Page 5 - SHJ V5 No2 2018
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SHJ Vol 5 No 2, 2018                                              Khalil, Status of cardiac care

                 Figure 2: Source SNMC. Amount of money transferred per year in the period 2014-2016

               When the above information is appraised, the following findings become strikingly apparent: the
               burden of cases that need either intervention or surgical treatment is immense and the available
               services  covers  only  1-2%  of  the  total  load.  Consequently,  recourse  for  treatment  abroad  is
               adopted by the few who can afford it. Others have to go through SNMC. Both means are done
               against the loss of large amounts of foreign currency desperately needed to improve the local
               cardiac service. It follows, therefore, that there is crucial need for improvement and restructuring
               of the available resources.

                   1.  The  present  resources  are  not  evenly  distributed,  while  Khartoum  State  has  13
                       catheterization  laboratories  (6  government,  7 private) there  are none in  the rest of the
                       country except for the CL in Wad Medani and 3 nonfunctioning CLs in the Northern and
                       Nile State. These last two states have population of 4.7% of the total country population
                       compared to Southern Darfur with population of 10.5%.  It is, therefore, recommended
                       that the next CLs to be authorized should be in the following cities: Dongola, Port Sudan,
                       Gedarif,  Duaim,  Obied  and  Nyala  in  order  to  provide  an  even  geographic  and
                       demographic distribution of service.
                   2.  Strengthening  of  the  present  Cardiothoracic  Institute  as  the  number  of  staff  in  the
                       interventional  and  surgical  premise  is  negligible  when  compared  to  the  load  of  CVD.
                       Throughout the world cardiac training centers are considered a necessity to train staff in
                       the field of cardiac intervention, surgery, anesthesia, electrophysiological studies (EPS),
                       nuclear  medicine,  pharmacy  and  research.  The  staff  should  include  both  medical  and
                       paramedical  personnel  as  the  need  for  trained  cardiac  care  nurses,  technicians  and
                       technologist cannot be overstressed.

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