Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review

Background While ear, nose, and throat (ENT) diseases are a substantial threat to global health, comprehensive reviews of ENT services in Southern Africa remain scarce. Objective This scoping review provides a decade-long overview of ENT services in Southern Africa and identifies gaps in healthcare...

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Main Authors: Lufunda Lukama, Colleen Aldous, Warren Kuhn, Charles Michelo, Chester Kalinda
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2370102
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author Lufunda Lukama
Colleen Aldous
Warren Kuhn
Charles Michelo
Chester Kalinda
author_facet Lufunda Lukama
Colleen Aldous
Warren Kuhn
Charles Michelo
Chester Kalinda
author_sort Lufunda Lukama
collection DOAJ
description Background While ear, nose, and throat (ENT) diseases are a substantial threat to global health, comprehensive reviews of ENT services in Southern Africa remain scarce. Objective This scoping review provides a decade-long overview of ENT services in Southern Africa and identifies gaps in healthcare provision. From the current literature, we hope to provide evidence-based recommendations to mitigate the challenges faced by the resource-limited ENT service. Data Sources PubMed, Web of Science, EBSCOhost, Cochrane Library, Cochrane Library, and Scopus. Review Methods On several databases, we conducted a comprehensive literature search on both quantitative and qualitative studies on ENT services in Southern Africa, published between 1 January 2014 and 27 February 2024. The extracted data from the analyzed studies was summarized into themes. Results Four themes in the fourteen studies included in the final analysis described the existing ENT services in Southern Africa: 1. Workforce scarcity and knowledge inadequacies, 2. Deficiencies in ENT infrastructure, equipment, and medication, 3. Inadequate ENT disease screening, management, and rehabilitation and 4. A lack of telehealth technology. Conclusion The Southern African ENT health service faces many disease screening, treatment, and rehabilitation challenges, including critical shortages of workforce, equipment, and medication. These challenges, impeding patient access to ENT healthcare, could be effectively addressed by implementing deliberate policies to train a larger workforce, increase ENT funding for equipment and medication, promote telehealth, and reduce the patient cost of care.
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spelling doaj-art-129bbad3885945abbfd5d11d790efa922025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23701022370102Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping reviewLufunda Lukama0Colleen Aldous1Warren Kuhn2Charles Michelo3Chester Kalinda4University of KwaZulu-NatalUniversity of KwaZulu-NatalUniversity of KwaZulu-NatalNkwazi Research UniversityUniversity of Global Health EquityBackground While ear, nose, and throat (ENT) diseases are a substantial threat to global health, comprehensive reviews of ENT services in Southern Africa remain scarce. Objective This scoping review provides a decade-long overview of ENT services in Southern Africa and identifies gaps in healthcare provision. From the current literature, we hope to provide evidence-based recommendations to mitigate the challenges faced by the resource-limited ENT service. Data Sources PubMed, Web of Science, EBSCOhost, Cochrane Library, Cochrane Library, and Scopus. Review Methods On several databases, we conducted a comprehensive literature search on both quantitative and qualitative studies on ENT services in Southern Africa, published between 1 January 2014 and 27 February 2024. The extracted data from the analyzed studies was summarized into themes. Results Four themes in the fourteen studies included in the final analysis described the existing ENT services in Southern Africa: 1. Workforce scarcity and knowledge inadequacies, 2. Deficiencies in ENT infrastructure, equipment, and medication, 3. Inadequate ENT disease screening, management, and rehabilitation and 4. A lack of telehealth technology. Conclusion The Southern African ENT health service faces many disease screening, treatment, and rehabilitation challenges, including critical shortages of workforce, equipment, and medication. These challenges, impeding patient access to ENT healthcare, could be effectively addressed by implementing deliberate policies to train a larger workforce, increase ENT funding for equipment and medication, promote telehealth, and reduce the patient cost of care.http://dx.doi.org/10.1080/16549716.2024.2370102ear, nose, and throat (ent)health servicesresource-limited settingsouthern africa
spellingShingle Lufunda Lukama
Colleen Aldous
Warren Kuhn
Charles Michelo
Chester Kalinda
Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
Global Health Action
ear, nose, and throat (ent)
health services
resource-limited setting
southern africa
title Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
title_full Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
title_fullStr Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
title_full_unstemmed Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
title_short Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review
title_sort ten years of ear nose and throat ent services in southern africa a scoping review
topic ear, nose, and throat (ent)
health services
resource-limited setting
southern africa
url http://dx.doi.org/10.1080/16549716.2024.2370102
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