Establishing Organized Stroke Care in Low- and Middle-Income Countries: From Training of Non-specialist to Implementation
Journal
Journal of Stroke Medicine
Date Issued
March 30, 2023
DOI
10.1177/25166085231158425
Abstract
Low- and middle-income countries (LMICs) suffer from a higher stroke burden compared to high-income countries with
higher mortality and disability due to stroke. However, the availability of resources, both infrastructural and personnel, is
widely discrepant. The lack of specialist neurologists or stroke physicians in LMICs makes it imperative to rely on alternative
models of stroke care. Task-sharing models such as the physician-led model or the non-specialist model have been evaluated
previously with evidence for feasibility and cost-effectiveness. We propose to implement and assess the effectiveness of a
non-specialist model of stroke care across 3 LMICs through a structured capacity building program, augmented by a tailored
mobile application to guide the non-specialists in delivering optimal stroke care. This study will provide essential information
on the effectiveness of a non-specialist driven delivery of stroke care on a larger scale across different regional contexts.
higher mortality and disability due to stroke. However, the availability of resources, both infrastructural and personnel, is
widely discrepant. The lack of specialist neurologists or stroke physicians in LMICs makes it imperative to rely on alternative
models of stroke care. Task-sharing models such as the physician-led model or the non-specialist model have been evaluated
previously with evidence for feasibility and cost-effectiveness. We propose to implement and assess the effectiveness of a
non-specialist model of stroke care across 3 LMICs through a structured capacity building program, augmented by a tailored
mobile application to guide the non-specialists in delivering optimal stroke care. This study will provide essential information
on the effectiveness of a non-specialist driven delivery of stroke care on a larger scale across different regional contexts.
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