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Published on: June 22, 2020
Addressing discrepancies: personal experience of a cardiac mission programme in Africa
Peter McKavanagh1, Karen Booth1, Laura Blair2
1Royal Victoria Hospital, Belfast, United Kingdom; Save a Heart Charity, Belfast, United Kingdom.
Insights
Cardiovascular disease (CVD) is rising globally, especially in developing nations, due to infections and lifestyle factors. Addressing this requires long-term educational support and coordinated global efforts for sustainable cardiac care.
Area of Science:
- Global Health
- Cardiology
- Developing Nations
Background:
- Cardiovascular disease (CVD) incidence is increasing worldwide, driven by infectious diseases and Western lifestyle factors.
- CVD is projected to be the leading cause of death in developing nations within 20 years.
- Low-income countries face high rates of rheumatic heart disease, coronary artery disease, cardiomyopathies, congenital heart disease, and HIV-associated cardiac conditions, leading to high mortality and morbidity due to limited diagnostics and treatments.
Purpose of the Study:
- To highlight the challenges and experiences of providing cardiac care in developing countries.
- To discuss the types of cardiovascular diseases encountered in these regions.
- To advocate for sustainable, long-term strategies for improving cardiac care in resource-limited settings.
Main Methods:
- The paper draws on the personal experiences of a specific organization working in developing countries.
- It identifies common cardiovascular diseases prevalent in these regions.
- It analyzes the limitations of the traditional mission model for delivering cardiac care.
Main Results:
- There is a significant gap in cardiac care between developed and developing nations.
- Existing humanitarian efforts are fragmented, lacking a central coordinating body.
- Challenges include inadequate facilities, financial constraints for consumables, and insufficient training for local healthcare staff.
Conclusions:
- Sustainable cardiac care in developing countries necessitates long-term educational and technical support to build local capacity.
- A one-size-fits-all approach is inadequate; strategies must adapt to varying local health and educational needs.
- There is a critical need for a coordinated global organization to support humanitarian cardiac work.
Abstract:
The worldwide incidence of cardiovascular disease (CVD) is increasing, reflecting a combination of ongoing infective diseases and a rapid rise in traditional 'western' risk factors. It is estimated that in the next 20 years that CVD be the leading cause of death in developing nations. There are high incidences of rheumatic heart disease, coronary artery disease, cardiomyopathies, uncorrected congenital heart disease and human immunodeficiency virus (HIV) associated disease in many low-income countries. Such high levels combined with a lack of diagnostic tests and therapeutic options means mortality and morbidity rates are high. A number of charities and organizations have tried to address the discrepancy of cardiac care within developing areas although the needs remain great. However there is no one global cardiac organization that coordinates such humanitarian work. The challenges of missionary work include the need for appropriate facilities, financial constraints of clinical consumables, and lack of education of local healthcare staff, making the move away from the mission model difficult. The strategy for delivery of care in developing countries should be long term educational and technical support, so that local case volumes increase. However it must be realized that there are many different levels of local services within developing nations with different health and educational needs, including some countries with very high facilities and skills levels, yet high case loads. This paper highlights the personal experience of our organization and the types of diseases encountered in developing countries.
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