An investment case for the prevention and management of rheumatic heart disease in the African Union 2021–30: a modelling study

Matthew M Coates, Karen Sliwa, David A Watkins, Liesl Zühlke, Pablo Perel, Florence Berteletti, Jean-Luc Eiselé, Sheila L Klassen, Gene F Kwan, Ana O Mocumbi, Dorairaj Prabhakaran, Mahlet Kifle Habtemariam, Gene Bukhman

RHD Investment Case LGH Despite declines in deaths from rheumatic heart disease (RHD) in Africa over the past 30 years, it remains a major cause of cardiovascular morbidity and mortality on the continent. We present an investment case for interventions to prevent and manage RHD in the African Union (AU).

Increased coverage of interventions to control and manage RHD could accelerate progress towards eradication in AU member states. Gaps in local epidemiological data and particular components of the disease process create uncertainty around the level of benefits. In the short term, costs of secondary prevention and secondary and tertiary care for RHD are lower than for primary prevention, and benefits accrue earlier.

PEN-Plus Policy Brief – Decentralizing lifesaving care for severe NCDs

8-page policy brief presents PEN-Plus as a proven model for decentralizing care and treatment for type 1 diabetes, sickle cell diseases, rheumatic and congenital heart disease, and other severe NCDs that cause hundreds of thousands of avoidable deaths every year among the world’s poorest children and young adults.

Integration of NCDI Services Policy Brief

Progressive Decentralization and Integrated Care Teams –
Keys to Bridging the Gap in Services for NCDs and Injuries

Non-communicable diseases and injuries (NCDIs) account for a large and growing proportion of the burden of disease in all World Health Organizations (WHO) regions, including in low- and lower-middle-income countries (LLMICs). Among the world’s poorest billion people, NCDIs cause almost 800,000 deaths under the age of 40 every year – more than HIV, tuberculosis, and maternal deaths combined.

Proven, cost-effective, and equitable NCDI interventions exist that could save millions of lives each year, if scaled to reach everyone in need. But in many LLMICs, these interventions are available only at referral hospitals in capital cities, which makes them inaccessible and unaffordable for the rural poor.

The key to achieving both Universal Health Coverage and Sustainable Development Goal targets for reducing mortality from NCDIs is to develop and implement strategies for progressive decentralization and integrated service delivery that can deliver these interventions, with quality, at lower levels of the health system and in rural areas.

Integration and PEN-Plus policy brief_w_CIS&Network_logos