Publications by authors named "C Salima"

Background: The prevalence of multimorbidity (the presence of two or more chronic health conditions) is rapidly increasing in sub-Saharan Africa. Hospital care pathways that focus on single presenting complaints do not address this pressing problem. This has the potential to precipitate frequent hospital readmissions, increase health system and out-of-pocket expenses, and may lead to premature disability and death.

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Article Synopsis
  • Multimorbidity means having two or more long-lasting health problems at the same time, and it's becoming a big issue for health care around the world.
  • A group of 60 researchers from 10 African countries worked together to figure out if the idea of multimorbidity is useful in Africa and how it can be adapted to fit local needs.
  • During their workshop, they talked about different perspectives on multimorbidity and came up with new ideas that focus on what people really need and the impact it has on their lives and health systems.
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  • Malawi faces a significant shortage of healthcare professionals, with only one physician for every 50,000 people, leading to reliance on Hospital Guardians—family members caring for patients in hospitals.
  • A study involving surveys and interviews revealed that these Guardians are mainly female relatives with low literacy levels, performing crucial tasks like wound care and patient advocacy, but receive little support from hospital staff.
  • To improve patient care, recommendations include implementing a one-guardian-per-patient policy, providing education for Guardians, and enhancing available resources for them.
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