Handheld echocardiography for screening and control of rheumatic heart disease study in Gezira state, Sudan: a double approach model

Cardiovascular Diagnosis and Therapy
Sulafa AliMohamed H Ahmed

Abstract

Rheumatic heart disease (RHD) is prevalent in Sudan's rural areas including Gezira state in central Sudan. We initiated a control program aiming at measurement of the echocardiographic (echo) prevalence of RHD, training of health workers and public awareness. This is a cross-sectional and interventional study conducted in Gezira State, Al Managil Locality from Nov 2016 to February 2018. We used handheld echo (HHE) to detect the prevalence of RHD in school children and those tested positives were referred for standard echo. In addition, training on detection of RHD for health professionals was offered using training modules for physicians and nurses. Evaluation of health facilities was carried out using a questionaire. This was coupled with educational sessions to increase public awareness about RHD using posters and pamphlets. Two thousand and one hundred twenty-nine school children were screened, 36 cases were positive by HHE, out of these 31 underwent standard echo and 5 were confirmed to have RHD, giving an echo prevalence of 2.3/1,000. All cases had mild mitral regurgitation. Knowledge, attitudes and practices of 175 health workers were assessed then a tailored training program was implemented. Practices that are not compat...Continue Reading

Citations

Apr 20, 2019·Circulation. Cardiovascular Imaging·Aadhil Ahmed RizviAiyesha Whyte Oshodi
Sep 26, 2020·Frontiers in Surgery·Amiliana M Soesanto, Luh Oliva Saraswati Suastika

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