{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T02:41:46Z","timestamp":1784947306902,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rheumatic heart disease (RHD) is a potentially life-threatening condition that causes long-standing public health concerns. Echocardiography is a reliable diagnostic and screening technique for many cardiovascular conditions, including RHD. It is commonly used in tertiary care facilities worldwide but less so in the community setting. The primary aim of this study was to introduce and elaborate on the echocardiographic screening for RHD that was implemented by a Malaysian primary care clinic in Penampang district, Sabah. We also set out to present the uptake of the service in its initial years of establishment, as well as the challenges faced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In the first part of this study, document reviews were conducted to compile relevant information about the conceptualization and implementation of this service. Following that, we also obtained secondary data on the echocardiographic screening service from its first implementation in April 2020 until May 2021 to examine the uptake and the patient profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From April 2020 to May 2021, a total of 189 echocardiographic screening was conducted by primary care doctors using handheld ultrasound. Of the 189 children screened, 19 (10.1%) were found to have cardiac anomalies and were referred for a formal echocardiogram. Upon follow-up, 8 were detected with mild mitral regurgitation and referred to the nearest tertiary hospital for further management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Based on our review, the echocardiographic screening for RHD among children conducted by the Penampang Health Clinic was deemed successful. Echocardiogram service provided by primary care centers located in suburban and rural areas is highly beneficial for patients with poor access to specialized health care services because they stay far away from tertiary care facilities. Tapping into family medicine physicians located closer to communities to conduct echocardiographic screening and review the results can improve the detection of cardiac anomalies requiring further investigation. With the success of this project, echocardiographic services in the primary healthcare setting can be expanded by garnering the necessary collaborative efforts and consistent support from various stakeholders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319241233178","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T05:33:55Z","timestamp":1709184835000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["At the Heart of the Community: Implementation of Echocardiographic Screening for Rheumatic Heart Disease in Primary Care Facilities of Northern Borneo Island"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8274-6209","authenticated-orcid":false,"given":"Sam Froze","family":"Jiee","sequence":"first","affiliation":[{"name":"Universiti Malaysia Sarawak, Sarawak, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lim Kai","family":"Joo","sequence":"additional","affiliation":[{"name":"Penampang District Health Office, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pee Nai","family":"Eng","sequence":"additional","affiliation":[{"name":"Penampang District Health Office, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aini","family":"Simon Sumeh","sequence":"additional","affiliation":[{"name":"Penampang District Health Office, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisah","family":"Jantim","sequence":"additional","affiliation":[{"name":"Penampang District Health Office, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selvanaayagam","family":"Shanmuganathan","sequence":"additional","affiliation":[{"name":"Penampang District Health Office, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"},{"name":"The University of Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siva Rao","family":"Muniandy","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital II, Sabah State Health Department, Ministry of Health Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"bibr1-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-302"},{"key":"bibr2-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-022-02829-3"},{"key":"bibr3-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-53540-4"},{"issue":"1","key":"bibr4-21501319241233178","first-page":"757","volume":"7","author":"Hussin N","year":"2017","journal-title":"Int J Public Heal Res"},{"issue":"4","key":"bibr5-21501319241233178","first-page":"431","volume":"34","author":"Singh S","year":"2007","journal-title":"Tex Heart Inst J"},{"key":"bibr6-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276480"},{"key":"bibr7-21501319241233178","author":"Muhamad N","year":"2021","journal-title":"Health Research Priorities for 12th Malaysia 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KJ","year":"2015","journal-title":"Public Health Ethics: Cases Spanning the Globe"},{"key":"bibr18-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247530."},{"key":"bibr19-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30463-2"},{"key":"bibr20-21501319241233178","doi-asserted-by":"publisher","DOI":"10.17226\/24624"},{"key":"bibr21-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1200\/go.20.00460"},{"key":"bibr22-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-10487-6"},{"key":"bibr23-21501319241233178","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3426"},{"key":"bibr24-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckx187.429"},{"key":"bibr25-21501319241233178","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.68848"},{"key":"bibr26-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01615-y"},{"key":"bibr27-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.11004"},{"key":"bibr28-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daaa157"},{"key":"bibr29-21501319241233178","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.007"}],"container-title":["Journal 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