Reflection and ReactionThe Global Stroke Initiative
Section snippets
Awareness and advocacy
Increased awareness and advocacy among policy makers, health-care providers, and the general public on the effect of stroke on society, health systems, individuals, and families is fundamental to improving stroke prevention and management. Advocacy and awareness are also essential for the development of sustainable and effective responses at local, district, and national levels. Policy makers need to be informed of the major public-health and economic threats posed by stroke as well as the
Stroke surveillance
Documenting the size of stroke burden in relation to other diseases is a cornerstone for increasing awareness and for improving stroke prevention and treatment. The best available information currently comes from the WHO global burden of disease project and the associated estimates of mortality and disability, expressed as disability adjusted life years (DALYs).6 Only about one third of the world's population are covered by routine national mortality statistics, although sample registration
The WHO Global InfoBase
The WHO Global InfoBase is an online interactive web-based research tool that collates and displays country-level data on a range of chronic diseases and associated risks. Good data on stroke are essential for documenting why a government should invest in stroke prevention and treatment. However, only a few countries have updated and reliable data on stroke occurrence. The stroke component of the WHO InfoBase provides an overview of all published descriptive stroke studies linked to the source
STEPS
The WHO STEPwise framework12, 13 has been developed in response to requests from member states to provide a standardised approach to the collection of data related to chronic diseases and their common risk factors. It is designed to help countries establish periodic cross sectional surveys of eight major modifiable risk factors that predict stroke and other chronic diseases on the basis of the methodology established by the WHO MONICA project.9, 10
Complete registration of stroke occurrence in a
Prevention and management
Stroke shares major risk factors—eg, tobacco use, unhealthy diet, physical inactivity, obesity, high blood pressure—with other chronic diseases, such as coronary heart disease and some cancers. Population based strategies for the primary prevention of these major diseases are also the most cost-effective approaches for prevention of stroke. With background data derived from local risk-factor studies and those participating in the STEPS-Stroke surveillance system, population-wide prevention
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Platelet indices as prognostic markers of ischemic stroke and their correlation with lipid profile
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2023, Journal of Chemical NeuroanatomyFactors associated with post-stroke social participation: A quantitative study based on the ICF framework
2023, Annals of Physical and Rehabilitation MedicineCitation Excerpt :It is estimated that 50 million individuals live with post-stroke disability worldwide [1].
Analysis of the demographic characteristics and clinical profile of acute ischemic strokes admitted to the emergency centre in the Somalia population
2022, African Journal of Emergency MedicineCitation Excerpt :In addition, it has been emphasized that targeted interventions that reduce blood pressure and smoking, and promote physical activity and healthy eating will significantly reduce the burden of stroke [10]. In SSA, including Somalia, stroke represents a significant portion of the chronic disease burden [11]. In previous studies covering the Sub-Saharan Africa region (not including data from Somalia), the overall pooled prevalence of ischemic stroke among all strokes was 61.4%, with a mean age range of 55 – 62.8 [12].