Children and young people with disabilities make up a substantial population in sub-Saharan Africa yet their active participation and inclusion in health research remain limited. Although disability-inclusive and participatory approaches are increasingly recognised as essential for ethical and impactful research, evidence on how children and young people with disabilities are actively involved across research stages is inconsistent. This scoping review aims to systematically map and synthesise existing literature on the active participation and inclusion of children and young people with disabilities in health research in sub-Saharan Africa and identify reported interventions, strategies and outcomes that support such involvement.
This review will follow the Arksey and O’Malley framework and will be reported according to PRISMA-ScR guidelines. A comprehensive search of MEDLINE, PubMed, Web of Science, Scopus, PsycINFO, Africa-Wide Information and grey literature sources will identify studies published in English from 2000 to 2025. Eligible evidence will include qualitative, quantitative and mixed-methods studies, as well as organisational reports addressing participation of children and youth aged 0–35 years with disability in health research.
All identified records will be imported into Rayyan (Rayyan Systems Inc., Cambridge, MA, USA) for title and abstract screening. Two reviewers will independently screen articles, extract data using a structured charting form and synthesise findings using descriptive and thematic analysis. Any disagreements will be resolved through discussion or consultation with a third reviewer.
Ethical approval is not required as this review draws solely on publicly available literature. The findings will provide a regional synthesis of disability-inclusive health research involving children and young people in sub-Saharan Africa and will inform the development of equitable, participatory research practices. Results will be disseminated through peer-reviewed publications and accessible formats, including plain-language summaries and youth-friendly presentations.
To explore the barriers and facilitators influencing the implementation of continuous positive airway pressure from the perspective of healthcare providers (HCPs) in primary hospitals of four regions in Ethiopia.
A qualitative descriptive study employing thematic analysis of data collected through in-depth interviews from the perspective of HCPs.
The study was conducted in twelve selected primary hospitals in four regions of Ethiopia: Oromia, Amhara, Tigray and Sidama.
28 HCPs who worked in neonatal intensive care units (NICUs) and delivery rooms, including nurses, midwives, general practitioners, coordinators and medical directors, were interviewed in person and in-depth. Additionally, to ensure a diverse range of viewpoints, participants were identified in collaboration with hospital management and interviewed until data saturation was reached.
The study explored participants’ comprehensive experiences concerning the barriers to and facilitators of the implementation of CPAP, as well as their suggestions for enhancing its adoption.
Seven all-encompassing themes emerged: (1) providers’ knowledge and experience, (2) training and mentorship, (3) communication, (4) perceptions of CPAP, (5) equipment availability and accessibility of CPAP, (6) management and infrastructure and (7) provider-driven recommendations. Significant barriers included inadequate and inconsistent training, staff rotation, limited mentorship opportunities, poor interdepartmental communication, misconceptions regarding oxygen requirements, equipment and supply shortages, unreliable power sources and inadequate managerial backing. Facilitators included improved provider familiarity with CPAP indications, structured mentorship initiatives, internal case discussions, backup power allocation to NICUs and prioritisation strategies for critically ill neonates.
CPAP implementation in primary hospitals is influenced by interconnected individual, institutional and systemic factors. Sustainable scale-up in resource-limited settings requires practical training, mentorship, staff retention, dedicated funding and infrastructure and strong institutional and external partnerships.
A pesar de los avances en materia legal y sanitaria para la atención del colectivo trans, continúan existiendo muchos impedimentos, como son la atención heterogénea que existe al dictaminar cada comunidad sus normas de atención. Con esta investigación se pretende analizar el conocimiento y las actitudes del personal asistencial de Salud Mental del Instituto de Psiquiatría (IPS) del Hospital General Universitario Gregorio Marañón (HGUGM) sobre la transexualidad. Además, se propone examinar las actitudes y conocimientos entre hombres y mujeres participantes y evaluar las actitudes y conocimientos entre las diversas edades. Para ello se lleva a cabo un estudio de corte cuantitativo, concretamente un estudio descriptivo transversal, que se desarrolla desde mayo de 2022 a julio de 2023. El ámbito de estudio es el IPS del HGUGM, siendo su personal asistencial la población elegida. Como instrumento de recogida de datos se utiliza el cuestionario TABS, que mide actitudes y conocimientos sobre transexualidad, y un cuestionario ad-hoc para las variables sociodemográficas.
ABSTRACT
Despite the advances in legal and health care for the trans community, there are still many impediments, such as the heterogeneous care that exists as each community dictates its own standards of care. The aim of this research is to analyze the knowledge and attitudes of the Mental Health care staff of the Psychiatry Institute (IPS) of the Gregorio Marañón General University Hospital (HGUGM) regarding transsexuality. In addition, it is proposed to examine attitudes and knowledge among male and female participants and to assess attitudes and knowledge among different ages. For this purpose, a quantitative study is carried out, specifically a cross-sectional descriptive study, which runs from May 2022 to July 2023. The scope of the study is the IPS of the HGUGM, being its healthcare personnel the chosen population. The data collection instrument used was the TABS questionnaire, which measures attitudes and knowledge about transsexuality, and an ad hoc questionnaire for socio-demographic variables.