Rural Stroke Surveillance and Establishment of Acute Stroke Care Pathway Using Frontline Health Workers in Rural Northwest India: The Ludhiana Experience

Shavinder Singh; Mahesh Kate; Clarence Samuel; Deepshikha Kamra; Abirami Kaliyaperumal; Jayshree Nandi; Himani Khatter; Meenakshi Sharma; Jeyaraj Pandian

doi:10.1159/000515636

January 1, 2021Neuroepidemiology

Rural Stroke Surveillance and Establishment of Acute Stroke Care Pathway Using Frontline Health Workers in Rural Northwest India: The Ludhiana Experience

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Key Points

Assess the effectiveness of frontline health workers in detecting stroke cases in rural communities and establishing an acute stroke care pathway.
Trained frontline health workers (ASHAs) to conduct village-level stroke surveillance and identify acute stroke cases.
Assessed health-care facility response capacity and time to care relative to the therapeutic window for acute stroke interventions.
Frontline workers successfully identified stroke cases across rural villages.
A high proportion of patients reached health-care facilities within the designated acute therapeutic window.
Hospitals lacked the capacity to deliver acute stroke treatments such as thrombolysis, underscoring systemic barriers to acute care delivery.

Implication

Reveals frontline workers identify stroke cases within the therapeutic window, highlighting hospital-level barriers to acute thrombolysis delivery.

Abstract

ASHAs were able to identify stroke patients in the villages. Despite high numbers of patients reaching health-care facilities within a window period, the hospitals were unable to provide acute stroke treatment like thrombolysis. The health-care system needs to be strengthened to improve stroke care.

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Cite This Study

Singh et al. (2021) studied this question.

synapsesocial.com/papers/69d97d579a6164e50fa3ced2 https://doi.org/10.1159/000515636

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Rural Stroke Surveillance and Establishment of Acute Stroke Care Pathway Using Frontline Health Workers in Rural Northwest India: The Ludhiana Experience

Key Points

Implication

Abstract

Discussion

Cite This Study

Rural Stroke Surveillance and Establishment of Acute Stroke Care Pathway Using Frontline Health Workers in Rural Northwest India: The Ludhiana Experience

Key Points

Implication

Abstract

Discussion

Cite This Study

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