egypt's

assessment of need

EGYPT

Within Egypt, cardiovascular disease is by far the leading cause of death out of all non-communicable diseases, responsible for 226,500 deaths in 2016 alone. Risk factors associated with cardiovascular disease continue to rise at an alarming rate. Rheumatic heart diseases are still responsible for approximately 2,000 deaths per year and of the 18,000 babies born with congenital heart disease each year, 5,000 die due to the lack of proper facilities.

Demand Constraints in Egypt

The availability of medical treatment is not sufficient to meet regional demand, resulting in hundreds of thousands of deaths that could have been avoided if suitable facilities and efficient personnel had been available. The AHC is currently unable to meet growing levels of demand. While we try to prioritise the most critical, life-saving surgeries, the team is forced to defer more than 1,500 complex cases per year. Patients can be on a waiting list for up to three years; many do not survive this long. Due to this increase in demand and exiting constraints within Aswan Heart Centre, the Board of Trustees have made a conscious decision to proceed with building the Global Magdi Yacoub Heart Centre – Cairo.

EXECUTIVE SUMMARY

The prevalence of cardiovascular disease is a growing challenge in Egypt, the MENA region, and Africa. It is by far the highest cause of death for non-communicable diseases, resulting in ~1.5 million deaths annually across the African continent. Most of these deaths would be avoidable if adequate facilities and trained staff were more readily available. Aswan Heart Centre (AHC) is one of the few cardiac centres in the region recognised internationally as a centre of excellence for the treatment and research of cardiovascular disease. Doctors at AHC perform approximately 4,000 surgical and cardiac procedures annually, 60% of which are performed on children, including neonates. The clinical audit of our patient outcomes is comparable to those of the top centres in Europe and the United States. We at AHC also offer training to doctors, nurses, researchers and technicians. Our research publications are published in international peer review journals. Due to the ever-increasing demand, we are able to address a small number of complex or critical cases. To improve access to care and meet demand for cardiac care within Egypt, the MENA region, and Africa, the Board of Magdi Yacoub Heart Foundation (MYF) has decided to develop The Global Aswan Heart Centre, located in Cairo. Facilities will allow us to treat up to 12,000 patients per year, a three-fold increase on our current capacity. While the main beneficiaries of this new facility will be Egyptians, the new centre will also be able to accommodate some of the complex cases from the Middle East and Africa. Additionally, our team at the centre will be able to train healthcare professionals from the MENA region and Africa. In addition to improving access to quality care, the new centre will continue integrating research, innovation, and training in a way that is unprecedented in the region. An integral part of the strategy is to expand training and education for young healthcare professionals and scientists from Egypt, the MENA region and Africa.

our

vision

01

Expand access to world-class treatment

Our vision has three main goals:
• Expand access to world-class treatment
Our goal is to meet increasing demand for cardiovascular care in the region by expanding the size of our facilities. By increasing the size of our facilities, we expect to be able to:
◦ Accommodate almost four times as many outpatients
◦ Treat more than three times as many patients in need from Egypt and the region
◦ Save more than three times as many lives

We hope, specifically, to be able to enhance the type of care that we provide to new-borns with congenital heart disease. Currently, we are able to treat less than half of all such cases. If treated at our centre, a child has a 95% chance of living a normal life. We will continue to endeavour to reduce the mortality rates and hence improve the 95% survival rate.

In addition to expanding our facilities, we plan to build a dedicated facility for tele-medicine to enhance our reach to support patients in more remote areas of Africa.
• Triple the number of training graduates
Saving lives is not only about increasing the capacity of our facilities; we also need qualified staff to provide care both at the Magdi Yacoub Global Aswan Heart Centre – Cairo and more broadly throughout the region. Therefore, we have a goal to expand our training program to train ~1,750 healthcare professionals and scientists annually (compared to 550 today), not only from Egypt, but from the region more broadly while ensuring the same level of quality we provide today.
• Develop an advanced scientific research centre
We aspire to become a centre for innovation in heart-related medical research, with the objective of reducing the prevalence of cardiovascular disease in some of the poorest areas of Africa by developing advanced treatments for complex diseases. Research centre will cover among others congenital heart diseases, precision medicine topic and diseases specific to the developing world (e.g. rheumatic diseases). This research will benefit from exposure to the large number of cases we expect to treat, covering cardiovascular disease specific to the developing world as well (e.g., rheumatic diseases). We also plan to create a broader hub for talented scientists and doctors by building a convention centre to host global medical conferences.

