The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review
SETTING: There is a high burden of respiratory disease in sub-Saharan Africa. To address this problem, the World Health Organization launched the ‘Practical approach to Lung Health' (PAL), i.e., locally applicable integrated syndromic algorithms, to improve primary care management of these dise...
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International Union Against Tuberculosis and Lung Disease
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ftliverpoolstm:oai:archive.lstmed.ac.uk:5833 2023-05-15T17:54:24+02:00 The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review Banda, H Robinson, R Thomson, Rachael Squire, Bertie Mortimer, Kevin 2016-04-01 https://archive.lstmed.ac.uk/5833/ https://doi.org/10.5588/ijtld.15.0613 en eng International Union Against Tuberculosis and Lung Disease Banda, H, Robinson, R, Thomson, Rachael, Squire, Bertie orcid:0000-0001-7173-9038 and Mortimer, Kevin orcid:0000-0002-8118-8871 (2016) 'The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review'. International Journal of Tuberculosis and Lung Disease, Vol 20, Issue 4, pp. 552-559. International Journal of Tuberculosis and Lung Disease, Vol 20, Issue 4, pp. 552-559. WA 395 Health in developing countries WA 540 National and state health administration WF 200 Tuberculosis (General) WF 600 Lungs Article PeerReviewed 2016 ftliverpoolstm https://doi.org/10.5588/ijtld.15.0613 2023-01-30T21:24:51Z SETTING: There is a high burden of respiratory disease in sub-Saharan Africa. To address this problem, the World Health Organization launched the ‘Practical approach to Lung Health' (PAL), i.e., locally applicable integrated syndromic algorithms, to improve primary care management of these diseases. OBJECTIVE: To examine the evidence for the impact of PAL on the diagnosis and management of tuberculosis (TB) and other common respiratory problems in sub-Saharan Africa. DESIGN: A systematic review of MEDLINE (1998–2015), EMBASE (1998–2015) and CINAHL (1998–2015) was conducted to find trials evaluating PAL implementation in sub-Saharan Africa. RESULTS: Five studies were found, evaluating three PAL variations: PAL in South Africa (PALSA), PALSA with integrated human immunodeficiency virus treatment (PALSA PLUS) and PAL in Malawi using lay health workers (PALM/LHW). PALSA increased TB diagnosis (OR 1.72, 95%CI 1.04–2.85), as did PALSA PLUS (OR 1.25, 95%CI 1.01–1.55). Cure or completion rates in retreatment cases in PALSA and PALSA PLUS were significantly improved (OR 1.78, 95%CI 1.13–2.76). PALM/LHW, which examined TB treatment success, found no significant improvement (P = 0.578). CONCLUSION: The limited research performed shows that PAL can be effective in TB diagnosis and partial treatment success; however, more evidence is needed to assess its effects on other respiratory diseases, especially in wider sub-Saharan Africa. Article in Journal/Newspaper palsa LSTM Online Archive (Liverpool School of Tropical Medicine) The International Journal of Tuberculosis and Lung Disease 20 4 552 559 |
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LSTM Online Archive (Liverpool School of Tropical Medicine) |
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ftliverpoolstm |
language |
English |
topic |
WA 395 Health in developing countries WA 540 National and state health administration WF 200 Tuberculosis (General) WF 600 Lungs |
spellingShingle |
WA 395 Health in developing countries WA 540 National and state health administration WF 200 Tuberculosis (General) WF 600 Lungs Banda, H Robinson, R Thomson, Rachael Squire, Bertie Mortimer, Kevin The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
topic_facet |
WA 395 Health in developing countries WA 540 National and state health administration WF 200 Tuberculosis (General) WF 600 Lungs |
description |
SETTING: There is a high burden of respiratory disease in sub-Saharan Africa. To address this problem, the World Health Organization launched the ‘Practical approach to Lung Health' (PAL), i.e., locally applicable integrated syndromic algorithms, to improve primary care management of these diseases. OBJECTIVE: To examine the evidence for the impact of PAL on the diagnosis and management of tuberculosis (TB) and other common respiratory problems in sub-Saharan Africa. DESIGN: A systematic review of MEDLINE (1998–2015), EMBASE (1998–2015) and CINAHL (1998–2015) was conducted to find trials evaluating PAL implementation in sub-Saharan Africa. RESULTS: Five studies were found, evaluating three PAL variations: PAL in South Africa (PALSA), PALSA with integrated human immunodeficiency virus treatment (PALSA PLUS) and PAL in Malawi using lay health workers (PALM/LHW). PALSA increased TB diagnosis (OR 1.72, 95%CI 1.04–2.85), as did PALSA PLUS (OR 1.25, 95%CI 1.01–1.55). Cure or completion rates in retreatment cases in PALSA and PALSA PLUS were significantly improved (OR 1.78, 95%CI 1.13–2.76). PALM/LHW, which examined TB treatment success, found no significant improvement (P = 0.578). CONCLUSION: The limited research performed shows that PAL can be effective in TB diagnosis and partial treatment success; however, more evidence is needed to assess its effects on other respiratory diseases, especially in wider sub-Saharan Africa. |
format |
Article in Journal/Newspaper |
author |
Banda, H Robinson, R Thomson, Rachael Squire, Bertie Mortimer, Kevin |
author_facet |
Banda, H Robinson, R Thomson, Rachael Squire, Bertie Mortimer, Kevin |
author_sort |
Banda, H |
title |
The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
title_short |
The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
title_full |
The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
title_fullStr |
The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
title_full_unstemmed |
The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review |
title_sort |
‘practical approach to lung health' in sub-saharan africa: a systematic review |
publisher |
International Union Against Tuberculosis and Lung Disease |
publishDate |
2016 |
url |
https://archive.lstmed.ac.uk/5833/ https://doi.org/10.5588/ijtld.15.0613 |
genre |
palsa |
genre_facet |
palsa |
op_source |
International Journal of Tuberculosis and Lung Disease, Vol 20, Issue 4, pp. 552-559. |
op_relation |
Banda, H, Robinson, R, Thomson, Rachael, Squire, Bertie orcid:0000-0001-7173-9038 and Mortimer, Kevin orcid:0000-0002-8118-8871 (2016) 'The ‘Practical Approach to Lung Health' in sub-Saharan Africa: a systematic review'. International Journal of Tuberculosis and Lung Disease, Vol 20, Issue 4, pp. 552-559. |
op_doi |
https://doi.org/10.5588/ijtld.15.0613 |
container_title |
The International Journal of Tuberculosis and Lung Disease |
container_volume |
20 |
container_issue |
4 |
container_start_page |
552 |
op_container_end_page |
559 |
_version_ |
1766162171651162112 |