHO); 26November2020.
2.
WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas. Geneva: World Health Organization (WHO); 2021.
3.
OkyereEWardPMarfohK, et al. What do health workers say about rural practice?Glob Qual Nurs Res. Epub 2021 November 24. DOI: 10.1177/23333936211054812.
4.
JamesPBWardleJSteelA, et al. Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review. BMJ Glob Health2018;3(5):e000895.
5.
EtyangAOMungeKBunyasiEW, et al. Burden of disease in adults admitted to hospital in a rural region of coastal Kenya: an analysis of data from linked clinical and demographic surveillance systems. Lancet Glob Health2014;2(4):e216–24.
6.
HanefeldJ. The global fund to fight AIDS, Tuberculosis and Malaria: 10 years on. Clin Med2014;14(1):54–7.
7.
HansonKBrikciNErlanggaD, et al. The Lancet Global Health Commission on financing primary health care: putting people at the centre. Lancet Glob Health2022;10(5):e715–72.
8.
OnahMNGovenderV. Out-of-pocket payments, health care access and utilisation in south-eastern Nigeria: a gender perspective. PLoS ONE2014;9(4):e93887.
9.
ChangLWSerwaddaDQuinnTC, et al. Combination implementation for HIV prevention: moving from clinical trial evidence to population-level effects. Lancet Infect Dis2013;13(1):65–76.
10.
RahimFOJainBBloomfieldGS, et al. A holistic framework to integrate HIV and cardiovascular disease care in sub-Saharan Africa. AIDS2023;37(10):1497–502.
11.
ChitungoIMhangoMMbungeE, et al. Utility of telemedicine in sub-Saharan Africa during the COVID-19 pandemic. A rapid review. Hum Behav Emerg Technol2021;3(5):843–53.
12.
ChoukouMASanchez-RamirezDCPolM, et al. COVID-19 infodemic and digital health literacy in vulnerable populations: a scoping review. Digit Health. Epub 2022 February 10. DOI: 10.1177/20552076221076927.
13.
AwMOchiengBOAttamboD, et al. Critical appraisal of a mHealth-assisted community-based cardiovascular disease risk screening program in rural Kenya: an operational research study. Pathog Glob Health2020;114(7):379–87.
14.
KhanijahaniAAkinciNQuitiquitE. A systematic review of the role of telemedicine in blood pressure control: focus on patient engagement. Curr Hypertens Rep2022;24(7):247–58.
15.
KamothoCGBukachiF. Telemedicine is an effective way to manage cardiovascular disease in rural Kenya and to achieve universal healthcare. Eur Heart J2020;41:ehaa946.3485.
16.
BagenalJZenoneMMaaniN, et al. Embracing the non-traditional: alcohol advertising on TikTok. BMJ Glob Health2023;8(1):e009954.
17.
OsuagwuULMashigeKPOvenseri-OgbomoG, et al. The impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa. BMC Public Health2023;23(1):38.
18.
Working with community leaders Boosts family planning in Tanzania. New York: Weill Cornell Medicine; 16November2023.
