Publications by authors named "E E Worrall"
Background: Hospital admission due to breathlessness carries a significant burden to patients and healthcare systems, particularly impacting people in low-income countries. Prompt appropriate treatment is vital to improve outcomes, but this relies on accurate diagnostic tests which are of limited availability in resource-constrained settings. We will provide an accurate description of acute breathlessness presentations in a multicentre prospective cohort study in Malawi, a low resource setting in Southern Africa, and explore approaches to strengthen diagnostic capacity.
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- - Community-based approaches, particularly through community health workers, have been found to significantly improve the uptake of intermittent preventive treatment of malaria in pregnancy (IPTp-SP) and antenatal care services in sub-Saharan Africa.
- - The research involved various methodologies including systematic reviews and meta-analyses, analyzing data from multiple sources to evaluate the impact of these approaches and identify barriers and facilitators to their implementation.
- - Findings from 15 studies indicated that community health worker involvement led to increased uptake of IPTp-SP doses without a decrease in antenatal care visits, suggesting effectiveness in enhancing maternal health interventions.
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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- This study reviews how disability weights, used to calculate DALYs in tuberculosis cost-effectiveness analyses, vary and their impact on health resource decisions.
- It involved a systematic review of 105 studies published from 2002 to 2023, mainly focusing on low- and middle-income countries, highlighting inconsistencies in the application and citation of these weights.
- The findings indicate methodological gaps in addressing key factors of tuberculosis, such as TB-HIV coinfection and drug resistance, prompting recommendations for improved practices in future studies.
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.