Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Nov 3;102(44):e35899.
doi: 10.1097/MD.0000000000035899.

Revolutionizing stroke care in Africa: A mini review of the transformative potential of mobile stroke units

Affiliations
Review

Revolutionizing stroke care in Africa: A mini review of the transformative potential of mobile stroke units

Gbolahan Olatunji et al. Medicine (Baltimore). .

Abstract

Stroke is a major health concern worldwide, and its impact is particularly pronounced across Africa. This paper delves into the challenges faced in African stroke care and explores the significant potential benefits of mobile stroke units (MSUs) in mitigating these issues. Key challenges include the limited healthcare infrastructure, funding constraints, difficulties reaching remote and rural areas, and shortages of qualified healthcare professionals, especially neurologists and stroke specialists. To address these challenges, recommendations are provided, emphasizing the importance of infrastructure development, sustainable funding mechanisms, solutions for rural accessibility, and healthcare workforce development through training programs and incentives. Additionally, the paper discusses prospects for MSUs in Africa, highlighting the potential for technology advancements to yield more cost-effective and compact MSU models. The integration of telemedicine capabilities within MSUs is examined to enhance communication with specialist physicians at remote hospitals, ultimately improving stroke care outcomes. Furthermore, data collection on MSU outcomes and their impact on stroke care is emphasized to inform evidence-based policies and enhance MSU operations. Collaboration and partnerships between governments, healthcare organizations, and international stakeholders are critical for facilitating MSU expansion. These partnerships can provide essential funding, expertise, and support for the implementation and sustainable operation of MSUs in Africa.

PubMed Disclaimer

Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Mobile stroke unit workflow.
Figure 2.
Figure 2.
Potential benefits of mobile stroke units (MSUs) for stroke care in Africa.

References

    1. Gomez CR. Time is brain: the stroke theory of relativity. J Stroke Cerebrovasc Dis. 2018;27:2214–27. - PubMed
    1. Kironji A, Hodkinson P, de Ramirez SS, et al. Identifying barriers for out-of-hospital emergency care in low and low-middle income countries: a systematic review. BMC Health Serv Res. 2018;18:291. - PMC - PubMed
    1. Khalema D, Goldstein LN, Lucas S. A retrospective analysis of time delays in patients presenting with stroke to an academic emergency department. SA J Radiol. 2018;22:1319. - PMC - PubMed
    1. Fassbender K, Walter S, Liu Y, et al. “Mobile stroke unit” for hyperacute stroke treatment. Stroke. 2003;34:e44. - PubMed
    1. Shuaib A, Jeerakathil T; Alberta Mobile Stroke Unit Investigators. The mobile stroke unit and management of acute stroke in rural settings. CMAJ. 2018;190:E855–8. - PMC - PubMed