Developing a strategic action plan for reducing the burden of stroke in Africa: report of the first African Stroke Leaders' Summit.

IF 1.2
Frontiers in stroke Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI:10.3389/fstro.2025.1555554
Rufus Akinyemi, Paul Olowoyo, Stephanie Jones, Olaleye Adeniji, Gabriel Ogunde, Joseph Spencer, Foad Abd-Allah, Albert Akpalu, Liz Lightbody, Joseph Yaria, Fred S Sarfo, Pamela Naidoo, Sarah Belson, Ad Adams Ebenezer, Ahmed Nasreldein, Akintomiwa Makanjuola, Deanna Saylor, Stanley Zimba, Lucia Ojewale, Daniel Youkee, Thierry Adoukonou, Akinkunmi Okekunle, Benjamin Anyanwu, Njideka Okubadejo, Kathleen Bateman, Rita Melifonwu, Reginald Obiako, Oyedunni Arulogun, Kolawole W Wahab, Philip Adebayo, Patty Francis, Paul Ossu-Nguiet, Augustina Charway-Felly, Godwin Ogbole, Shamsideen Ogun, Richard Walker, Mehari Gebreyohanns, Peter Langhorne, Bo Norrving, Bruce Ovbiagele, Rajesh N Kalaria, Adesola Ogunniyi, Caroline Leigh Watkins, Mayowa Owolabi
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引用次数: 0

Abstract

Introduction: Stroke is a leading cause of adult neurologic disability, cognitive decline, and death worldwide, and particularly in Africa. Stroke research in Africa has exposed challenges militating against the translation of research evidence into practice and policy. The evidence-based, context-sensitive multilevel strategies required to surmount these challenges are presented in this report on the first African Stroke Leaders' Summit (ASLS) organized to tackle the burden of stroke in Africa.

Methods: The Africa-UK Stroke Partnership (AUKSP) Project had a Steering Committee (SC) and four theme-based Working Groups (WGs): stroke services, stroke training/capacity building, research and stroke advocacy, each with defined terms of reference. These groups generated 20 priorities (five per thematic area) during breakout sessions at the first ASLS which were further refined into four topmost priorities (one per thematic area) at the general consensus session.

Results: The topmost priorities included promoting the development of acute stroke services (stroke services), strengthening population-based stroke education focusing on prevention and symptom recognition (stroke training), research on hypertension control to reduce stroke risk (stroke research), and developing national stroke action plans (advocacy).

Conclusion: Sustained reduction of stroke burden in Africa requires the adaptation of best practices to the African context, building the capacity of African stroke care professionals and using available resources with political support. Improving stroke literacy in African communities is a complementary strategy to reinforce healthy lifestyle choices and improve screening and detection of hypertension and other modifiable stroke risk factors. This process will culminate in a strategic African Stroke Action Plan (ASAP), the blueprint for the control of stroke in Africa.

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制定减轻非洲中风负担的战略行动计划:第一届非洲中风领导人首脑会议的报告。
中风是世界范围内成人神经功能障碍、认知能力下降和死亡的主要原因,特别是在非洲。非洲的中风研究暴露了阻碍将研究证据转化为实践和政策的挑战。为应对非洲中风负担而组织的首届非洲中风领导人峰会(ASLS)的报告提出了克服这些挑战所需的循证、环境敏感的多层次战略。方法:非洲-英国卒中伙伴关系(AUKSP)项目有一个指导委员会(SC)和四个主题工作组(wg):卒中服务、卒中培训/能力建设、研究和卒中倡导,每个工作组都有明确的职权范围。这些小组在第一届ASLS的分组会议上产生了20个优先事项(每个专题领域5个),在一般性协商一致会议上进一步细化为4个最优先事项(每个专题领域1个)。结果:当务之急是促进急性卒中服务的发展(卒中服务),加强以预防和症状识别为重点的人群卒中教育(卒中培训),研究高血压控制以降低卒中风险(卒中研究),制定国家卒中行动计划(倡导)。结论:非洲中风负担的持续减少需要根据非洲的情况调整最佳做法,建设非洲中风护理专业人员的能力,并在政治支持下利用现有资源。提高非洲社区的卒中知识素养是一项补充战略,旨在加强健康的生活方式选择,改善高血压和其他可改变的卒中风险因素的筛查和检测。这一进程最终将形成一项战略性非洲卒中行动计划(ASAP),这是非洲控制卒中的蓝图。
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