Figure 1
Map of the Northeastern portion of South America.
Location of Georgetown, the capital city, is shown and country statistics are derived from The World Bank [6].
Figure 2
Timeline with key milestones in GPACC’s development.
CICU, cardiac intensive care unit; ECG, electrocardiogram; GPHC, Guyana Public Hospital Corporation; HFC, heart function clinic; MOU, memorandum of understanding.
Figure 3
The World Health Organization Health Systems Framework.
System building blocks are integrated to achieve desired goals and outcomes. Adapted from the World Health Organization [9].
Table 1
Description of admitted GPACC patients from 2015–2021.
| (n = 2264) | |
|---|---|
| Mean age in 2021, years (SD) | 62.4 (14.4) |
| Female (%) | 1078 (48) |
| Number of hospital admissions | 2906 |
| Median duration of hospital admission, days | 4 |
| Mean ejection fraction on echocardiogram, % (n = 1954) | 39 |
| Deaths recorded in hospital | 12 |
[i] Demographics of admitted GPACC patients were downloaded from the online GPACC database (established in 2015); GPACC, Guyana Program to Advance Cardiac Care.
Figure 4
Quotation by Metrina Daniels.
Quotation taken from the Switching Rhythm documentary film.
Table 2
Guyanese leadership and stakeholders engaged in GPACC implementation.
| LEADERSHIP AT GPHC* | LEADERSHIP OUTSIDE GPHC* |
|---|---|
| CEO Director of Medical and Professional Services Head of Medicine Head of Pediatrics Human Resources Nursing Administration | CEO at the Ministry of Health Dean of Health Sciences at the University of Guyana & associated university leadership Director of the Institute of Health Sciences Education Minister of Health |
[i] * Listed alphabetically.
GPHC, Georgetown Public Hospital Corporation; CEO, chief executive officer.
Figure 5
Quotation by Terrance Haynes.
Quotation taken from the Switching Rhythm documentary film.
Figure 6
Outputs of GPACC using the WHO Framework for Action in response to identified program goals.