Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa

The diverse people of sub-Saharan Africa face a number of paradoxical challenges arising from economic development and urbanisation, including an increasing prevalence of noncommunicable forms of heart disease. Prevention programmes designed not only to detect those with established and often disabl...

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Autores principales:	Simon Stewart, Melinda J. Carrington, Karen Sliwa
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/74e6e98bb9e24ceb8c76536280d65454
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spelling	oai:doaj.org-article:74e6e98bb9e24ceb8c76536280d654542021-11-29T10:40:02ZBarriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa10.24170/8-2-19041996-67412071-4602https://doaj.org/article/74e6e98bb9e24ceb8c76536280d654542017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1904https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602The diverse people of sub-Saharan Africa face a number of paradoxical challenges arising from economic development and urbanisation, including an increasing prevalence of noncommunicable forms of heart disease. Prevention programmes designed not only to detect those with established and often disabling forms of heart disease, but prevent disease progression and a premature death, are an obvious priority in this setting. This review article reflects on the barriers and challenges to effective primary and secondary prevention of heart disease in sub-Saharan Africa by (a) examining what residual issues challenge effective prevention in high-income countries? (b) what are the key ingredients to an integrated programme of primary and secondary prevention across the lifespan (from the population to individual)? and (c) considering the first two points, what are the barriers and challenges in sub-Saharan Africa to implementing cost-effective primary and secondary prevention using a systematic approach to “who, what and how”?Simon StewartMelinda J. CarringtonKaren SliwaSouth African Heart Associationarticleheart diseasesub-saharan africaDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Pp 8-2 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701 Simon Stewart Melinda J. Carrington Karen Sliwa Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
description	The diverse people of sub-Saharan Africa face a number of paradoxical challenges arising from economic development and urbanisation, including an increasing prevalence of noncommunicable forms of heart disease. Prevention programmes designed not only to detect those with established and often disabling forms of heart disease, but prevent disease progression and a premature death, are an obvious priority in this setting. This review article reflects on the barriers and challenges to effective primary and secondary prevention of heart disease in sub-Saharan Africa by (a) examining what residual issues challenge effective prevention in high-income countries? (b) what are the key ingredients to an integrated programme of primary and secondary prevention across the lifespan (from the population to individual)? and (c) considering the first two points, what are the barriers and challenges in sub-Saharan Africa to implementing cost-effective primary and secondary prevention using a systematic approach to “who, what and how”?
format	article
author	Simon Stewart Melinda J. Carrington Karen Sliwa
author_facet	Simon Stewart Melinda J. Carrington Karen Sliwa
author_sort	Simon Stewart
title	Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
title_short	Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
title_full	Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
title_fullStr	Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
title_full_unstemmed	Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa
title_sort	barriers and challenges for primary and secondary prevention of heart disease in sub-saharan africa
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/74e6e98bb9e24ceb8c76536280d65454
work_keys_str_mv	AT simonstewart barriersandchallengesforprimaryandsecondarypreventionofheartdiseaseinsubsaharanafrica AT melindajcarrington barriersandchallengesforprimaryandsecondarypreventionofheartdiseaseinsubsaharanafrica AT karensliwa barriersandchallengesforprimaryandsecondarypreventionofheartdiseaseinsubsaharanafrica
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Barriers and challenges for primary and secondary prevention of heart disease in sub-Saharan Africa

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