TY - JOUR
T1 - Recognising Sepsis as a Health Priority in Sub-Saharan African Country
T2 - Learning Lessons from Engagement with Gabon’s Health Policy Stakeholders
AU - Adegbite, Bayode Romeo
AU - Kawale, Paul
AU - Kalitsilo, Levi
AU - Jacob, Shevin T.
AU - Rylance, Jamie
AU - Adegnika, Ayola Akim
AU - Grobusch, Martin Peter
N1 - Funding Information: This research was funded by the National Institute for Health Research (NIHR) (17/63/42) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK government. AAA and MGP are members of CANTAM (EDCTP-CSA2020NoE-3100) network.Acknowledgments: The authors wish to thank all participants for their contributions to our study. Furthermore, we would like to thank Angoissa Minsoko Pamela Catherine for helping in translating the interview recorded. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/5/1
Y1 - 2022/5/1
N2 - Sepsis has been recognised as a global health priority by the United Nations World Health Assembly, which adopted a resolution in 2017 to improve sepsis prevention, diagnosis, and management globally. This study investigated how sepsis is prioritised in Gabon. From May to November 2021, we conducted a qualitative study in healthcare stakeholders at the local, regional, and national levels. Stakeholders included the Ministry of Health (MOH), ethics/regulatory bodies, research insti-tutions, academic institutions, referral hospitals, international funders, and the media. Twenty-three multisectoral stakeholders were interviewed. Respondents indicated that sepsis is not yet prioritised in Gabon due to the lack of evidence of its burden. They also suggest that the researchers should focus on linkages between sepsis and the countries’ existing health sector priorities to accelerate sepsis prioritisation in health policy. Stakeholder awareness and engagement might be accelerated by involving the media in the generation of communication strategies around sepsis awareness and prioritisation. There is a need for local, regional and national evidence to be generated by researchers and taken up by policymakers, focusing on linkages between sepsis and a country’s existing health sector priorities. The MOH should set sepsis reporting structures and develop appropriate sepsis guidelines for identification, management, and prevention.
AB - Sepsis has been recognised as a global health priority by the United Nations World Health Assembly, which adopted a resolution in 2017 to improve sepsis prevention, diagnosis, and management globally. This study investigated how sepsis is prioritised in Gabon. From May to November 2021, we conducted a qualitative study in healthcare stakeholders at the local, regional, and national levels. Stakeholders included the Ministry of Health (MOH), ethics/regulatory bodies, research insti-tutions, academic institutions, referral hospitals, international funders, and the media. Twenty-three multisectoral stakeholders were interviewed. Respondents indicated that sepsis is not yet prioritised in Gabon due to the lack of evidence of its burden. They also suggest that the researchers should focus on linkages between sepsis and the countries’ existing health sector priorities to accelerate sepsis prioritisation in health policy. Stakeholder awareness and engagement might be accelerated by involving the media in the generation of communication strategies around sepsis awareness and prioritisation. There is a need for local, regional and national evidence to be generated by researchers and taken up by policymakers, focusing on linkages between sepsis and a country’s existing health sector priorities. The MOH should set sepsis reporting structures and develop appropriate sepsis guidelines for identification, management, and prevention.
KW - Gabon
KW - Lambaréné
KW - health system
KW - policy engagement
KW - prioritisation
KW - sepsis
UR - http://www.scopus.com/inward/record.url?scp=85130263431&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/healthcare10050877
DO - https://doi.org/10.3390/healthcare10050877
M3 - Article
C2 - 35628014
SN - 2227-9032
VL - 10
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 5
M1 - 877
ER -