Primary health care approach to rheumatic heart disease management

The primary health care (PHC) approach to rheumatic heart disease emphasises preventing initial episodes of rheumatic fever through primary prevention, avoiding recurrences by secondary prevention and ensuring long-term follow-up and an effective referral system. Primary care providers act as gatekeepers of community healthcare needs. They are heavily involved in community engagement, primary prevention, continuity of care and are part of strong PHC referral networks. This positions them ideally to participate in the prevention and early detection of rheumatic heart disease. The main aim of this CPD article is to guide the early identification and management of rheumatic heart disease within PHC settings.