Dr. Oladipupo Fasan, Head of Cardiology at the National Hospital, Abuja, has called for the strengthening of Nigeria’s Primary Health Care (PHC) system to effectively tackle cardiovascular diseases (CVDs).
Fasan made the call in an interview with the News Agency of Nigeria (NAN) on World Heart Day, observed annually on September 29. This year’s theme is “Don’t Miss a Beat.”
He stressed the need for improved capacity at the PHC level, noting that health workers must be adequately trained to detect and manage heart-related conditions, which differ significantly from common illnesses such as malaria, typhoid, or tuberculosis.
“Doctors, nurses, and community health workers need better training and clear protocols to identify and manage early-stage cardiovascular issues and refer complicated cases appropriately,” he said.
According to the World Health Organisation (WHO), cardiovascular diseases remain the leading cause of death globally, accounting for 19.8 million deaths in 2022 — about 32 per cent of all deaths worldwide. More than 85 per cent of these fatalities were caused by heart attacks and strokes, with over 75 per cent recorded in low- and middle-income countries.
Fasan noted that despite Nigeria producing many doctors, a large number remain unemployed or are leaving the country, stressing the need for government to employ more health workers and invest in PHCs.
He explained that the Federal Ministry of Health and Social Welfare is working to integrate the early detection and treatment of hypertension, diabetes, and other non-communicable diseases (NCDs) into PHC services through task-shifting and task-sharing, in line with WHO protocols.
“The WHO protocol is fantastic, but it needs to be implemented quickly,” he added.
The cardiologist further called for stronger health policies, including regulations for food manufacturers to reduce salt, sugar, and unhealthy oils in their products, as well as expanded access to health insurance to reduce inequity.
“With an efficient PHC system, we can achieve greater equity in healthcare delivery,” he said.
Reflecting on this year’s theme, Fasan said it underscored the urgency of public awareness, regular checkups, and screening for hypertension, diabetes, and high cholesterol — all conditions that significantly raise the risk of heart disease.
He also pointed out that about 80 per cent of cardiovascular issues are linked to social determinants such as income, education, and living conditions.
On prevention, Fasan advised lifestyle changes such as regular exercise, healthy eating, stress management, reduced salt and fat intake, avoidance of tobacco, and adherence to prescribed medications.
“We need to bridge the gaps in awareness and treatment. For those unaware, we must educate them. For those who need treatment, it must be accessible, affordable, and consistent,” he said.
