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2.
Cardiovasc J Afr ; 32(3): 161-167, 2021.
Article in English | MEDLINE | ID: mdl-34297032

ABSTRACT

Data collected for the World Heart Federation's Scorecard project regarding the current state of cardiovascular disease prevention, control and management, along with related non-communicable diseases in Kenya are presented. Furthermore, the strengths, threats, weaknesses and priorities identified from these data are highlighted in concurrence with related sections in the accompanying infographic. Information was collected using open-source data sets from the World Bank, the World Health Organization, the Institute for Health Metrics and Evaluation, the International Diabetes Federation and relevant government publications.


Subject(s)
Cardiovascular Diseases , Tobacco Use/adverse effects , Aged , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/mortality , Cardiovascular Diseases/therapy , Female , Humans , Kenya/epidemiology , Male , Middle Aged , World Health Organization
3.
Cardiovasc J Afr ; 32(1): 37-46, 2021.
Article in English | MEDLINE | ID: mdl-33646240

ABSTRACT

Data collected for the World Heart Federation's Scorecard project regarding the current state of cardiovascular disease prevention, control and management, along with related non-communicable diseases in Ethiopia are presented. Furthermore, the strengths, threats, weaknesses and priorities identified from these data are highlighted in concurrence with related sections in the accompanying infographic. Information was collected using open-source data sets from the World Bank, the World Health Organization, the Institute for Health Metrics and Evaluation, the International Diabetes Federation and relevant government publications.


Subject(s)
Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Societies, Medical , Stakeholder Participation , Adolescent , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/therapy , Child , Comorbidity , Diabetes Mellitus, Type 2/epidemiology , Female , Humans , International Agencies , Male , Obesity/epidemiology , World Health Organization
4.
Cardiovasc J Afr ; 32(1): 47-56, 2021.
Article in English | MEDLINE | ID: mdl-33646241

ABSTRACT

Data collected by the Pan-African Society of Cardiology for the World Heart Federation's Cardiovascular Diseases Scorecard project in Africa are presented. We summarise the strengths, threats, weaknesses and priorities identified from the collected data for South Africa, which need to be considered in conjunction with the associated sections in the accompanying infographic. Data sets that were used include open-source data available online and government publications. In the section on priorities and the way forward, we highlight the multifactorial health challenges with which South Africa has had to deal and the progress that has been made.


Subject(s)
Cardiology , Cardiovascular Diseases , Societies, Medical , Stakeholder Participation , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/therapy , Data Collection , Humans , International Agencies , South Africa/epidemiology
5.
Glob Heart ; 15(1): 67, 2020 10 06.
Article in English | MEDLINE | ID: mdl-33150132

ABSTRACT

The introduction of non-vitamin K antagonists oral anticoagulants, a class of medicines which includes dabigatran, apixaban, edoxaban and rivaroxaban, has resulted in improvements in the safety and efficacy of non valvular atrial fibrillation treatment for stroke prevention, with significant reductions in stroke, intracranial haemorrhage, and mortality. For these reasons, a team of World Heart Federation Emerging Leaders led efforts to add non-vitamin K antagonists oral anticoagulants to the World Health Organization's Model List of Essential Medicines in 2019. Following the inclusion of this class of medicines in the Essential Medicines List, this editorial proposes several recommendations to improve the accessibility, affordability and acceptability of non-vitamin K oral anticoagulants, especially in low- and middle-income settings, in order to successfully manage non-valvular atrial fibrillation and to lower the risk of stroke.


Subject(s)
Anticoagulants/administration & dosage , Atrial Fibrillation/drug therapy , Health Policy , Stroke/prevention & control , Atrial Fibrillation/complications , Humans , Stroke/etiology , World Health Organization
6.
Cardiovasc J Afr ; 31(5): 267-273, 2020.
Article in English | MEDLINE | ID: mdl-33151241

ABSTRACT

Data collected by the Pan-African Society of Cardiology for the World Heart Federation's scorecard project regarding the current state of cardiovascular disease prevention, control and management along with related non-communicable diseases in Tunisia are presented. Furthermore, the strengths, threats, weaknesses and priorities identified from these data are highlighted in concurrence with related sections in the incorporated infographic. Information was collected using open-source data sets available online and relevant government publications.


