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The Guyana Program to Advance Cardiac Care: A Model for Equitable Cardiovascular Care Delivery
Sheila L Klassen1,2, Karen Then3,4, J Wayne Warnica3
1Program in Global Noncommunicable Disease and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Global Heart
|May 1, 2023
Summary
Guyana
Area of Science:
- Global Health
- Cardiovascular Medicine
- Health Services Research
Background:
- Guyana faces the highest cardiovascular mortality in South America.
- Access to specialized cardiovascular care is limited for the urban and rural poor in low- and middle-income countries (LMICs).
- Public sector cardiovascular care is often unavailable in LMICs.
Purpose of the Study:
- To present the 10-year experience of the Guyana Program to Advance Cardiac Care (GPACC).
- To demonstrate the implementation of a cardiac care program in a resource-limited setting using the World Health Organization Framework for Action.
- To outline vital components for delivering cardiovascular care in resource-limited settings.
Main Methods:
- A 10-year program evaluation of the Guyana Program to Advance Cardiac Care (GPACC).
- Implementation of a cardiac care program within Georgetown's public hospital.
- Utilizing the World Health Organization Framework for Action for program development.
Main Results:
- GPACC successfully provided high-quality, equitable cardiovascular care in Guyana's public hospital.
- Targeted investment, clinician education, and cohesive strategies enabled sustainable service delivery.
- Demonstrated feasibility of a structured approach for cardiovascular disease burden in resource-limited settings.
Conclusions:
- The Guyana Program to Advance Cardiac Care (GPACC) serves as a successful model for sustainable cardiovascular care delivery in resource-limited settings.
- Targeted investments and strategic planning are crucial for addressing high cardiovascular mortality.
- This structured approach offers valuable lessons for similar programs in other LMICs.
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