For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
5
views
36
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      143
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The burden and treatment of non-communicable diseases among healthcare workers in sub-Saharan Africa: a multi-country cross-sectional study

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Non-communicable diseases (NCDs), the leading cause of death globally, are estimated to overtake communicable diseases in sub-Sahara Africa, where healthcare workers (HCWs) play a crucial role in prevention and treatment, but are in extreme shortage, thereby increasing the burden of NCDs among this specific population. To provide evidence for policy-making, we assessed the NCD burden, associated factors and treatment among HCWs in four sub-Saharan African countries.

          Materials and methods

          We conducted a cross-sectional study across four sub-Saharan African countries [Côte d'Ivoire (CIV), Democratic Republic of the Congo (DRC), Madagascar (MDG), and Nigeria (NIG)] between February and December 2022. In a standardized questionnaire, sociodemographic, chronic disease and treatment data were self-reported. We estimated the prevalence of (1) at least one chronic disease, (2) hypertension, and used backward elimination logistic regression model to identify risk factors.

          Results

          We recruited a total of 6,848 HCWs. The prevalence of at least one chronic disease ranged between 9.7% in NIG and 20.6% in MDG, the prevalence of hypertension between 5.4% in CIV and 11.3% in MDG. At most, reported treatment rates reached 36.5%. The odds of each of both outcomes increased with age (at least one chronic disease adjusted odds ratio: CIV: 1.04; DRC: 1.09; MDG: 1.06; NIG: 1.10; hypertension: CIV: 1.10; DRC: 1.31; MDG: 1.11; NIG: 1.11) and with BMI (at least one chronic disease: CIV: 1.10; DRC: 1.07; MDG: 1.06; NIG: 1.08; hypertension: CIV: 1.10; DRC: 1.66; MDG: 1.13; NIG: 1.07). Odds of both outcomes were lower among males, except in CIV. In NIG, the odds of both outcomes were higher among medical doctors and odds of hypertension were higher among those working in secondary care. In MDG, working in secondary care increased and working as auxiliary staff decreased the odds of at least one chronic disease.

          Conclusion

          The prevalence of self-reported chronic disease varied across the four sub-Saharan countries with potentially very low treatment rates. We identified several individual (age, sex, and BMI) and occupational (profession, level of healthcare) factors that influence the odds of NCDs. These factors should be taken into account when developing interventions addressing the burden and management of NCDs among HCWs.

          Related collections

          Most cited references36

          • Record: found
          • Abstract: not found
          • Book: not found

          Data Analysis Using Regression and Multilevel/Hierarchical Models

          Andrew Gelman, Jennifer Hill (2006)
          Book 0 comments Cited 441 times – based on 0 reviews
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found
            Is Open Access

            Burden of non-communicable diseases in sub-Saharan Africa, 1990–2017: results from the Global Burden of Disease Study 2017

            Hebe Gouda, Fiona J. Charlson, Katherine Sorsdahl … (2019)
            Article 0 comments Cited 315 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Selecting, designing, and developing your questionnaire.

              Petra M. Boynton, Trisha Greenhalgh (2004)
              Article 0 comments Cited 252 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Sophie Alice Müller: URI : https://loop.frontiersin.org/people/1454734/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Kelly Elimian: Role: Role: Role: Role: Role: Role: Role:
                Jean Florent Rafamatanantsoa: Role: Role: Role: Role: Role: Role: Role:
                Felix Reichert: Role: Role: Role: Role: Role: Role: Role:
                Francis Mosala: Role: Role: Role: Role: Role: Role: Role:
                Lena Böff: Role: Role: Role: Role: Role: Role: Role:
                Sounan Fidèle Touré: Role: Role: Role: Role: Role: Role: Role:
                Idesbald Boone: Role: Role: Role: Role: Role: Role: Role:
                Lantonirina Ravaoarisoa: Role: Role: Role: Role: Role: Role: Role:
                Sagesse Nduenga: Role: Role: Role: Role: Role: Role: Role:
                Giuseppina Ortu: URI : https://loop.frontiersin.org/people/1086023/overviewRole: Role: Role: Role: Role: Role: Role:
                Francisco Pozo-Martin: URI : https://loop.frontiersin.org/people/2266020/overviewRole: Role: Role: Role: Role: Role: Role:
                Sara Tomczyk: URI : https://loop.frontiersin.org/people/1606395/overviewRole: Role: Role: Role: Role: Role: Role:
                Tim Eckmanns: URI : https://loop.frontiersin.org/people/251207/overviewRole: Role: Role: Role: Role: Role: Role:
                Tochi Okwor: Role: Role: Role: Role: Role: Role: Role:
                Chantal Akoua-Koffi: Role: Role: Role: Role: Role:
                Bamourou Diané: Role: Role: Role: Role: Role:
                Zely Arivelo Randriamanantany: URI : https://loop.frontiersin.org/people/2707590/overviewRole: Role: Role: Role: Role:
                Steve Ahuka: Role: Role: Role: Role: Role:
                Chinwe Lucia Ochu: Role: Role: Role: Role: Role:
                Charbel El-Bcheraoui: URI : https://loop.frontiersin.org/people/1082992/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 13 May 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1375221
                Affiliations
                [1] 1Robert Koch Institute , Berlin, Germany
                [2] 2Nigeria Centre for Disease Control and Prevention , Abuja, Nigeria
                [3] 3Department of Global Public Health, Karolinska Institutet , Stockholm, Sweden
                [4] 4Laboratoire d’Analyses Médicales Malagasy , Antananarivo, Madagascar
                [5] 5Institut National de la Recherche Biomédicale , Kinshasa, Democratic Republic of Congo
                [6] 6Center Hospitalier et Universitaire de Bouaké , Bouaké, Côte d'Ivoire
                [7] 7Global Health Consultant , London, United Kingdom
                Author notes

                Edited by: Arthur Owora, Indiana University Bloomington, United States

                Reviewed by: Fausto Ciccacci, Saint Camillus International University of Health and Medical Sciences, Italy

                Abubakr Abdelraouf Alfadl, University of Science and Technology, Yemen

                *Correspondence: Sophie Alice Müller, muellers@ 123456rki.de
                Article
                DOI: 10.3389/fpubh.2024.1375221
                PMC ID: 11128585
                PubMed ID: 38803813
                SO-VID: 57eb3c8f-c9ce-4b3d-abcd-3a3cfd2f44e7
                Copyright © Copyright © 2024 Müller, Elimian, Rafamatanantsoa, Reichert, Mosala, Böff, Touré, Boone, Ravaoarisoa, Nduenga, Ortu, Pozo-Martin, Tomczyk, Eckmanns, Okwor, Akoua-Koffi, Diané, Randriamanantany, Ahuka, Ochu and El-Bcheraoui.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 23 January 2024
                Date accepted : 16 April 2024
                Page count
                Figures: 0, Tables: 2, Equations: 0, References: 51, Pages: 12, Words: 9069
                Funding
                Funded by: German Federal Ministry of Health
                Award ID: ZMI1-2521GHP913
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The study was funded by the German Federal Ministry of Health through the Global Health Protection Program (ZMI1-2521GHP913).
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Public Health Education and Promotion

                Keywords: non-communicable diseases,sub-sahara africa,hypertension,diabetes,healthcare workers
                Data availability:
                Keywords: non-communicable diseases, sub-sahara africa, hypertension, diabetes, healthcare workers

                Comments

                Comment on this article