Advancing the Cardiovascular Workforce in Africa to Tackle the Epidemic of Cardiovascular Disease: The Time is Now

Ahadzi, Dzifa; Gaye, Bamba; Commodore‐Mensah, Yvonne

doi:10.5334/gh.1197

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…Moreover, the cardiovascular workforce needed to curb the increasing trend of CVD in LMICs is suboptimal. 10 Rapid innovations in diagnostic procedures and imaging modalities that facilitate accurate diagnosis and appropriate treatment of CVD have occurred in HICs. However, access to these innovative diagnoses and treatment procedures is not equitable across the globe, with LMICs experiencing these disparities on a larger scale.…”

Section: Global Cardiovascular Health Disparitiesmentioning

confidence: 99%

“…In global health partnerships, there is a tendency to assume and adopt a unidirectional flow of innovations, where DHIs developed in HICs are exported to LMICs. 10 This practice is rooted in a colonialist perspective that associates innovation with HICs while discounting the potential of LMICs to develop innovations that may benefit HICs. Thus, Sors and colleagues coined the term reciprocal innovation as the “bidirectional, co‐constituted, and iterative exchange of ideas, resources, and innovations to address shared health challenges across diverse global settings.” 17 From the LMIC perspective, afferent reciprocal innovations flow from HICs toward LMICs, and efferent reciprocal innovations may be exported to HICs with adaptation.…”

Section: Reciprocal Innovationmentioning

confidence: 99%

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Advancing Cardiovascular Health Equity Globally Through Digital Technologies

Ogungbe,

Longenecker,

Beaton

et al. 2024

JAHA

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Cardiovascular diseases (CVDs) remain the leading cause of death and disability worldwide. Digital health technologies are important public health interventions for addressing the burden of cardiovascular disease. In this article, we discuss the importance of translating digital innovations in research‐funded projects to low‐resource settings globally to advance global cardiovascular health equity. We also discuss current global cardiovascular health inequities and the digital health divide within and between countries. We present various considerations for translating digital innovations across different settings across the globe, including reciprocal innovation , a “bidirectional, co‐constituted, and iterative exchange of ideas, resources, and innovations to address shared health challenges across diverse global settings.” In this case, afferent reciprocal innovations may flow from high‐income countries toward low‐ and middle‐income countries, and efferent reciprocal innovations may be exported to high‐income countries from low‐ and middle‐income countries with adaptation. Finally, we discuss opportunities for bidirectional learning between local and global institutions and highlight examples of projects funded through the American Heart Association Health and Innovation Strategically Funded Research Network that have been adapted to lower‐resource settings or have the potential to be adapted to lower‐resource settings.

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Section: Global Cardiovascular Health Disparitiesmentioning

confidence: 99%

Section: Reciprocal Innovationmentioning

confidence: 99%

Advancing Cardiovascular Health Equity Globally Through Digital Technologies

Ogungbe,

Longenecker,

Beaton

et al. 2024

JAHA

Self Cite

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“…These professionals can be trained to manage CVDs, which could be a useful way to address the current shortages in those countries' health workforces for CVD care. In LMICs, task-shifting has been successfully implemented for cardiovascular care [36][37][38] and is acknowledged as a valuable paradigm for HIV, maternity, and childcare [39].…”

Section: Comparable To Other Studiesmentioning

confidence: 99%

Health Facilities Readiness and Determinants to Manage Cardiovascular Disease in Afghanistan, Bangladesh, and Nepal: Evidence from the National Service Provision Assessment Survey

Huda,

Rahman,

Mostofa

et al. 2024

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Background: In South Asia, cardiovascular diseases (CVDs) are an increasing public health concern. One strategy for dealing with the growing CVDs epidemic is to make health facilities more ready to provide CVDs services. The study’s objectives were to: (1) assess healthcare facilities’ readiness to offer CVDs services; and (2) identify the variables that influence such readiness. Methods: This study employed data from the Afghanistan Service Provision Assessment Survey 2018–2019, Bangladesh Health Facility Survey 2017, and Nepal Health Facility Survey 2021 that were cross-sectional and nationally representative. In Afghanistan, Bangladesh, and Nepal, 117, 368, and 1,381 health facilities, respectively, were examined. A total of 10 items/indicators were used to measure a health facility’s readiness to provide CVDs services across three domains. Results: The mean readiness scores of managing CVDs were 6.7, 5.6, and 4.6 in Afghanistan, Bangladesh, and Nepal, respectively. Availability of trained staff for CVD services are not commonly accessible in Afghanistan (21.5%), Bangladesh (15.3%), or Nepal (12.9%), except from supplies and equipment. Afghanistan has the highest levels of medicine and other commodity availability. Among the common factors linked with readiness scores, we ought to expect a 0.02 unit rise in readiness scores for three nations for every unit increase in number of CVDs care providers. In Afghanistan, Bangladesh, and Nepal, availability of both diagnosis and treatment facilities was associated with increases in readiness scores of 27%, 9%, and 17%, respectively. Additionally, an association was observed between nation-specific facility types and the readiness scores. Conclusions: Country-specific factors as well as universal factors present in all three nations must be addressed to improve a health facility’s readiness to provide CVDs care. To create focused and efficient country-specific plans to raise the standard of CVD care in South Asia, more investigation is necessary to ascertain the reasons behind country-level variations in the availability of tracer items.

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“…Data on the global cardiology workforce are scarce, although some estimates exist. Africa, for example, relies on only 2000 cardiologists for a population of 1.2 billion people, including both adults and children; 21 in comparison, the United States has more than 30,000 cardiologists for a quarter of the population. 22 The number and distribution of paediatric cardiologists worldwide are unknown but likely even worse considering the longer training pathways for paediatric cardiologists and the greater complexity of PCHD care.…”

Section: Workforcementioning

confidence: 99%

Global Access to Comprehensive Care for Paediatric and Congenital Heart Disease

Vervoort,

Jin,

Edwin

et al. 2023

CJC Pediatric and Congenital Heart Disease

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Advancing the Cardiovascular Workforce in Africa to Tackle the Epidemic of Cardiovascular Disease: The Time is Now

Cited by 4 publications

References 18 publications

Advancing Cardiovascular Health Equity Globally Through Digital Technologies

Advancing Cardiovascular Health Equity Globally Through Digital Technologies

Health Facilities Readiness and Determinants to Manage Cardiovascular Disease in Afghanistan, Bangladesh, and Nepal: Evidence from the National Service Provision Assessment Survey

Global Access to Comprehensive Care for Paediatric and Congenital Heart Disease

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