Original Research

Best practice guidelines for stroke in Cameroon: An innovative and participatory knowledge translation project

Lynn Cockburn, Timothy N. Fanfon, Alexa Bramall, Eta M. Ngole, Pius Kuwoh, Emmanuel Anjonga, Brenda M.E. Difang, Shirin Kiani, Petra S. Muso, Navjyot Trivedi, Julius Sama, Sylvian Teboh
African Journal of Disability | Vol 3, No 1 | a92 | DOI: https://doi.org/10.4102/ajod.v3i1.92 | © 2014 Lynn Cockburn, Timothy N. Fanfon, Alexa Bramall, Eta M. Ngole, Pius Kuwoh, Emmanuel Anjonga, Brenda M.E. Difang, Shirin Kiani, Petra S. Muso, Navjyot Trivedi, Julius Sama, Sylvian Teboh | This work is licensed under CC Attribution 4.0
Submitted: 23 October 2013 | Published: 21 November 2014

About the author(s)

Lynn Cockburn, Department of Occupational Science and Occupational Therapy, University of Toronto, Canada
Timothy N. Fanfon, Cameroon Baptist Convention Health Board, Bamenda, Cameroon
Alexa Bramall, Undergraduate Medical Education MD Program, Faculty of Medicine, University of Toronto, Canada
Eta M. Ngole, Buildings Bridges Cameroon (BBCAM), Yaoundé, Cameroon; Ministry of Public Health, North West Region, Cameroon
Pius Kuwoh, Director, Regional Hospital, Limbe South West Region, Cameroon
Emmanuel Anjonga, Centre for Inclusion Studies, Bamenda, Cameroon
Brenda M.E. Difang, Bamenda Regional Hospital, Bamenda, Cameroon
Shirin Kiani, Handicap International Federation, Erbil, Iraq
Petra S. Muso, St. Elizabeth’s Catholic General Hospital, Shisong, Banso, Cameroon
Navjyot Trivedi, School of Physiotherapy, RK University, Rajkot, India
Julius Sama, Ministry of Public Health, North West Region, Cameroon
Sylvian Teboh, St. Joseph’s Children’s and Adults Home (SAJOCAH), Bafut, Cameroon

Abstract

Background: Although the adherence to stroke guidelines in high-income countries has been shown to be associated with improved patient outcomes, the research, development and implementation of rehabilitation related guidelines in African countries is lacking.

Objectives: The purpose of this article is to describe how a group of front-line practitioners collaborated with academics and students to develop best practice guidelines (BPG) for the management and rehabilitation of stroke in adult patients in Cameroon.

Method: A working group was established and adapted internationally recognised processes for the development of best practice guidelines. The group determined the scope of the guidelines, documented current practices, and critically appraised evidence to develop guidelines relevant to the Cameroon context.

Results: The primary result of this project is best practice guidelines which provided an overview of the provision of stroke rehabilitation services in the region, and made 83 practice recommendations to improve these services. We also report on the successes and challenges encountered during the process, and the working group’s recommendations aimed at encouraging others to consider similar projects.

Conclusion: This project demonstrated that there is interest and capacity for improving stroke rehabilitation practices and for stroke guideline development in Africa.


Keywords

No related keywords in the metadata.

Metrics

Total abstract views: 8059
Total article views: 11447

 

Crossref Citations

1. A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization
Gillian E Mead, Luciano A Sposato, Gisele Sampaio Silva, Laetitia Yperzeele, Simiao Wu, Mansur Kutlubaev, Joshua Cheyne, Kolawole Wahab, Victor C Urrutia, Vijay K Sharma, PN Sylaja, Kelvin Hill, Thorsten Steiner, David S Liebeskind, Alejandro A Rabinstein
International Journal of Stroke  vol: 18  issue: 5  first page: 499  year: 2023  
doi: 10.1177/17474930231156753

2. Achieving universal health coverage for people with stroke in South Africa: protocol for a scoping review
Sjan-Mari van Niekerk, Gakeemah Inglis-Jassiem, Sureshkumar Kamalakannan, Silke Fernandes, Jayne Webster, Rene English, Tracey Smythe, QA Louw
BMJ Open  vol: 10  issue: 10  first page: e041221  year: 2020  
doi: 10.1136/bmjopen-2020-041221

3. Exploring rehabilitation options and resources of support for stroke survivors in Eldoret, Kenya: qualitative study
Naomi Wanjiru Kingau
Bulletin of Faculty of Physical Therapy  vol: 28  issue: 1  year: 2023  
doi: 10.1186/s43161-023-00149-4

4. Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa
Igor KAZADI KABANDA, Credo KIANGEBENI NGONZO, Christian-Khalifa EMEKA BOWAMOU, Jean-Paul DIVENGI NZAMBI, Nono KIATOKO PONTE, Olivier TUYINAMA MADODA, Aliocha NKODILA NATUHOYILA, Jean-René M’BUYAMBA-KABANGU, Benjamin LONGO-MBENZA, Degani BANZULU BOMBA, Bernard KIANU PHANZU
Heliyon  vol: 10  issue: 7  first page: e28311  year: 2024  
doi: 10.1016/j.heliyon.2024.e28311

5. Stroke Rehabilitation Clinical Practice Guidelines in Low- and Middle-Income Countries: A Systematic Review of Quality and Unique Features
Dorcas B.C. Gandhi, Sureshkumar Kamalakannan, Gerard Urimubenshi, Ivy A. Sebastian, Vinicius V.A. Montanaro, Nistara S. Chawla, Jennifer V. D'souza, Etienne Ngeh, Amreen Mahmood, Marika Demers, Aditi Hombali, John M. Solomon
Cerebrovascular Diseases  vol: 54  issue: 4  first page: 429  year: 2024  
doi: 10.1159/000539999

6. Barriers to medication adherence for secondary stroke prevention in rural communities in Cameroon: a qualitative study
Mundih Noelar Njohjam, Niakam Tiffany Falonne, Mark Olivier Ngoule
BMC Primary Care  vol: 26  issue: 1  year: 2025  
doi: 10.1186/s12875-025-02842-w

7. Do stroke clinical practice guideline recommendations for the intervention of thickened liquids for aspiration support evidence based decision making? A systematic review and narrative synthesis
Arlene McCurtin, Pauline Boland, Maeve Kavanagh, Dominika Lisiecka, Caoimhe Roche, Rose Galvin
Journal of Evaluation in Clinical Practice  vol: 26  issue: 6  first page: 1744  year: 2020  
doi: 10.1111/jep.13372