Dysphagia management in community/home settings: a scoping review investigating practices in Africa

Jayes, Mark ORCID: https://orcid.org/0000-0002-0371-7811, Madima, Vuledzani, Marshall, Julie ORCID: https://orcid.org/0000-0001-8860-2951 and Pillay, Mershen (2024) Dysphagia management in community/home settings: a scoping review investigating practices in Africa. International Journal of Speech-Language Pathology, 26 (6). pp. 861-872. ISSN 1754-9507

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Abstract

Purpose Little is known about how people living with dysphagia in rural, socio-economically impoverished contexts in Africa are supported and manage their disability. This scoping review sought to map and synthesise evidence relating to the management of dysphagia in adults in community/home settings in Africa as a “starting point” for a broader study on this topic. Method A multifaceted search strategy involved searches of electronic databases and grey literature, hand searches, ancestry searches, and consultation with expert advisors. Records were screened by two blinded reviewers. Characteristics of included studies were summarised, and their findings synthesised using the Framework approach. Result Six studies were included, relating to services for people with dysphagia secondary to various aetiologies. No grey literature was identified, that provided service delivery descriptions or practice guidance. This limited evidence suggests little professional support is available to people living with dysphagia in the community. Individuals and carers use a range of strategies, including choosing different food and drink items and modifying how food is chewed and swallowed. Conclusion Further research is required to understand current practice in managing dysphagia in the community in Africa, and the needs and priorities of community members who experience dysphagia and their carers.