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Advanced Neurology Stroke care in sub-Sahara Africa

collated the article publications. Abstracts were not 3. Epidemiology of stroke in SSA
included in this review.
This section provides a review of multiple hospital- and
The primary aims of this review are to: community-based epidemiological studies that have
(i) Review the epidemiology and burden of stroke in SSA evaluated the burden and outcomes of stroke in SSA.
(ii) Review the scope of organized stroke care in the region The reported figures exhibit considerable variability
(iii) Review the state of post-stroke care due to differences in the designs of the studies
(iv) Define the obstacles impacting stroke care in the region reviewed, including differences in case definition,
and provide a framework for improving outcomes for case ascertainment, study population, and duration of
stroke patients in SSA. follow-up (Table 1).

Table 1. Epidemiological studies on stroke in selected sub‑Saharan African countries
Study Country Study type Study Sample Case Crude Age‑adjusted Crude Case
period size definition incidence/100,000 incidence/100,000 prevalence fatality
rate (%)
Osuntokun et al. 5 Nigeria Hospital 1973 – 1975 229 - 26 - - 34.9
based (21-day)
Danesi et al. 8 Nigeria Community 2007 189 WHO 25 54 - 16.2
based (30-day)
Okon, et al. 9 Nigeria Community 2010 – 2011 298 - 61 61 - 4.0
based (30-day)
Rosman 6 SouthAfrica Hospital 1984 – 1985 116 Harvard 101 - - 33.6
based (30-day)
Damasceno Mozambique Hospital 2005 – 2006 651 WHO 149 260 - 49.6
et al. 10 based (28-day)
Matenga 7 Zimbabwe Community 1991 273 WHO 31 68 - 35
based (7-day)
Walker et al. 11 Tanzania Community 2003 – 2006 636 WHO 95 in Hai; 108 in 109 in Hai; 316 in - -
based Dar es Salaam Dar es Salaam
Osuntokun Nigeria Community 1983 – 1984 20,000 WHO - - 58 -
et al. 12 based
Onwuchekwa Nigeria Community 2008 1,057 WHO - - 851 -
et al. 16 based
Ejimofor et al. 17 Nigeria Community 2014 2,028 WHO - - 1,331 -
based
Sanya et al. 18 Nigeria Community 2009 – 2010 12,992 WHO - - 131 -
based
Enwereji et al. 21 Nigeria Community 2011 6,150 WHO - - 163 -
based
Adoukonou Benin Community 2016 4671 WHO - - 1,156 -
et al. 20 based
Cossi et al. 22 Benin Community 2008 – 2009 321 WHO - - 460
based
Conor et al. 13 South Africa Community 2001 724 WHO - - 243 -
based
Tekle-Haimanot 14 Ethiopia Community 1986 – 1988 60,820 - - - 15 -
based
Dewhurst et al. 19 Tanzania Community 2009 – 2010 2,232 WHO - - 2,300 -
based
Walker et al. 15 Tanzania Community 1994 – 1995 108 WHO - - 127 -
based
Notes: Case definitions: Harvard: Harvard Cooperative Stroke Registry; WHO: World Health Organization.

Volume 3 Issue 2 (2024) 3 doi: 10.36922/an.2804