Heart Health in Sudan A new beginning

Mr Ahmed S.A.ElSayedMBBS,FRCSED,FRCSED(cts)

Consultant cardiothoracic Surgeon

AHN Abuja September 2009

The aim

Who is doing what ?

The new plan


Non-communicable Disease National Strategic Plan

2009-2013

Sudan National Strategic plan for the health sector (2003-2027)

reflecting a strong political commitment towards NCDs


Awareness

Prevention and promotion

Surveillance,monitoring,evaluation & research

Treatment and capacity building

Policy development



National Center for Cardiology

National Consultative Council

Senior clinicians office

FMOH NCD sector

FMOH PHP

National schools program

Sudan Heart Society

Sudan Hypertension Society

Sudan Chest Society

Sudan Heart patients charity

Sudan Heart and Chest charity

SHI

Sudan Heart foundation 1970s

Sudan Renal society

Friend of renal transplant patients


18

25

37

147

169

569

786

1222

0 200 400 600 800 1000 1200 1400

Africa

Asia

Russia

South America

Mean

Europe

Australia

North America SUDAN African average=540

World average=5070

Europe =17070

America =36660


5000 open hearts

15000 cardiac catheters

100,000 outpatients/year

1,000,000 risk factor patients


1. AlShaab hospital2. Ahmed Gasim Hospital3. Sudan Heart Center4. Police Hospital5. Alsalaam Center6. Wad Medani center7. Asia hospital8. AlFaisal hospital9. Almawada hospital



0

50

100

150

200

Valves 26 85 86 129 142 147

Ischaemic 5 23 42 36 55 54

Congenital 6 8 27 8 105 94

Others 2 3 3 11 3 6

2000 2001 2002 2003 2004 2005



Sudan Society of hypertension








A general meeting for all

A consensus about the way forward


Action Area 1: Health promotion and prevention of NCDs ; 4 objectives

Action Area 2: Capacity Building & human resource development: 3 objectives

Action Area 3: Monitoring and Evaluation: 1 objective

Action Area 4: Research and Surveillance: 2

objectives

Action Area 5: Policy Development; 1

objective


PHC setup and grassroots advocacy

Clinical setup

Clinical problems (hypertension+HF+arrythmia+ surgery)


Public private initiative

Federal Ministry of Health 25 State Ministries of Health Insurance schemes (public and private) Universities,armed forces and private sector NGOs


Action Area 1: Health promotion and prevention of Non communicable Diseases

To raise the awareness of the community To promote specific measures and interventions to reduce the main shared risk

factors To increase early detection of new cases with targeted NCDs

Action Area 2: Capacity Building and human resource development: Provision of supplies and equipments and essential healthy working

environment at PHC level Develop guidelines and protocols Build and train workforce capacity to identify, support self-management and

prevent or delay NCD complications

Action Area 3: Monitoring and Evaluation: Action Area 4: Research and Surveillance: Action Area 5: Policy Development:



Documents

Heart Health in Sudan A new beginning