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Rahima Gabulova, MD, PhD
National CVD Prevention Coordinator for Azerbaijan
This report was prepared by:
The Azerbaijan Healthcare system inherited the Soviet system and still remains highly centralised and hierarchical.
Health care services in Azerbaijan are divided into the following categories:
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According the WHO-recommended STEPS study covered the majority of districts in the country:
In Azerbaijan the main actors in primary and secondary CV prevention are cardiologists, general practitioners and internal medicine specialists. Paediatricians and Public Health specialists are mainly involved in primary prevention programs at the country level.
Preventive measures delivered through the country can reduce all-cause mortality, particularly from CVD. In accordance with the Strategy for the Prevention and Control of Non-Communicable Diseases in the Republic of Azerbaijan for 2015-2020, medical examination of the population in different regions, additional medical examinations and treatment in the specialised medical institutions are being performed.
Patients after Myocardial Infarction (MI), Percutaneous Coronary Intervention (PCI), Coronary Artery Bypass Grafting (CABG) and stroke have their first rehabilitation consultation and treatment at the hospitals, then it continues after discharge. In some of the private hospitals patients are referred to Cardiac Rehabilitation departments, if available. Further rehabilitation programs are limited to only a few private hospitals after discharge.
Our future plan is to expand indications of cardiac rehabilitation services including non-acute cardiovascular diseases, peripheral artery disease, neurovascular disease, and programs for primary prevention for the population with cardiovascular risk factors.
Note: The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.
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