Cardiac Impact Assessment Report - Kenya
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This is an assessment of the state of cardiac care and what we are doing in Kenya to help provide sustainable solutions.
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Cardiac Impact Assessment Report - Kenya
- 2. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 2! ! Impact Assessment Report 1. Purpose The!Impact!Assessment!Report!aims!to!provide!mechanisms!for!analysing!and!evaluating!the!state!of! Cardiovascular!Care!in!East!Africa.! 2. Derivation of Data • 48!cardiac!catheterization!procedures!in!Kenya!since!2010! • 48!Patient!Consultations! • East!African!Cardiologist!and!Cardiac!Care!Workers! • Classroom!Training! • Nursing!Scholarships! • East!African!Biomedical!Engineers!and!Pacemaker!Specialist! • East!African!Hospitals!and!Clinics! 3. Impact Criteria • Patients!cannot!afford!treatment! • Treatment!is!not!readily!available! • Cardiologist!lack!skills!and!experience! • Rising!number!of!heart!disease!cases!in!Kenya! • Lack!of!knowledge!and!awareness!of!heart!disease! • Most!patients!get!treated!in!South!Africa!or!India! 4. Data Analysis FICCS!workers,!volunteers!and!partner!programs!have!gathered!all!data.!!All!data!is!based!on!48! cardiac!catheterization!procedures!performed!in!Kenya!by!the!FICCS!team!since!2010.! ! ! “NCD’s'related'to'the'heart'and'cancer'are'rising'at'pandemic'levels.”' 5th !Annual!Africa!Cardiology!Summit!in!Nairobi,!Kenya!U!2012! ! ! ! ! ! !
- 3. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 3! 5. Input vs. Impact INPUT ACTIVITIES OUTPUT OUTCOME IMPACT Funds Pacemakers USA Cardiologist Training Supervised “live” cardiac catheterization procedures 48 East Africans received treatment Introduce new treatment options “Hands On” training for cardiologist Enhance surgical skills Charity surgeries provide those with no money to receive treatment Better treatment Funds Training USA Cardiologist Lab Dissection Peg Hearts 20 East African Cardiologist and dozens of others Enhance surgical skills Better treatment Funds USA Cardiologist Training Classroom Presentations 100 cardiologist, nurses and other medical workers Advance common treatments and principles Better treatment Funds; Training USA Cardiologist Lectures and Symposiums Over 100 participants Foster new treatment options Better treatment USA Cardiologist Training Cardiac Supplies Supervised Cardiovascular Consultations 48 supervised pre and post operation consultations Define appropriate treatment options Better treatment USA Biomedical Engineer Training Biomedical Engineer Training 15 East African biomedical engineers Enhance skills Better treatment USA and South Africa Medtronic Device Specialist Training Pacemaker Specialist Training 5 East African pacemaker specialist Enhance skills Better treatment Funds Training Nursing Student Training 1 FICCS scholar has participated Improve overall nursing skills Advanced cardiac care knowledge Funds USA Doctors Local Nurses Medical Camps 300 women have received full medical exams Better treatment Improve personal and family life Funds USA Doctors Facilities Healthy Heart Awareness 2500 women and children have participated Community awareness of heart disease Improvement in overall community health
- 4. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 4! 6. Project Objectives Our$objective$is$to$improve$the$sate$of$Cardiac$Care$in$East$Africa$while$providing$sustainable$ solutions$to$the$rising$heart$disease$in$Africa.$ Problem%Tree% ! ! ! ! !
