A school-centered approach provides an opportunity to provide equitable access to a primary and secondary prophylaxis program with the potential to substantially reduce the burden of rheumatic heart disease in endemic regions. In an interrupted time series study, we evaluate the effectiveness of a school-centered primary and secondary prevention program on prevalence of latent rheumatic heart disease in Tulsipur, Nepal.


Universal College of Medical Sciences, Bhairahawa, Nepal
Tulsi Hopsital, Tulsipur, Nepal
Bern University Hospital, Bern, Switzerland
Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland