Communicating risk during early phases of COVID-19: Comparing governing structures for emergency risk communication across four contexts

BackgroundEmergency risk communication (ERC) is key to achieving compliance with public health measures during pandemics. Yet, the factors that facilitated ERC during COVID-19 have not been analyzed. We compare ERC in the early stages of the pandemic across four socio-economic settings to identify how risk communication can be improved in public health emergencies (PHE).MethodsTo map and assess the content, process, actors, and context of ERC in Germany, Guinea, Nigeria, and Singapore, we performed a qualitative document review, and thematically analyzed semi-structured key informant interviews with 155 stakeholders involved in ERC at national and sub-national levels. We applied Walt and Gilson's health policy triangle as a framework to structure the results.ResultsWe identified distinct ERC strategies in each of the four countries. Various actors, including governmental leads, experts, and organizations with close contact to the public, collaborated closely to implement ERC strategies. Early integration of ERC into preparedness and response plans, lessons from previous experiences, existing structures and networks, and clear leadership were identified as crucial for ensuring message clarity, consistency, relevance, and an efficient use of resources. Areas of improvement primarily included two-way communication, community engagement, and monitoring and evaluation. Countries with recurrent experiences of pandemics appeared to be more prepared and equipped to implement ERC strategies.ConclusionWe found that considerable potential exists for countries to improve communication during public health emergencies, particularly in the areas of bilateral communication and community engagement as well as monitoring and evaluation. Building adaptive structures and maintaining long-term relationships with at-risk communities reportedly facilitated suitable communication. The findings suggest considerable potential and transferable learning opportunities exist between countries in the global north and countries in the global south with experience of managing outbreaks

Drug‐facilitated sexual assault in Africa: A scoping review of empirical evidence

Abstract Background Sexual assault has been a major social problem worldwide. Drug‐facilitated sexual assault (DFSA) is a form of sexual assault facilitated by psychoactive substances. DFSA is highly prevalent worldwide, though it is usually underreported. To understand the situation of DFSA in Africa, there is a need to map the available empirical evidence on DFSA in Africa. Hence, this scoping review was conducted to summarize the existing empirical knowledge and gaps in the literature and inform future research on DFSA in Africa. Methods This study adopted the design by the Arksey and O'Malley's guideline for scoping reviews. Without year limiters, literatures were retrieved through a systematic search of the 11 electronic databases using appropriate search terms and Boolean operators. The retrieved literatures were deduplicated and screened, using Rayyan, to identify eligible literature for inclusion into the review. Only those articles that met the eligibility criteria were included for data charting, collation, and summarization. Four articles were included in this review. Results Four articles were included in this review. The studies reported the characteristics of offenders and the context in which DFSA occurred. In the reviewed studies, rape of men was only reported among South Africans. Sedatives and alcohol are the most reported substances used in such rape. Perceptions of date rape, as documented by sexual assault survivors, suggest the pervasiveness of victim blaming. Typical DFSA cases appear opportunistic in nature, and an acquaintance is often the culprit. However, disaggregating DFSA as a specific sexual assault requires some logistics, including forensic and toxicological investigations. Conclusion DFSA is a significant dimension of gender‐based sexual violence. Infrastructure development should be improved to support systematic toxicological analyses and services to investigate and understand DFSA

The state of human papillomavirus research in Africa

Abstract Background Human papillomavirus (HPV) research scholarship evaluation is pivotal to the strategic planning, implementation and sustainability of HPV prevention and control programmes in Africa. Hence, this study evaluated HPV research scholarship in Africa. Methods This review—a bibliometric analysis—investigated the trends, patterns, dynamics and funding of HPV‐related literature production in Africa with a focus on the inequalities existing across thematic and subject areas, researchers, institutions and countries/territories/dependencies. The study data were obtained from SCOPUS database and analysed using the Microsoft Excel 2021 software. Result From 1974 (inception year) till 16 July 2022, a total of 2587 SCOPUS‐indexed literature on HPV were produced by African authors, with an average production rate of 50.5 publications per year (1974–2021). A few publications (1.2%) were in the Social Sciences. Most (95.1%) publications were in English, only a few (3.9%) were in French, whereas none was in Arabic, Portuguese, Spanish, Swahili or any other official language of the African Union. South Africa, Nigeria and Egypt were the three most prolific African countries. The 10 most prolific researchers were affiliated to public institutions in South Africa, Tanzania and Botswana. The top 10 funding sponsors were public institutions in the United States, the United Kingdom, Belgium and South Africa. Moreover, researchers and institutions affiliated to South Africa, Nigeria, Kenya and Uganda were the predominant beneficiaries. Only two indigenous journals made the list of top 10 journals publishing HPV research outputs from Africa. Conclusion Scholarly HPV research productivity in Africa is very low and worsened by multiple inequality gaps. There is an urgent need for equitably strengthening HPV research capacity in Africa

Perceived causes and prevention of catheter-associated urinary tract infections among spinal cord injured patients

Catheter-associated urinary tract infection (CAUTI) is among the most common nosocomial infections especially in acute care settings. Its economic and unanticipated health implications make it burdensome for the healthcare providers and patients. The paper examined the perceived causes and mode of preventing urinary tract infections in patients with spinal cord injury. Qualitative research approach was utilized; the study site was a Tertiary Hospital in Nigeria. Eight (8) in-depth interviews (IDI) were conducted with healthcare providers managing patients with spinal cord injured in the hospital. The major risk factors causing urinary tract infection identified include financial problems, organization of care, human error, hospital environment and patient-related factors. To prevent urinary tract infections among patients in the hospital, a number of suggestions were made by the participants such as training of caregivers and educating patients and relations. The authors concluded that the incidence of CAUTI could be reduced in the hospital if the opinions of stakeholders are fairly considered

Postgraduate students’ perception of the educational environment of a wet lab training in Neurological Surgery Division, UCH, Ibadan

Objective: The importance of understanding the perceptions of medical students to their training environment cannot be overemphasized. The study evaluated the wet lab training organized for Senior Registrars in the Neurosurgery, Division of the University College Hospital, Ibadan. Aim: The purpose of this study is to assess the experiences of postgraduate students during wet-lab training with the aim of improving the course content and introducing evidence-based and student-centered changes. Methodology: The study made use of a cross-sectional design and data were collected using the qualitative research approach. Information was elicited from all the Senior Registrars who participated in the training through in-depth interviews. Result: All the postgraduate students who participated in the training were satisfied with the course content and the method of delivery appropriated during the training. They also found it relevant to their practice. However, certain shortcomings were observed such as high cost of training, poor standard of equipment/tools, tight work schedule and short training duration. Conclusion: Hands-on training plays an important role in enhancing the quality of care and high performance in health-care service delivery. The shortcomings and suggestions for improving future trainings as reported by the residents should be addressed in order to maximize the gains of the hands-on training experienc