Ischemic Heart Disease in Nigeria: Exploring the Challenges, Current Status, and Impact of Lifestyle Interventions on Its Primary Healthcare System

Int J Environ Res Public Health. 2021 Dec 25;19(1):211. doi: 10.3390/ijerph19010211.

Abstract

The burden of ischemic heart disease in Nigeria calls for an evidence-based, innovative, and interdisciplinary approach towards decreasing health inequalities resulting from individual lifestyle and poor socioeconomic status in order to uphold the holistic health of individuals to achieve global sustainability and health equity. The poor diagnosis and management of ischemic heart disease in Nigeria contributes to the inadequate knowledge of its prognosis among individuals, which often results in a decreased ability to seek help and self-care. Hence, current policies aimed at altering lifestyle behaviour to minimize exposure to cardiovascular risk factors may be less suitable for Nigeria's diverse culture. Mitigating the burden of ischemic heart disease through the equitable access to health services and respect for the autonomy and beliefs of individuals in view of achieving Universal Health Coverage (UHC) requires comprehensive measures to accommodate, as much as possible, every individual, notwithstanding their values and socioeconomic status.

Keywords: Nigeria; Universal Health Coverage; behavioural change; cardiovascular diseases; diet; health promotion; lifestyle; physical activity; sub-Saharan Africa.

MeSH terms

  • Humans
  • Life Style
  • Myocardial Ischemia* / epidemiology
  • Myocardial Ischemia* / prevention & control
  • Nigeria
  • Primary Health Care
  • Universal Health Insurance*