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Access to musculoskeletal healthcare services in Sub-Saharan Africa is inadequate. As osteoarthritis is the most prevalent chronic osteoarticular disease globally, it’s essential to understand its social and economic impact, as well as the determinants of inequities in access to healthcare services in Sub-Saharan Africa. The absence of systematised knowledge on this topic makes this review pertinent. However, due to data scarcity, assessing this burden is challenging. The objective of this scoping review is to map and summarise the available literature up to 2025 on the socioeconomic burden and health inequity determinants among the Sub-Saharan African population with osteoarthritis.
A predefined search strategy will be applied to MEDLINE (via PubMed), Embase, African Journals Online and African Index Medicus to incorporate articles relevant to adults diagnosed with osteoarthritis who are residents of sub-Saharan Africa. We will also include grey literature sources such as Google Scholar, Research Square, manuals, books, medical society websites, secondary databases, theses and dissertation repositories and conference proceedings. Study selection will be conducted in two stages by a pair of reviewers who will independently screen titles and abstracts according to the eligibility criteria, followed by a full-text review of the selected studies. The search period was from October 2025 to January 2026. Data extraction will be performed using a standardised charting form developed by the review team.
This scoping review maps evidence on OA-related socioeconomic impacts and healthcare inequities in Sub-Saharan Africa. As a secondary data analysis, ethical approval is not required. Findings will be disseminated via peer-reviewed journals and academic conferences to clinicians and policymakers.
by María Yehisiri Martín–Báez, Candelaria de la Merced Díaz-González
IntroductionType 1 diabetes mellitus (T1DM) is the most common chronic endocrine disorder in childhood, making teachers key agents in ensuring a safe school environment. The main objective of this study was to evaluate the attitudes and prejudices of teachers at Public Early Childhood and Primary Education Centres (ECPECs) in the municipality of San Bartolomé de Tirajana (SBTGC), on the island of Gran Canaria (Canary Islands, Spain), regarding the care of students with T1DM.
Materials and methodsA descriptive cross-sectional study was conducted. The target population consisted of 264 teachers from seven ECPECs schools in the municipality of SBTGC, Gran Canaria. Data collection was carried out using the validated instrument Teacher Negative Attitudes Index toward the Care of Students with Type 1 Diabetes Mellitus (INAPAD-18), which allowed for the evaluation of teachers’ attitudes and provided an answer to the study’s main objective. The research was approved by the Research and Drug Ethics Committee (CEIm) of Las Palmas.
ResultsThe final sample consisted of 126 participants, representing a participation rate of 47.72%, which did not reach the size required for statistical representativeness. A total of 15.87% of teachers reported currently having students diagnosed with T1DM. The mean number of years of experience working with students with this condition was 3.77 years [0–35years]. A marked gender disparity was observed, with a predominance of women (84.12%). The mean score obtained on the INAPAD-18 questionnaire was 47.02 (range: 18–90). In this instrument, lower scores indicate more favourable attitudes toward the care of students with T1DM. Although male participants showed more favourable attitudes compared to their women, this difference was not statistically significant (p > 0.05).
Discussion/ConclusionThe results indicate generally favourable attitudes, with moderately low INAPAD-18 scores. However, slight deficiencies were observed in teachers’ training and perception, consistent with findings from previous similar studies. The ECPEC schools Juan Grande and Las Dunas stood out for demonstrating the most positive attitudes. It is necessary for educational institutions to implement specific measures aimed at teacher training in order to improve attitudes and ensure appropriate attention to the needs of students with T1DM.
Rev Enferm;41(3): 188-196, mar. 2018. [Artículo]
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