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Percutaneous coronary intervention facilities in Nigeria
Olufemi T Olorunda1, Kelechukwu Okoro2, Basil Okoh3
1Division of Global Health, Department of Internal Medicine, Rush Medical College, Chicago, IL, USA.
Insights
Nigeria faces a critical shortage of percutaneous coronary intervention (PCI) facilities, with only 12 operational sites serving its large population. This scarcity hinders access to essential heart treatments amidst rising coronary artery disease rates.
Area of Science:
- Cardiology
- Public Health
- Health Services Research
Background:
- Coronary artery disease (CAD) incidence has doubled in Nigeria over 30 years.
- A significant deficit in heart catheterization facilities exists in Nigeria.
- The country is experiencing a shift from communicable to noncommunicable diseases.
Purpose of the Study:
- To assess the availability of percutaneous coronary intervention (PCI)-capable facilities in Nigeria.
- To determine the ratio of PCI facilities to population across Nigerian states.
Main Methods:
- A comprehensive list of PCI-capable facilities was compiled for all Nigerian states and the federal capital territory.
- 2019 population estimates were obtained from the National Bureau of Statistics.
- The number of PCI facilities per capita was calculated for each state and the nation.
Main Results:
- Nigeria has only 12 operational PCI facilities, with 11 located in the private sector.
- There is one PCI facility for every 16,761,272 people nationwide.
- Significant disparities in PCI facility distribution are implied across states.
Conclusions:
- Nigeria has a severe lack of PCI-capable facilities, impacting cardiac care access.
- Increased government and stakeholder investment is crucial to expand PCI services.
- Addressing the PCI facility gap is vital given the rising burden of noncommunicable diseases.
Background:
In Nigeria, the incidence of coronary artery disease has doubled over the last three decades. However, there appears to be a lack of adequate heart catheterisation facilities.
Methods:
A list of percutaneous coronary intervention (PCI)-capable facilities was compiled for each state in Nigeria and the federal capital territory. Population estimates for 2019 were obtained from the National Bureau of Statistics and this was utilised to calculate the number of PCI facilities per person in each state and the country.
Results:
There are 12 operational PCI facilities in Nigeria, 11 of which are in the private health sector. Overall, there is one PCI facility per 16 761 272 people in Nigeria.
Conclusion:
There is a distinct lack of PCI-capable facilities in Nigeria. There needs to be an investment from the government and stakeholders in Nigeria to increase the access to PCI, given the paradigm shift from communicable to noncommunicable diseases.
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