Publications by authors named "Ibrahim Simiyu"

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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There is a high burden of critical illness in low-income countries (LICs), adding pressure to already strained health systems. Over the next decade, the need for critical care is expected to grow due to ageing populations with increasing medical complexity; limited access to primary care; climate change; natural disasters; and conflict. In 2019, the 72nd World Health Assembly emphasised that an essential part of universal health coverage is improved access to effective emergency and critical care and to "ensure the timely and effective delivery of life-saving health care services to those in need".

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WHO defines vaccine hesitancy as delay in acceptance or refusal of vaccines despite the availability of vaccine services. It is a complex phenomenon that varies through time, place and vaccines. In this comment, we highlight the context-specific variation of Covid-19 vaccine hesitancy in Tanzania.

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