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Ultrasound Int Open 2017; 03(02): E52-E59
DOI: 10.1055/s-0043-103948
Review
© Georg Thieme Verlag KG Stuttgart · New York

Opportunities and Challenges in Realizing Universal Access to Obstetric Ultrasound in Sub-Saharan Africa

Sikolia Z Wanyonyi
1   Obstetrics and Gynaecology, Aga Khan University – Kenya, Nairobi, Kenya
,
Charles Muriuki Mariara
2   Obstetrics and Gynaecology, AIC Kijabe Hospital, Kijabe, Kenya
,
Sudhir Vinayak
3   Radiology, Aga Khan University Hospital, Nairobi, Kenya
,
William Stones
4   St Georgeʼs, University of London, Molecular & Clinical Sciences Research Institute and Medical college, University of Malawi
› Author Affiliations
Further Information

Publication History

received 06 September 2016
revised 06 September 2016

accepted 31 January 2017

Publication Date:
07 June 2017 (online)

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Abstract

The potential benefits of obstetric ultrasound have yet to be fully realized in sub-Saharan Africa (SSA), despite the region bearing the greatest burden of poor perinatal outcomes. We reviewed the literature for challenges and opportunities of universal access to obstetric ultrasound and explored what is needed to make such access an integral component of maternity care in order to address the massive burden of perinatal morbidity and mortality in SSA. Original peer-reviewed literature was searched in various electronic databases using a ‘realist’ approach. While the available data were inconclusive, they identify many opportunities for potential future research on the subject within the region that can help build a strong case to justify the provision of universal access to ultrasound as an integral component of comprehensive antenatal care.

Key words

ultrasound - sub-Saharan Africa - perinatal outcomes - training
 

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