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- W2912249546 abstract "Sub-Saharan African (SSA) countries face a growing burden of cardiovascular disease (CVD), attributed to economic, nutritional, demographic, and epidemiological transitions. These factors increase the prevalence of CVD risk factors, and the CVD burden overlaps with a high prevalence of infectious diseases. This review aimed to understand CVD healthcare utilization determinants and levels in SSA. We conducted a systematic search of the literature on major databases for the period 2008–2018 using exhaustive combinations of CVD and utilization indicators as search terms. Eighteen studies from eight countries were included in this review. Most studies (88.8%) followed the quantitative methodology and largely focused on inpatient stroke care. Two-thirds of patients sought care within 24 h of suffering a stroke, and the length of stay (LOS) in hospital ranged between 6 and 81 days. Results showed a rising trend of CVD admissions within total hospital admissions. Coverage of physiotherapy services was limited and varied between countries. While few studies included rural populations, utilization was found to be negatively associated with rural residence and socioeconomic status. There is a need to extend healthcare provision in SSA to ensure access to the CVD continuum of care." @default.
- W2912249546 created "2019-02-21" @default.
- W2912249546 creator A5012795297 @default.
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- W2912249546 date "2019-02-01" @default.
- W2912249546 modified "2023-10-16" @default.
- W2912249546 title "Cardiovascular Disease Healthcare Utilization in Sub-Saharan Africa: A Scoping Review" @default.
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- W2912249546 doi "https://doi.org/10.3390/ijerph16030419" @default.
- W2912249546 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6388380" @default.
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- W2912249546 hasPublicationYear "2019" @default.
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