Injuries cause 4.4 million deaths worldwide each year: 8% of all global deaths. For every injury-related death, up to 50 people sustain temporary or permanent disability, resulting in more than 220 million disability-adjusted life years (DALYs) lost each year. This is more than tuberculosis, human immunodeficiency virus (HIV), and malaria combined.
MSK injuries account for the majority of these injuries and 78% of injury-related disabilities. SSA has a higher incidence of MSK injuries than any other region in the world and its population is expected to double by 2050. This in turn will affect the burden of MSK injuries.
Despite the burden of MSK injuries, there is little research to address this neglected global problem and a lack of evidence to guide the management of MSK injuries in LMIC. The amount of funding, infrastructure, and research devoted to MSK injury is disproportionally low in comparison to other significant global health problems, such as HIV/AIDS, malaria, and tuberculosis. As a result, little is known about the true burden, prevention strategies, healthcare provision and resource use, longer-term consequences, and the wider impact of MSK injuries in LMIC.
Study design: We will evaluate the available resources for conducting clinical research across our partner countries using a combination of methods (literature search, bibliometric analysis, and survey). Furthermore, we will undertake a consensus exercise to determine the areas and opportunities to strengthen MSK research capacity within each partner country.
Study participants: Healthcare practitioners (doctors, nurses, physiotherapists) and researchers providing MSK injury care or involved in aspects of MSK injury research across South Africa, Malawi, and Tanzania.
Study design:Across our partner countries, we will undertake an observational “snap-shot” study to determine the number of WHO-priority MSK injuries that occur during our research period.
Study participants:All adults (≥18 years) and children presenting to participating centers with any of the five WHO-priority MSK injuries.
Study design:We will adapt the WHO SARA framework to "assess and monitor the service availability and readiness of the health sector and to generate evidence to support the planning and managing of a health system" related to MSK injuries across our partner countries. The SARA methodology uses systematic data collection to generate tracer indicators of health service availability and readiness. Providing reliable information on service delivery of basic health-care interventions related to MSK injury care for the five priority fractures.
Study participants:All healthcare facilities providing MSK injury care in Malawi, Tanzania, and South Africa.
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