Standard case management of asthma in Sudan: a pilot project

Sony, A. I. El; Cy, Chiang; Malik, Elfatih Mohamed; Hassanain, Sara; Hussien, Heba; Khamis, Amar Hassan; Bassilli, A. F.; Enarson, Donald A.

doi:10.5588/pha.13.0019

Cited by 24 publications

(27 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The importance of recording contact information should be emphasised to patient registration clerks. Another study from Sudan, focusing on severe cases, revealed a loss to follow-up of 56%, 9 and another from Benin reported 36% loss to follow-up. 10 These findings suggest the need for more effective tracing strategies for asthma patients on follow-up.…”

Section: Discussionmentioning

confidence: 97%

How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?

Kodouda¹,

Zachariah

Khogali

et al. 2014

public health action

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 97%

How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?

Kodouda¹,

Zachariah

Khogali

et al. 2014

public health action

Self Cite

View full text Add to dashboard Cite

“…While asthma is a concern for the Ministry of Health in Sudan, it is not listed as a public health priority. In the public health sector there are very few peak flow meters (which measure a person's ability to breathe out air) for diagnosis, few drugs available, and few staff trained in asthma management 12 . Many health professionals working in both the public and private sectors are not trained in tackling chronic asthma or long-term management of the disease 5 .…”

Section: Asthma In Sudan: a Growing Problemmentioning

confidence: 99%

Applying an ecological framework to examine the multiple levels of influence affecting the utilisation of private sector adult asthma services in Khartoum, Sudan: a mixed methods study

Thomson

Nour²,

Elsony³

2020

F1000Res

View full text Add to dashboard Cite

Background: Asthma is the third most common cause of hospital visits in Sudan. Sudan has a pluralistic health care system, with a strong and varied private sector. While research examining public sector asthma services exists, very little is known about which asthma services are available in the private sector. Methods: An explanatory sequential mixed-method social ecological approach was used to examine influencing factors of asthma service utilisation in the private sector, considering five levels: policy, organisational, community, familial, individual environment. Quantitative research involved surveying private healthcare facilities to describe asthma services. Qualitative research involved in-depth interviews with asthma patients to explore facility decision-making. Nine private chest clinics, 44 pharmacies, and 21 private hospitals offering asthma services in Khartoum were studied - 46 female and 28 male health providers were surveyed; 7 male and 7 female asthma patients were interviewed. Results: At the health policy level, there is no current asthma management policy for the private sector. At the organisational and health systems level, the survey found low rates of diagnostic equipment available, little asthma-specific training, and little use of asthma treatment cards, guidelines, and registers. At the community level, high levels of stigma from the community were felt by most of the patients interviewed. At the familial level, asthma was often viewed as a hereditary condition, and, as a long-term condition, there were worries about marriage potential and impact on jobs/future activities. At the individual level, patients sought frequent, short-term care at private facilities for acute attacks. The severity of the disease and the major impact it had, particularly on younger adults’, was striking. Conclusions: Applying an ecological framework to examine asthma care management enables review of all levels of service provision: inclusive health policy, government commitment, high quality service delivery, uninterrupted affordable drug supply, community involvement, and patient empowerment.

show abstract

“…The Union implemented asthma pilot projects in Benin [11], China (Huaiyuan County) [12], El Salvador [13] and Sudan [14]. These projects found that inhaled corticosteroids were not available in any of these sites in the public sector and that asthma was greatly underdiagnosed.…”

Section: Introductionmentioning

confidence: 99%

“…GAN Phase I is a development from ISAAC ( particularly Phases One [17][18][19][20][21] and Three [22][23][24]), and The Union [11,12,14,25]. GAN Phase I has extended its surveillance to include adults, for whom there are limited global data, and to assess asthma management, which is commonly suboptimal in settings with limited access to quality-assured essential asthma medicines.…”

Section: Introductionmentioning

confidence: 99%

The Global Asthma Network rationale and methods for Phase I global surveillance: prevalence, severity, management and risk factors

Ellwood

Asher

Ne³

et al. 2016

Eur Respir J

152

136

View full text Add to dashboard Cite

The Global Asthma Network (GAN), established in 2012, followed the International Study of Asthma and Allergies in Childhood (ISAAC). ISAAC Phase One involved over 700 000 adolescents and children from 156 centres in 56 countries; it found marked worldwide variation in symptom prevalence of asthma, rhinitis and eczema that was not explained by the current understanding of these diseases; ISAAC Phase Three involved over 1 187 496 adolescents and children (237 centres in 98 countries). It found that asthma symptom prevalence was increasing in many locations especially in low- and middle-income countries where severity was also high, and identified several environmental factors that required further investigation.GAN Phase I, described in this article, builds on the ISAAC findings by collecting further information on asthma, rhinitis and eczema prevalence, severity, diagnoses, asthma emergency room visits, hospital admissions, management and use of asthma essential medicines. The subjects will be the same age groups as ISAAC, and their parents. In this first global monitoring of asthma in children and adults since 2003, further evidence will be obtained to understand asthma, management practices and risk factors, leading to further recognition that asthma is an important non-communicable disease and to reduce its global burden.

show abstract

Standard case management of asthma in Sudan: a pilot project

Abstract: The results of standard case management of asthma were encouraging; however, a high proportion of patients did not return for long-term management.

Cited by 24 publications

References 9 publications

How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?

How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?

Applying an ecological framework to examine the multiple levels of influence affecting the utilisation of private sector adult asthma services in Khartoum, Sudan: a mixed methods study

The Global Asthma Network rationale and methods for Phase I global surveillance: prevalence, severity, management and risk factors

Contact Info

Product

Resources

About