{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T08:37:29Z","timestamp":1785400649730,"version":"3.56.0"},"reference-count":104,"publisher":"AOSIS","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SAJCD"],"abstract":"<jats:p>Background: In the context of Africa and other resource-limited settings, there is a necessity to address the unique challenges faced by dysphagic patients and to better understand how healthcare professionals, including speech language pathologists (SLPs), can provide contextually and culturally responsive care given our unique healthcare context.\n\nObjectives: Therefore, this scoping review aims to map and synthesise evidence relating to dysphagia research in Africa to understand trends as well as research and clinical gaps.\n\nMethod: An electronic search of CINAHL, Medline, Academic Search Premier, Global Health, PubMed was conducted in May 2024. Peer-reviewed, English-language articles published between 2015 and 2024 were retrieved. A total of 627 articles were screened, and 61 were included in the final review.\n\nResults: Broadly, 60.7% of the articles stemmed from SA with 62.3% being conducted by SLPs. The articles predominantly focused on practice (n = 39, 63.9%) but also looked at aspects around prevalence, screening, assessment and teaching and learning. Research on dysphagia in Africa highlights the diverse patient populations affected by the condition and the need for interdisciplinary work.\n\nConclusion: There is a strong trend towards patient descriptions and the need for describing local data and developing tools that are appropriate for our contexts, but the gaps strongly highlight the need for multidisciplinary involvement in dysphagia, which is not being conducted.\n\nContribution: This study provides some insight into research being conducted in the African continent, including current trends and areas of future research.<\/jats:p>","DOI":"10.4102\/sajcd.v72i2.1083","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T07:11:56Z","timestamp":1754896316000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Current trends and identified gaps in dysphagia research in Africa: A scoping review"],"prefix":"10.4102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6388-0960","authenticated-orcid":false,"given":"Skye","family":"Adams","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7582-0829","authenticated-orcid":false,"given":"Kim","family":"Coutts","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Abd Elrhman, F.S., Abd Elmetlb, S.E., & Abd Elnaeem, M.M. 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Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 22(22), 1\u20137.","DOI":"10.21608\/ejentas.2021.89877.1407"},{"key":"ref4","unstructured":"Ali, H.M., Abd Allah, E.S., Elgammal, N.E., & Badie, S. (2022). Percentage of swallowing disorder among neurological elderly patients. Journal of Pharmaceutical Negative Results, 13(1), 1930\u20131935."},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Andrews, M., & Pillay, M. (2017). Poor consistency in evaluating South African adults with neurogenic dysphagia. South African Journal of Communication Disorders, 64(1), 1\u201314. https:\/\/doi.org\/10.4102\/sajcd.v64i1.158","DOI":"10.4102\/sajcd.v64i1.158"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Arksey, H., & O\u2019Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19\u201332. https:\/\/doi.org\/10.1080\/1364557032000119616","DOI":"10.1080\/1364557032000119616"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Asubiaro, T.V., & Onaolapo, S. (2023). A comparative study of the coverage of African journals in Web of Science, Scopus, and CrossRef. Journal of the Association for Information Science and Technology, 74(7), 745\u2013758. https:\/\/doi.org\/10.1002\/asi.24758","DOI":"10.1002\/asi.24758"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Atkinson, K. (2022). Shared decision making in dysphagia. British Journal of Nursing, 31(13), S21\u2013S24. https:\/\/doi.org\/10.12968\/bjon.2022.31.13.S21","DOI":"10.12968\/bjon.2022.31.13.S21"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Azevedo, M.J. (2017). The state of health system(s) in Africa: Challenges and opportunities. In T. Falola, & M.M. Heato (Eds.), Historical perspectives on the state of health and health systems in Africa, Volume II: The modern era (pp. 1\u201373). Springer.","DOI":"10.1007\/978-3-319-32564-4_1"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Aziz, A., Osman, D., Abdelhameed, A., & Nagy, A. (2023). Development of a pediatrics dysphagia screening questionnaire. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 24(24), 1\u201318. https:\/\/doi.org\/10.21608\/ejentas.2023.226365.1661","DOI":"10.21608\/ejentas.2023.226365.1661"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Bardien, F., Robbertse, A., Klop, D., Gaskin, A., & De Beer, A. (2021). Nurses\u2019 perceptions of barriers to collaborative care of communication difficulties and dysphagia in persons with stroke. In Q. Louw (Ed.), Collaborative capacity development to complement stroke rehabilitation in Africa (Chapter 3). 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Decision making and the bedside assessment: The speech language therapists\u2019 thinking when making a diagnosis at the bed. South African Journal of Communication Disorders, 68(1), 1\u20138. https:\/\/doi.org\/10.4102\/sajcd.v68i1.790","DOI":"10.4102\/sajcd.v68i1.790"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Coutts, K., & Sayed, B. (2023). Third party disability of family members of adults with dysphagia. African Journal of Disability, 12, 1040. https:\/\/doi.org\/10.4102\/ajod.v12i0.1040","DOI":"10.4102\/ajod.v12i0.1040"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Coutts, K.A. (2019). Community service speech language therapists practising in adult dysphagia: Is the healthcare system failing them?. South African Journal of Communication Disorders, 66(1), a615. https:\/\/doi.org\/10.4102\/sajcd.v66i1.615","DOI":"10.4102\/sajcd.v66i1.615"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Coutts, K.A. (2021). Dysphagia in cervical spinal cord injury: How international literature trends can guide South African practice patterns\u2013A scoping review. South African Journal of Physiotherapy, 77(1), a1542. https:\/\/doi.org\/10.4102\/sajp.v77i1.1542","DOI":"10.4102\/sajp.v77i1.1542"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Darwish, M., El-Tamawy, M.S., & Khalifa, H.A. (2024). Prevalence of dysphagia in acute stroke patients: Cross section study. Bulletin of Physical Therapy Research and Studies, 2(2), 30\u201345. https:\/\/doi.org\/10.21608\/bptrs.2024.278767.1030","DOI":"10.21608\/bptrs.2024.278767.1030"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Diend\u00e9r\u00e9, J., Millogo, A., Preux, P.M., J\u00e9sus, P., & Desport, J.C. (2018). Changes in nutritional state and dysphagia in stroke patients monitored during a 14-d period in a Burkina Faso hospital setting. 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Pan African Medical Journal, 33(1), 12. https:\/\/doi.org\/10.11604\/pamj.2019.33.12.18541","DOI":"10.11604\/pamj.2019.33.12.18541"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Ghammam, M., Houas, J., Bellakhdher, M., & Abdelkefi, M. (2019b). Dysphagia revealing diffuse idiopathic skeletal hyperostosis: Report of two cases and literature review. Pan African Medical Journal, 32(1), 189. https:\/\/doi.org\/10.11604\/pamj.2019.32.189.18561","DOI":"10.11604\/pamj.2019.32.189.18561"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Gomah Yousef, S., El-Deeb, A.A.E.M., & Elsayed Rady, S. (2020). Effect of swallowing training rehabilitation program on severity of dysphagia and swallowing trial among patients with cerebrovascular stroke. 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