- 5. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 5! ! Project Effects Target%Group% 1. East!African!cardiologist,!cardiac!nurses,!biomedical! engineers!and!pacemaker!specialist.! 2.!!!East!African!patients!who!cannot!afford!treatment! %Needs% There!is!a!severe!shortage!of!qualified!cardiac!care!professionals!and! their!skill!levels!have!not!reached!western!standards.!!Public!facilities! where!the!majority!of!patients!get!treated!are!woefully!inadequate! lacking!medicines,!medical!supplies!and!in!some!cases!doctors.! ! Causes% Prosperity!in!Kenya!has!caused!rapid!increase!in!heart!disease!due!to! change!of!lifestyles,!including!eating!habits,!exercise!and!smoking.! Poverty!keeps!patients!from!receiving!proper!treatment!and! consequently!they!suffer!in!silence.!It!is!estimated!over!200,000! people!per!year!are!diagnosed!with!heart!disease,!yet!only!a!small! portion!actually!receive!treatment.! ! Direct%Effects% Enhance!surgical!skills!and!skills!necessary!to!diagnose!and!manage! common!cardiac!problems.!!Explain!the!mechanisms!of!Dual! Chamber!pacemakers,!Bi!Vent!pacemakers,!angioplasty!and!stenting.! ShortMTerm%Effects% Advance!common!principles!and!different!areas!of!expertise!to!foster! new!treatment!options!for!cardiac!patients!in!East!Africa.!!Recognize! the!relationship!between!atrial!fibrillation!and!heart!failure.! MediumMTerm%Effects% Recognize!common!treatments!available!in!East!Africa!and!introduce! new!treatment!options.! LongMTerm%Effects% Better!cardiac!treatment!options!for!East!Africans.!!Prevent! congestive!heart!failure.!!More!people!begin!to!know!how!serious! heart!disease!is.! Project%Goals% To!provide!East!African!cardiologist!and!other!cardiac!workers!with! the!necessary!“hands!on”!experience!required!by!Western!Medical! Boards!and!increase!awareness!of!new!and!innovative!technologies.! ! ! ! !
- 6. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 6! 7. Project Results Results Tree
- 7. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 7! Project Results Cardiologist%Training% East!African!cardiologist!have!improved!their!skills!and!enhanced! treatment!options!for!patients.!The!training!includes:! • “Live”%cardiac%catheterization%procedures! • Supervised%cardiac%consultations! • Lab%dissection%–%Pig%hearts! Lectures%and%Classroom% Presentation% East!African!medical!workers!have!been!introduced!to!new!and! innovative!treatment!options!to!help!foster!the!development!of! sustainable!cardiac!care.! Charity%Surgeries% 48!patients!received!treatment!they!would!otherwise!not!be!able!to! afford.!!Medtronic!donates!pacemakers!and!supplies.! Pacemaker%Training% Medtronic!pacemaker!specialist!from!USA!and!South!Africa!train!local! Kenyan!specialist.!It!has!improved!their!skills!and!provides!better! cardiac!care!for!patients.! Biomedical%Engineer% Training% USA!biomedical!engineers!have!trained!local!East!African!engineers! and!have!improved!their!skills.!The!engineers!focus!on!radiation! safety!and!help!improve!cardiac!procedure!for!patients!and! physicians.! Student%Training% One!FICCS!nursing!scholarship!recipient!has!received!advanced! cardiac!training.!The!training!has!helped!her!with!her!studies!and!she! has!been!exposed!to!new!and!innovative!treatment!options!not! available!to!other!students.! Charity%Medical%Camps% 300!women!received!free!medical!check!ups,!which!help!boost,!their! confidence!and!selfUesteem.!! Healthy%Heart%Awareness% Over!2500!women!and!children!received!health!awareness! information!and!training!from!FICCS!volunteers.!It!has!improved! overall!community!health!knowledge!and!has!assisted!in!reducing! easily!preventable!diseases.!
- 8. Project%Name:%Kenya!Programs! ! Organization%Name:%FICCS% Document%Number%/%Version%Number:%1.0! ! FICCS! Issue!Date:!Nov!2013! ! Author:!Stacy!Harris! Document!Status:!1.0! ! ! 8! 8. Outcome and Impact Assessment Impact!is!based!on!48!patients!and!dozens!of!East!African!medical!workers!trained!since!2010.! IMPACT%ANALYSIS%CHART% % ! ! ! ! Submitted%By! Stacy!Harris/Managing!Director!!!!!!!!!!!!!! !