Where We Work:
CHI, Inc. plans to implement its work in Africa. The first country we would like to work with is Guinea. The Republic of Guinea is located in West Africa. The capital is Conakry. Guinea has a population of 12.4 million and an area of 245,860 square kilometers (94,927 miles square). The country is divided into four climate zones: Basse Guinee, Moyenne Guinee, Haute Guinee, and Guinee Forestiere. It has 8 administrative regions with a subdivision of 33 prefectures, and shares its borders with neighboring countries including Guinea Bissau, Senegal, Mali, Ivory Coast, Liberia, and Sierra Leone.
The administrative region of Kankan, where we implement our work, is one of the 8 administrative regions of Guinea. Kankan is the largest city in Guinea in land area. In 2014, the population of Kankan was 193,830 making it the third largest populated city.
The Healthcare System in Guinea
The health care system in Guinea is pyramidal and does not meet the needs of its population. It is composed of two national hospitals both in the capital: Ignace Deen Hospital and Donka Hospital (the largest public hospital); three community medical centers; seven regional hospitals; 33 prefectural hospitals; 358 health centers; and 298 village health posts.
CHI’s work will focus especially on heart disease because cardiovascular disease (CVD) is the leading cause of death for both men and women globally. CVD is the largest contributor to global mortality, accounting for nearly half of the 36 million yearly noncommunicable disease deaths. The GBD of CDV is more prevalent in low and middle income countries where ¾ of deaths occur. Heart attack has become a major public health problem in Guinea. Most of the people suffering from it die unfortunately due to an adequate infrastructure and training. Additionally, the victims are not taken care of or do not receive any CPR or first aid in a timely and appropriate way (delay in care), and in case of an emergency, people usually call physicians for instructions because they do not know what to do. There is no emergency medical system (EMS) to transport victims to the hospital. The options are either call a taxi or if you have a car, drive the patient to the hospital.
Many factors are associated to the increase of death related to CVD in Guinea. They include:
- Lack of access to primary healthcare (essential to detecting CVD in its preliminary stage).
- Society/culture does not address CVD and actions for change is not realized.
- Delay in care: absence EMS to transport victims to the hospital.
- Lack of infrastructure, equipment or supplies
- Delivery of health care services at best at the highest levels (the two national hospitals, and regional hospitals) and the health centers and village health posts are isolated.
- Lack of resources or collaboration
- Lack qualified or well-trained staffing, equipment and operating funds at health facilities