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Ten years of ear, nose and throat (ENT) services in Southern Africa

A scoping review

Bibliographic Data

ID19530499
AuthorsLufunda Lukama (0000-0002-4056-0884, University Teaching Hospital, corresponding author), Colleen Aldous (0000-0002-7199-9160, University of KwaZulu-Natal), Warren Kuhn (0000-0003-0631-3975, University of KwaZulu-Natal), Charles Michelo (0000-0002-1697-8519, University of Zambia), Chester Kalinda (0000-0002-8144-0248, University of Global Health Equity)
Year2024
Volume17
Issue1
Pages2370102-2370102
Publication date2024-12-31
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2024.2370102
PMID38932660
OpenAlexW4400094961
LanguageEN
References cited50

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

Ear nose and throat · Geography · Nose · Throat · Ear Surgery and Otitis Media · Medicine · Otolaryngology and Infectious Diseases · Sinusitis and nasal conditions · Anatomy · Otorhinolaryngology · Surgery

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