Publications by authors named "Almighty Nchafack"

Background: Mobile health interventions like telephone hotlines face challenges that may threaten their use, adoption and sustainability in Africa.

Aim: We sought to understand the barriers and facilitators for sustainability of telephone hotlines used in infectious disease outbreaks in Africa using a scoping review and a qualitative study.

Setting: Participants form 12 African countries and Database searches.

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Article Synopsis
  • The study systematically reviewed the effectiveness of telephone hotlines in outbreak response across Africa, focusing on their role and impact.
  • A comprehensive search of five databases led to the inclusion of 21 studies, with a meta-analysis of 12 studies analyzing the alerts generated and confirmed cases from various outbreaks, including Ebola and COVID-19.
  • Results indicated that hotlines mainly functioned for local outbreak surveillance, generating over 332,000 alerts, with an overall sensitivity of 38%, highlighting differences in effectiveness between local (41%) and national (26%) hotlines.
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Most existing research in chronic edema (CO) care takes place in high-income countries and is both clinically and medically focused, although often accorded low prestige and status. A myriad of challenges define the problems and important gaps in understanding and translating what we know into sustainable practice. Less considered, however, are the consequences and socioeconomic significance of this "knowledge gap" in an increasingly globalized world.

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