Title:
DETERMINANTS OF CARDIOVASCULAR DISEASES AND INTERVENTIONS ADDRESSING CARDIOVASCULAR DISEASE AND RISK FACTORS IN SIERRA LEONE
Authors:
Williams, Christine E.E
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2023
PAGE:
vii, 49
Language:
En
Subject:
Health and Poverty
Keywords:
Cardiovascular disease, Determinants, Interventions, Sierra Leone
Abstract:
Introduction Sierra Leone is one of the least developed countries in the world facing a double burden of diseases. Communicable diseases are the leading cause of morbidity and mortality in the country, however, the cardiovascular disease (CVD) mortality rate surpasses that of the sub- Saharan Africa region, where 80% of CVD mortality occurs. This study aims to describe the determinants of CVD and analyse interventions that address CVD and risk factors in Sierra Leone. Methodology This is a literature review that employs a systematic approach in searching for peer-reviewed articles and grey literature in English from 1990 to 2023. Databases and search engines include the VU online library, Google Scholar, PubMed/Medline, and Google along with relevant websites such as the Ministry of Health and Sanitation in Sierra Leone and WHO. Key search terms were "Cardiovascular disease", "Determinants", "Interventions" and "Sierra Leone". These search terms were derived from the "Comprehensive Strategy to address cardiovascular disease" framework that was chosen for its comprehensive approach to the analysis of CVD interventions. Results The result shows that urbanization, cultural beliefs, and social networks are common distal determinants that are linked to the prevalence and control of CVD and risk factors. The use of smokeless tobacco as a proximal CVD determinant was reported more among women. In terms of interventions, many implemented strategies including focused health education, primary care clinics, and health in all policies approaches reported improvement in CVD and risk factors. Discussion This study highlights many determinants and interventions that influence CVD control in Sierra Leone. Cultural beliefs and social networks are very important determinants that impact how Sierra Leoneans understand the onset and management of CVD. Interventions for CVD control in Sierra Leone should therefore focus on target health education campaigns to combat the low knowledge of CVD and risk factors in the country. The Ministry of Health and Sanitation in Sierra Leone should develop strategies that focus on targeted mass media campaigns and primary care management of CVD and risk factors.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Sierra Leone
Region:
West Africa
Training:
Master of Science in Public Health
Category:
Research
Right:
@ 2023 Williams
Document type:
Thesis/dissertation
File:
K9QfF5n5CF_2023112215223376.pdf