ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 32
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Implementation of the HEARTS technical package for CVD
management in primary care in FMC Keffi, Nigeria: An
evaluation protocol
Dr Pius Ameh1, Nasiru Shehu, Saratu Agada
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Department of Family Medicine, Federal Medical Centre, Keffi, 2Family Health International,
Department of Family Medicine, Federal Medical Centre, Keffi
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Introduction/background
The prevention of cardiovascular disease (CVD) is an essential service for healthcare facilities dedicated
to primary care. With CVD being a leading cause of mortality globally and an increasingly significant
cause of morbidity and mortality in lower- and middle-income countries (LMICs), including Nigeria,
a patient-centred strategic approach has been advocated by the WHO to improve cardiovascular
health. The Family Medicine Clinic, Federal Medical Centre (FMC), Keffi, is ideally located in north
central Nigeria to provide healthcare to multiple communities via its outpatient services. However, there
is a need for improved coordination in CVD preventive care, especially as evidenced by a dearth of
guidelines and poor managerial support. Also contributing to poor coordination is the high turnover
of trained physicians and other health workers due to migration and the low awareness of CVD risk
factors among patient populations.
Aim
To evaluate the implementation of an adapted CVD clinical guideline in the General Outpatient Clinic of
the Family Medicine Clinic using the RE-AIM framework.
Objectives
• Conduct a baseline departmental assessment of CVD services, knowledge and population (reach)
• Engage stakeholders and hospital policy makers (adoption)
• Implement HEARTS package (implementation)
• Monitor, evaluate and disseminate findings (effectiveness and maintenance)
Methods
A mixed-methods prospective evaluation of an implementation of the WHO HEARTS technical
package, involving a stakeholder analysis, a cross-sectional design, observations and key informant
interviews, will be carried out from April to September 2023. Ethics approval will be sought from the
Health Research Ethics Committee, FMC Keffi.
Justification
• Implementation of the HEARTS technical package would facilitate the standardisation of care for
clients with CVDs attending the FMC Keffi.
• Increased physician and patient awareness of cardiovascular risk factors should lead to better
provision of counselling for a healthy lifestyle.
• Institutional improvement in quality of care and prevention of CVDs using practical and sustainable
tools.
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