External Source:
RhEACH TIPS Handbook

“Each year, nearly half a million people die from rheumatic heart disease (RHD). Almost exclusively, the people who die of RHD live in low and middle-income countries or in vulnerable communities in high-income countries. Their deaths are preventable with medical knowledge and antibiotics which have existed for more than half of century. Yet preventing, diagnosing, and treating rheumatic fever and rheumatic heart disease remains a fitful struggle in low resource settings.”

Developed in partnership by the World Heart Federation (WHF) and RhEACH, the TIPS Handbook was designed as a resource for implementers in low and middle-income countries interested in developing an rheumatic heart disease (RHD) control program. Pilot sites for the report and analysis included Ethiopia, Nepal, and Rwanda, led by reviewers in each of these countries, Abraham Haileamlak, Prakash Raj Regmi, Thomas Pilgrim, and Joseph Mucumbitsi.

The report includes sections on:

  1. Introduction – call to action, clinical and health system background
  2. Health systems and baseline components – burden of disease, governance, funding, laboratory services, integration with primary care and health systems, government engagement and advocacy, surveillance, human resources, health worker training, program evaluation
  3. Primary prevention – community education, treatment guidelines, provision of primary prophylaxis, sore throat clinics, vaccine development
  4. Secondary prevention – registries, antibiotic supply, provision of secondary prophylaxis, priority based follow up, echo screening
  5. Tertiary interventions – medical management of RF & RHD, anticoagulation, triage of intervention candidates, post intervention follow up

An online, interactive version of the handbook is also available.

This project was made possible by a philanthropic grant from the USB Optimus Foundation.