01697nas a2200217   4500000000100000008004100001260001600042653002900058653001800087653001400105100001400119700001500133700001900148700001300167700001700180700001800197700001700215245008700232520114600319022001401465       2022                            d  bElsevier BV10aMedicine (miscellaneous)10aHealth Policy10aEducation1 aGogovor A1 aFakhfakh M1 aAsmaou Bouba D1 aAcakpo O1 aAyivi-Vinz G1 aMusabyimana A1 aGarvelink MM00aShared decision-making and person-centred care approaches in three African regions3 a<p>Five years ago, we published a ‘wake-up’ paper on shared decision-making (SDM) in West Africa. In the current paper, our overview has been expanded to more African regions (central and north, in addition to the west) as well as to person-centred care (PCC) approaches. While these concepts are known in all regions to varying degrees, results indicate that most known SDM and PCC efforts originate from West Africa. In general, the focus seems to be predominantly on partnership-driven healthcare programs, such as COVID-19 infection; HIV/AIDS and maternal/neonatal care; and patient-provider communication and patient participation instead of comprehensive SDM approaches. The findings also indicate the absence of SDM training for African health professionals beyond specific healthcare programs, but some education on decision-making or critical appraisal of health information in primary or undergraduate health schools is carried out in certain African countries. Building on these sectoral initiatives, future directions include developing research and training programs in the perspective of scaling effective approaches.</p>
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