ORIGINAL: Experiences of Multidisciplinary Working: Perspectives from the Wessex Ghana Stroke Partnership

West Afr J Med . 2022 Jun 24;39(6):641-645.

Abstract

Introduction: Substantial gaps remain in our understanding of stroke in Africa as well as in stroke care, practice and policy on the continent. The effective organization of preventative, therapeutic and rehabilitative stroke services continue to be challenging in many African countries.

Methodology: In this article we define the nature, function and benefits of effective multidisciplinary team (MDT) working. The experiences and perspectives of members of the MDT were collated by focus group discussions as well as individual and country specific contributions.

Results: The experiences and perspectives of multidisciplinary team members from the United Kingdom and Ghana implementing these practices at the first stroke unit in Korle Bu Teaching Hospital, Accra, with a transparent discussion of successes and challenges faced throughout development of the service, is presented. MDT working has improved outcomes for patients and families who use the services, including encouraging better shared treatment planning and compliance. More stroke rehabilitation services are provided than previously, including greater self-management education and better secondary prevention care.

Conclusion: It is hoped that this article will provide an inspirational model for others working to provide stroke care in low-resource settings in Africa and worldwide.

Authors

A Akpalu 1 2, L Sykes 3, K Nkromah 2, J Attoh 2, C Osei-Yeboah 2, L Johnson 4, C Amponsah 2 5, F Laryea 2, O Anarfi 2 6, A Shaw 7, L Cullen 8, S Easton 3, C Fullbrook-Scanlon 9, C Gordon 10, C Spice 11