02

Triple the number of training graduates

Saving lives is not only about increasing the capacity of our facilities; we also need qualified staff to provide care both at the new Aswan Heart Centre and more broadly throughout the region. Therefore, we have a goal to expand our training program to train ~1,750 healthcare professionals and scientists annually (compared to 550 today), not only from Egypt, but from the region more broadly while ensuring the same level of quality we provide today.

03

Develop an advanced scientific research centre

We aspire to become a centre for innovation in heart-related medical research, with the objective of reducing the prevalence of cardiovascular disease in some of the poorest areas of Africa by developing advanced treatments for complex diseases. Research centre will cover among others congenital heart diseases, precision medicine topic and diseases specific to the developing world (e.g. rheumatic diseases). This research will benefit from exposure to the large number of cases we expect to treat (~9,500), covering cardiovascular disease specific to the developing world as well (e.g., rheumatic diseases). We also plan to create a broader hub for talented scientists and doctors by building a convention centre to host global medical conferences.

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facilities

The Magdi Yacoub Global Aswan Heart Centre – Cairo will be built on 35 acres in Cairo.
The concept for the complex has been designed by Lord Norman Foster of Foster and Partners and DAR, one of the most renowned international architects in the world. The design aims to create an environment that is:
• Environmentally efficient and friendly
• Healing-enhanced
• Stress-free for working and learning
• Patient- and user-friendly

The new complex includes:
• The hospital:
◦ 300 beds capable of accommodating 150 adults and 150 paediatric patients, in line with current demand
◦ 40% of bed capacity reserved for intensive care and coronary high-dependency units
◦ Integrated central hub housing five operating theatres and five catheterization laboratories, including a hybrid operating room with high quality imaging and diagnostic centre including nuclear imaging
◦ An outpatient department which will allow us to process and diagnose children and adults more than 80,000 patients annually.
◦ An imaging centre, equipped with the latest imaging technologies.
• Scientific research centre
The complex will include an integrated scientific research centre, equipped with the latest research technologies.

Environmentally efficient and friend
Healing-enhanced
Stress-free for working and learning
Patient- and user-friendly
01

The hospital

We plan to build a new cardiac hospital with the following components:

  • 300 beds capable of accommodating 150 adults and 150 paediatric patients, in line with current demand
  • 40% of bed capacity reserved for intensive care and coronary high-dependency units
  • Integrated central hub housing five operating theatres and five catheterization laboratories, including a hybrid operating room with a state-of-the-art imaging and diagnostic centre including nuclear imaging

02

Residential Buildings

  • 1,200 residential units for staff and patient’s relatives

03

Scientific research centre

  • The complex will include an integrated scientific research centre, equipped with the latest research technologies.In addition, we will build a convention centre that can accommodate up to 700 delegates, with a state-of-the-art electronic library and tele-medicine facility.

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goals

Aswan Heart Centre’s aspiration is to scale up operations to meet the significant, growing demand for cardiovascular treatment by those who need it most, integrating treatment, research, and talent development in a way that currently does not exist in the region.

01

Expand Access to World-class Treatment

To meet increasing demand for cardiovascular care in the region by expanding the size of our facilities. By increasing the size of our facilities we expect to be able to:

  • Accommodate almost four times as many outpatients
  • 80,000 compared to 22,000 currently
  • Treat more than three times as many patients in need
  • 12,000 compared to 3,600 currently
  • Save more than three times as many lives
  • 11,436 compared to 2,859 currently
  • If treated at our centre, a child has a 95% chance of living a normal life; without treatment, the child has a near-zero chance of survival.
  • We will continue to endeavor to reduce the mortality rates and hence improve the 95% survival rate.

02

Triple the Number of Training Graduates

  • Saving lives is not only about increasing the capacity of our facilities; we also need qualified staff to provide care both at the new Aswan Heart Centre and more broadly throughout the region. Therefore, we have a goal to expand our training program to train healthcare professionals and scientists annually, 1,750 compared to 550 currently.

03

Develop an Advance Scientific Research Centre

  • We aspire to become a centre for innovation and heart-related medical research, with the objective of reducing the prevalence of cardiovascular disease in some of the poorest areas of Africa by developing advanced treatments for complex diseases. Research centre will cover among others congenital heart disease, precision medicine topic and diseases specific to the developing world (e.g. rheumatic diseases). This research will benefit from exposure to the large number of cases we expect to treat (~ 9,500), covering cardiovascular diseases specific to the developing world as well (e.g., rheumatic diseases).
  • We also plan to create a broader hub for talented scientists and doctors by building the convention centre to host global medical conferences.