: Despite global progress in stroke care, challenges persist, especially in Low- and Middle-Income countries (LMIC). The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) Stroke Program Accreditation Initiative aims to improve stroke care regionally. A 2022 survey assessed stroke unit readiness in the Middle East and North Africa (MENA) + region, revealing significant regional disparities in stroke care between high-income and low-income countries. Additionally, it demonstrated interest in the accreditation procedure and suggested that regional stroke program accreditation will improve stroke care for the involved centers. An accreditation program that is specifically tailored to the regional needs in the MENA + countries might be the solution. In this brief review, we will discuss potential challenges faced by such a program and we will put forward a well-defined 5-step accreditation process, beginning with a letter of intent, through processing the request and appointment of reviewers, the actual audit, the certification decisions, and culminating in granting a MIENA-SINO tier-specific certificate with recertification every 5 years.

中文翻译：

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中东和北非 + 地区中风项目的认证；愿望与现实之间

：尽管全球在中风治疗方面取得了进展，但挑战仍然存在，特别是在低收入和中等收入国家 (LMIC)。中东和北非中风和介入神经治疗组织 (MENA-SINO) 中风项目认证计划旨在改善该地区的中风护理。2022 年的一项调查评估了中东和北非 (MENA)+ 地区的卒中治疗准备情况，揭示了高收入和低收入国家之间卒中护理方面的显着区域差异。此外，它表现出了对认证程序的兴趣，并建议区域卒中计划认证将改善相关中心的卒中护理。专门针对中东和北非+国家的区域需求量身定制的认证计划可能是解决方案。在这次简短的审查中，我们将讨论这样一个计划面临的潜在挑战，我们将提出一个明确的 5 步认证流程，从意向书开始，通过处理请求和任命审查员、实际审核、认证决定，最终授予 MIENA-SINO 特定级别证书，并每 5 年重新认证一次。