Model adaptation improves rheumatic heart disease control programs in the Pacific, highlighting community input and priorities.
first_page Download PDF settings Order Article Reprints Font Type: Arial Georgia Verdana Font Size: Aa Aa Aa Line Spacing: Column Width: Background: Open AccessAbstract Pacific Adaptation of Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs) † by Jessica N. DawJessica N. Daw SciProfiles Scilit Preprints.org Google Scholar 1,*, Rosemary WyberRosemary Wyber SciProfiles Scilit Preprints.org Google Scholar 1,2 and Joseph H. KadoJoseph H. Kado SciProfiles Scilit Preprints.org Google Scholar 1 1 The Kids Research Institute Australia, Nedlands, WA 6009, Australia 2 College of Health & Medicine, The Australian National University, Canberra, ACT 2601, Australia * Author to whom correspondence should be addressed. † Presented at the 22nd Lancefield International Symposium on Streptococci and Streptococcal Diseases, Brisbane, Australia, 1–5 June 2025. Proceedings 2025, 124(1), 13; https://doi.org/10.3390/proceedings2025124013 Published: 13 August 2025 (This article belongs to the Proceedings of The 22nd Lancefield International Symposium on Streptococci and Streptococcal Diseases (LISSSD 2025)) Download keyboard_arrow_down Download PDF Download PDF with Cover Download XML Download Epub Versions Notes Keywords: rheumatic heart disease; Pacific; control programs; health systems 1. BackgroundIn 2013, the framework 'Tools for Implementing Rheumatic Heart Disease (RHD) Control Programmes' (TIPs) was published. This conceptual framework has been widely used for developing and implementing RHD control programs worldwide. A decade on, we feel an updated resource would be strengthened by regional adaptation. The Pacific bears a disproportionate RHD prevalence relative to its population size (1–3%), typically affecting young women and socio-economically marginalized groups, making it an important region to focus on. 2. ApproachThe Pacific RHD Program is working to create an updated and adapted version, the 'Pacific TIPs', which can be used as a shared resource for the region. It will be used as a foundation for shared decision making and as a heat map to contextualize priority areas and monitor progress. Within the framework, components are arranged in approximate order of priority, working from left to right and bottom to top in each row. This emphasizes the need to tackle core components (i.e., antibiotic supply) before implementing more complex interventions (i.e., echocardiographic screening and cardiac surgery). 3. SignificanceWe will use this approach to structure conversations about country priorities and non-communicable disease policies where available. We have invited people connected to RHD in the Pacific region to join a working group to further refine this framework. Seeking input from people living with RHD, their carers, organizations who support those with lived experience of RHD, and RHD clinical support teams will hopefully develop a community-led, culturally appropriate understanding of the tools to develop and implement RHD control programs. Author ContributionsJ.N.D.; writing—original draft preparation. J.H.K. and R.W.; reviewed and edited. All authors have read and agreed to the published version of the manuscript.FundingThe Pacific RHD Program is supported by the Australian Government and implemented by The Kids Research Institute Australia (an affiliate of the University of Western Australia).Institutional Review Board StatementNot applicable.Informed Consent StatementNot applicable.Data Availability StatementNot applicable.Conflicts of InterestThe authors declare no conflict of interest.Disclaimer/Publisher's Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. © 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Share and Cite MDPI and ACS Style Daw, J.N.; Wyber, R.; Kado, J.H. Pacific Adaptation of Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs). Proceedings 2025, 124, 13. https://doi.org/10.3390/proceedings2025124013 AMA Style Daw JN, Wyber R, Kado JH. Pacific Adaptation of Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs). Proceedings. 2025; 124(1):13. https://doi.org/10.3390/proceedings2025124013 Chicago/Turabian Style Daw, Jessica N., Rosemary Wyber, and Joseph H. Kado. 2025. "Pacific Adaptation of Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs)" Proceedings 124, no. 1: 13. https://doi.org/10.3390/proceedings2025124013 APA Style Daw, J. N., Wyber, R., & Kado, J. H. (2025). Pacific Adaptation of Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs). Proceedings, 124(1), 13. https://doi.org/10.3390/proceedings2025124013 Article Metrics No No Article Access Statistics Multiple requests from the same IP address are counted as one view.
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