Evolution of Cardiac Arrythmia Management by Catheter Ablation in Tanzania

Authors

  • Yona Gandye Jakaya Kikwete Cardiac Institute – Department of Electrophysiology and Pacing – Dar es Salaam, Tanzania.
  • Mervat Aboulmaaty Ain Shams University – Department of Cardiology and Electrophysiology – Cairo, Egypt. https://orcid.org/0000-0002-9032-4484
  • Amy Bonny University of Douala – Department of Internal Medicine – Gyneco-Obstetric and Pediatric Teaching Hospital – Douala, Cameroon.
  • Mathew Sackett Central Heart and Vascular Institute – Madactari, Africa.
  • Khuzeima Khanbhai Jakaya Kikwete Cardiac Institute – Department of Electrophysiology and Pacing – Dar es Salaam, Tanzania.
  • Pedro Pallangyo Jakaya Kikwete Cardiac Institute – Department of Electrophysiology and Pacing – Dar es Salaam, Tanzania. https://orcid.org/0000-0002-6720-5110
  • Henry Mayala Jakaya Kikwete Cardiac Institute – Department of Electrophysiology and Pacing – Dar es Salaam, Tanzania. https://orcid.org/0000-0001-6484-6505
  • Mohamed Elalfy Ain Shams University – Department of Cardiology and Electrophysiology – Cairo, Egypt.
  • Smitha Bhalia Jakaya Kikwete Cardiac Institute – Department of Electrophysiology and Pacing – Dar es Salaam, Tanzania.
  • Mohamed Janabi Ain Shams University – Department of Cardiology and Electrophysiology – Cairo, Egypt.

DOI:

https://doi.org/10.24207/jca.v37i1.3475

Keywords:

Catheter ablation, Cardiac arrhythmia management, Healthy system infrastructure

Abstract

In Tanzania, despite the expansion of cardiovascular management through the expansion of health system infrastructure to combat cardiovascular diseases, radiofrequency ablation of cardiac arrhythmias remains a major challenge as the current management with catheter ablation is inaccessible to the majority. Several limitations for developing invasive arrhythmia care are identified: lack of manpower, healthcare resources, health systems challenges, high cost of consumables, healthcare financing challenges and limited antiarrhythmic medications. The proposed solutions to address the unmet are: inauguration of a domestic arrhythmia society with dedicated prioritized academic programs, advocacy for training in the cost-effective conventional approach to arrhythmia ablation, reducing irrational claim deduction from insurers and regulation of central medical store policy, calling the Ministry of Health to implement insurance accreditation of radiofrequency ablation in Tanzania, sensitize the government to offer motivation to candidates pursuing electrophysiology career, the government through the Ministry of Health and education to transform the current training infrastructure to meet current academic needs including radiofrequency ablation services, the creation of training partnerships within Africa to improve local electrophysiology expertise. Radiofrequency ablation using a conventional approach, which is cost-effective, can be adopted to ensure service availability in Tanzania and the Sub-Sahara region. A unique responsibility lies within the government and financers to reinforce the efforts to implement these recommendations and achieve the medical tourism policy in Tanzania.

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Author Biography

Mohamed Elalfy, Ain Shams University – Department of Cardiology and Electrophysiology – Cairo, Egypt.

 

 

References

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Published

2024-05-21

How to Cite

Gandye, Y., Aboulmaaty, M., Bonny, A., Sackett, M., Khanbhai, K., Pallangyo, P., Mayala, H., Elalfy, M., Bhalia, S., & Janabi, M. (2024). Evolution of Cardiac Arrythmia Management by Catheter Ablation in Tanzania. JOURNAL OF CARDIAC ARRHYTHMIAS, 37. https://doi.org/10.24207/jca.v37i1.3475

Issue

Vol. 37 (2024)

Section

Electrophysiology

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