19/09/2025
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The PEN-Plus Initiative Enhanced Cardiac Care through Echocardiography Training
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The PEN-Plus initiative implemented a comprehensive training program that equipped healthcare workers with essential echocardiography skills, focusing on the diagnosis and management of cardiac conditions, particularly rheumatic heart disease and heart failure. The program's primary objectives were to train healthcare professionals, including doctors, clinical officers, nurses, and sonographers, in basic and intermediate echocardiography skills, standardize protocols for echo imaging, and foster team-based learning.
The training program commenced with theoretical sessions that covered the basics of cardiac anatomy and physiology, principles of ultrasound and echocardiography, and common pathologies such as valvular disease, cardiomyopathy, and congenital heart disease. Participants gained a deeper understanding of echo views, including parasternal long axis, short axis, apical 4-chamber, and subcostal views.
Hands-on training was a crucial component of the program, where participants learned probe placement, image optimization, and Doppler use for valve assessment. Case-based practice with real patients enabled participants to apply their knowledge in real-world scenarios, developing their critical thinking skills.
The program emphasized the importance of teamwork in patient care, defining specific roles for nurses, clinical officers, and doctors. Nurses were responsible for patient preparation, vitals, and documentation, while clinical officers and doctors focused on image acquisition and interpretation. Mentorship and feedback loops ensured that participants received guidance and support throughout the training process.
Participants underwent a rigorous assessment process, including skills checklists, case presentations, and practical demonstrations. Upon completion, they received certification, recognizing their proficiency in echocardiography.
The program's implementation plan focused on integrating echo into PEN-Plus clinic flow, task-sharing, and team roles. Monitoring outcomes, such as RHD follow-up registries, helped track the program's effectiveness and identify areas for improvement.
By providing healthcare workers with the skills and knowledge necessary to perform and interpret echocardiograms accurately, the PEN-Plus initiative enhanced cardiac care at the district hospital level. Standardized protocols and team-based learning ensured that patients received high-quality care, and the program's impact was sustained over time.
CIDRZ - the Centre for Infectious Disease Research in Zambia Ministry of Health Zambia
-Plusinitiative
By Eugene Kaonga D.M 📸