Subject(s)
Cardiovascular Diseases/prevention & control , Health Services Accessibility , Preventive Health Services , Adult , Aged , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Comorbidity , Female , Health Services Needs and Demand , Heart Disease Risk Factors , Humans , Life Style , Male , Middle Aged , Needs Assessment , Prevalence , Prognosis , Risk Assessment , Social Determinants of Health , Socioeconomic Factors , Tunisia/epidemiology , Young Adult
7.
Cardiovasc J Afr ; 31(2): 103-110, 2020.
Article in English | MEDLINE | ID: mdl-33094797

ABSTRACT

Data collected by PASCAR for the World Heart Federation's Cardiovascular Diseases Scorecard project in Africa are presented. We summarise the strengths, threats, weaknesses and priorities identified from the collected data, which need to be considered in conjunction with the associated sections in the accompanying infographic. Data sets that were used include open-source data from the World Bank, World Health Organization and government publications.


Subject(s)
Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Preventive Health Services/organization & administration , Adolescent , Adult , Aged , Cameroon/epidemiology , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/mortality , Comorbidity , Delivery of Health Care, Integrated/organization & administration , Female , Health Services Accessibility/organization & administration , Health Status , Humans , Life Style , Male , Middle Aged , Policy Making , Prevalence , Prognosis , Risk Assessment , Risk Factors , Social Determinants of Health , Stakeholder Participation , Young Adult
8.
Cardiovasc J Afr ; 30(5): 305-310, 2019.
Article in English | MEDLINE | ID: mdl-31746945

ABSTRACT

On behalf of the World Heart Federation, the Pan-African Society of Cardiology (PASCAR) co-ordinated data collection and reporting for the country-level Cardiovascular Diseases (CVD) Scorecard to be used in Africa. The objective of the scorecard is to create a clear picture of the current state of CVD prevention, control and management per country for 12 African countries. The Sudan Heart Society assisted PASCAR in collating and verifying the data through Drs Awad Mohamed (president, Sudan Heart Society) and Saad Subahi (PASCAR president, based in Sudan). Based on the data collected, we summarise the strengths, threats, weaknesses and priorities identified, which need to be considered in conjunction with the associated sections provided in the infographic published with this report. Data sets used included open-source data from the World Bank, World Health Organisation and government publications.


Subject(s)
Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Data Collection , Health Services Needs and Demand , Needs Assessment , Adolescent , Adult , Africa/epidemiology , Aged , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/mortality , Comorbidity , Female , Health Status , Humans , International Agencies , Male , Middle Aged , Prognosis , Risk Assessment , Risk Factors , Societies, Medical , Stakeholder Participation , Voluntary Health Agencies , Young Adult
9.
Matern Child Nutr ; 15(S5): e12804, 2019 10.
Article in English | MEDLINE | ID: mdl-31622039

ABSTRACT

The evidence base for micronutrient powder (MNP) interventions predominantly consists of quantitative studies focused on measuring coverage, utilization, and/or biological outcomes. We need other types of studies to broaden the scope of our knowledge about determinants of MNP programme effectiveness. Addressing this knowledge gap, this paper focuses on the process of designing an ethnographic research protocol to obtain caregivers' perspectives on the factors that influenced their use of intervention delivery services and their adherence to MNP recommendations. The research was undertaken within the context of formative evaluations conducted in Mozambique and Ethiopia. Ethnography provides a means for acquiring and interpreting this knowledge and is an approach particularly well suited for formative evaluation to understand the response of a population to new interventions and programme delivery processes. We describe decisions made and challenges encountered in developing the protocol, and their implications for advancing methodology in implementation research science. In addition to a core team of three investigators, we added an "advisory group" of 10 experts to advise us as we developed the protocol. The advisory group reviewed multiple drafts of the interview protocol and participated in mock interviews. In the protocol development process, we faced the issues and made decisions about concerned gaps in content, cultural adaptations and comprehension, and interview guide structure and format. Differences between the core team and the advisory group in methodological approaches to the structure and content of questions call attention to the importance of establishing greater communication among implementation scientists working in nutrition interventions.


Subject(s)
Dietary Supplements , Food, Fortified , Implementation Science , Micronutrients/administration & dosage , Program Evaluation/methods , Ethiopia , Humans , Mozambique , Pilot Projects , Powders , Program Evaluation/statistics & numerical data
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