Health system and patient-level factors serving as facilitators and barriers to rheumatic heart disease care in Sudan.

ABSTRACT:

Background

Rheumatic heart disease (RHD) remains a leading cause of morbidity and mortality in Sub-Saharan Africa despite widely available preventive therapies such as prophylactic benzathine penicillin G (BPG). In this study, we sought to characterize facilitators and barriers to optimal RHD treatment with BPG in Sudan.

Methods

We conducted a mixed-methods study, collecting survey data from 397 patients who were enrolled in a national RHD registry between July and November 2017. The cross-sectional surveys included information on demographics, healthcare access, and patient perspectives on treatment barriers and facilitators. Factors associated with increased likelihood of RHD treatment adherence to prophylactic BPG were assessed by using adjusted logistic regression. These

SUBMITTER: Edwards JG 

PROVIDER: S-EPMC8486630 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature