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In Africa, 86% of CHWs are volunteers with little or no compensation [11]. The WHO’s 2018 CHW guidelines recommend remuneration commensurate with job demands, complexity, hours worked, and training [9]. Satisfaction with incentives is shown to improve performance while reducing attrition [12,13]. In contrast, inadequate, partial, or delayed payments reduce motivation and intervention coverage [13].
Significant challenges have been documented with cash payments for CHWs.
JMIR Med Inform 2025;13:e65325
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To address these challenges, simulation-based training for emergency obstetric care has evolved as a promising approach in sub-Saharan Africa. Growing evidence suggests that this type of training improves health care providers’ knowledge and skills, while also leading to positive changes in their behavior [3-5].
JMIR Med Educ 2025;11:e54911
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Sub Saharan Africa overall, has the highest cervical cancer incidence and mortality rates in the world [4]. Cervical cancer is the leading cancer among women in Uganda [4]. Up to 72% of women are diagnosed with late-stage disease [5], and 80% die within 5 years of diagnosis [6]. The age-standardized cervical cancer incidence rate in Uganda is more than 4 times the global average, and the age-standardized mortality rate is nearly 6 times higher [4].
JMIR Mhealth Uhealth 2025;13:e63527
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Africa accounted for a quarter of all new TB cases worldwide in 2022 and has been at the center of many efforts to eradicate TB [1]. Since 1990, the continent has seen rapid urbanization, with 0.5 billion more people now living in urban areas [9]. While population density is generally associated with easier geographical access to health services, rapid urbanization is also intrinsically associated with socioeconomic disparities, including the development of crowded townships [10].
JMIR Public Health Surveill 2025;11:e68355
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Since over 18% of the estimated 2022 global population was in Africa [12], this suggests either a truly lower incidence or conspicuous underreporting. Childhood brain/CNS tumors were more commonly reported in Africa, with 14.2% incidence rates (IRs) of new global brain/CNS tumor cases and 16.9% of deaths reported in 2022 for children aged 0-18 years old [11,12]. An additional source of underreporting of brain and CNS tumors in Africa is the scarcity of well-established tumor registries [9,10].
JMIR Res Protoc 2025;14:e66978
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Cross-border movement has been identified as an important factor in COVID-19 transmission in Eastern and Southern Africa, and most countries in the region have restricted entry to reduce virus importation. However, the region’s economy and social fabric are dependent on the cross-border movement of goods and people, and it was anticipated that border closures would have the same, if not greater, impact than COVID-19 [1,2].
JMIR Form Res 2025;9:e66751
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The main objective of this review is to examine available evidence regarding birth attendants’ experiences with upward referral systems in emergency obstetric care in sub-Saharan Africa (SSA) since the inception of the SDGs. Based on the objective of this review, the following research questions have been developed:
What are the publication characteristics of evidence on upward obstetric referrals?
What are the experiences of birth attendants regarding upward obstetric emergency referrals in LMICs?
JMIR Res Protoc 2025;14:e64886
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Maternal mortality is a critical public health issue, particularly in low-resource settings like sub-Saharan Africa, which accounts for over three-fourths of global maternal deaths [1]. Despite progress in reducing adverse maternal outcomes in countries like Ethiopia, high maternal mortality ratios persist, largely due to gaps and stockouts of essential supplies for managing obstetric emergencies [2,3]. Inadequate supplies for basic emergency obstetric care (BEm OC) can lead to delayed or suboptimal care.
JMIR Hum Factors 2025;12:e64131
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