A Comprehensive Needs Assessment Tool for Planning RHD Control Programs in Limited Resource Settings.

Area of Science:

• Public Health
• Cardiovascular Disease Epidemiology
• Health Systems Research

Background:

• Rheumatic Heart Disease (RHD) is a significant cause of mortality and morbidity, particularly in low- and middle-income countries.
• Systematic implementation of evidence-based interventions for RHD remains a challenge globally.

Purpose of the Study:

• To introduce the Rheumatic Heart Disease Needs Assessment Tool (RHD NAT) for systematic planning of RHD control programs.
• To provide a framework for baseline data collection for RHD program monitoring and evaluation.

Main Methods:

• The RHD NAT employs a mixed-methods approach, integrating quantitative and qualitative data collection.
• It utilizes a conceptual model tracking patients through the natural history of RHD.
• The tool comprises four phases: situational assessment, epidemiological and health system capacity assessment, patient/provider experience evaluation, and intervention planning.

Main Results:

• The RHD NAT provides a comprehensive overview of RHD care in endemic regions.
• It effectively identifies critical gaps in the dissemination and implementation of evidence-based interventions.
• The tool facilitates the development of monitoring and evaluation frameworks.

Conclusions:

• The RHD NAT is a valuable instrument for developing and implementing comprehensive RHD control strategies.
• It addresses the need for systematic planning and evaluation in RHD programs.
• The tool supports efforts to reduce the burden of RHD in high-prevalence settings.