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Integrating Arthritis Management into Primary Healthcare in West Africa: A Narrative Review
Author: Ernest Nsubuga
Publisher: RESEARCH INVENTION JOURNAL OF SCIENTIFIC AND EXPERIMENTAL SCIENCES
Published: 2026
Section: Faculty of Clinical Medicine and Dentistry
Abstract
Arthritis, particularly osteoarthritis (OA) and rheumatoid arthritis (RA), is an emerging public health issue in West
Africa, with its rising prevalence significantly impacting individuals' quality of life and productivity. Despite the
growing burden, arthritis management remains under-integrated into primary healthcare (PHC) systems in the
region, which is primarily due to challenges such as limited healthcare resources, cultural misconceptions, and
inadequate healthcare infrastructure. This narrative review examines the current state of arthritis management in
West Africa, identifying barriers to effective care and exploring strategies for integration into PHC systems. Key
challenges include a shortage of trained healthcare providers, limited access to essential diagnostic tools, and cultural
beliefs that delay diagnosis and treatment. However, opportunities for improvement exist through enhanced
healthcare worker training, the adoption of multidisciplinary care approaches, community education, and the use of
telemedicine to extend care to remote areas. Policy-level changes, increased healthcare funding, and research into
local epidemiology and effective interventions are essential to improve the management of arthritis in West Africa.