I am a cardiologist and global health researcher developing expertise in the intersection between these two fields. My primary professional goal is to push the frontier of global cardiovascular disease epidemiology and health service delivery (implementation) research through the development, implementation, evaluation, improvement and dissemination of integrated chronic care programs targeted to overcome specific barriers in rural low- and middle-income countries (LMIC).
My research stems from experience in the field in rural Rwanda and Haiti since 2008 in collaboration with local Ministries of Health and the non-governmental organizations Partners In Health and Zanmi Lasante. I have developed and implemented care models using the strategy of task-shifting: training in-country nurses and generalist physicians in simplified protocols to aid in specialty care for the diagnosis and management of non-communicable diseases (NCD) including hypertension, diabetes, heart failure, stroke, and respiratory disease. My research has helped determine that heart failure in rural Rwanda and Haiti is generally from endemic causes (as opposed to coronary heart disease) and a leading cause of hospitalization. In addition, we demonstrated that nurse-directed management improves control of blood pressure for patients with hypertension and improves symptoms for those with heart failure. I also study the prevalence of poverty among patients with NCDs and develop approaches to overcome poverty-related barriers. My long-term goal is to develop and utilize evidence-based approaches for the understanding of cardiovascular disease in LMICs and influence programmatic development, implementation and policy.
I have active academic collaborations with projects in Haiti, Rwanda, Malawi, Liberia, and India. I am one of the principal authors of the implementation guide and clinician handbook The Partners In Health Guide to Chronic Care Integration for Endemic Non-Communicable Diseases. I have presented my work at several American Heart Association conferences including the Annual Scientific Sessions, Epidemiology, Nutrition, Prevention and Metabolism, and Quality and Clinical Outcomes Research sessions. I have also been an invited speaker both nationally and in Haiti and Rwanda. I continue to serve as an Advisor for Non-Communicable Diseases at Partners In Health in Boston, Haiti and Rwanda.
Evans Center for Interdisciplinary Biomedical Research
Identifying facilitators and barriers to heart failure care in Haiti to adapt a community-based inte
08/01/2019 - 07/31/2023 (PI)NIH-NHLBI1K23HL140133-01A1
Universal Access to Type 1 Diabetes Care
11/01/2017 - 10/31/2020 (PI)Partners in Health Helmsley Charitable
Mixed Method Evaluation of Barriers To Heart Failure In Rural Haiti
01/01/2017 - 12/31/2019 (PI)American Heart Assoc
Publications listed below are automatically derived from MEDLINE/PubMed and other
sources, which might result in incorrect or missing publications. Faculty can
to make corrections and additions.
Showing 10 of 47 results.
Coates MM, Kintu A, Gupta N, Wroe EB, Adler AJ, Kwan GF, Park PH, Rajbhandari R, Byrne AL, Casey DC, Bukhman G. Burden of non-communicable diseases from infectious causes in 2017: a modelling study. Lancet Glob Health. 2020 12; 8(12):e1489-e1498. PMID: 33098769
Yan LD, Pierre-Louis D, Isaac BD, Jean-Baptiste W, Vertilus S, Fenelon D, Hirschhorn LR, Hibberd PL, Benjamin EJ, Bukhman G, Kwan GF. Does distance from a clinic and poverty impact visit adherence for noncommunicable diseases? A retrospective cohort study using electronic medical records in rural Haiti. BMC Public Health. 2020 Oct 14; 20(1):1545.View Related Profiles. PMID: 33054756
Gupta N, Coates MM, Bekele A, Dupuy R, Fénelon DL, Gage AD, Getachew T, Karmacharya BM, Kwan GF, Lulebo AM, Masiye JK, Mayige MT, Ndour Mbaye M, Mridha MK, Park PH, Dagnaw WW, Wroe EB, Bukhman G. Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: a cross-sectional analysis of service provision assessments in eight low-income countries. BMJ Open. 2020 10 10; 10(10):e038842. PMID: 33040014
Klassen SL, Kwan GF, Bukhman G. The COVID-19 Pandemic: A Massive Threat for Those Living With Cardiovascular Disease Among the Poorest Billion. Circulation. 2020 11 17; 142(20):1887-1889. PMID: 32948096
Ntaganda E, Rusingiza E, Rukundo G, Ng'ang'a L, Hedt-Gauthier B, El-Khatib Z, Kwan GF, Gapira G, Worrall NK, Swain J, Kagame A, Mutumbira C, Ruhamya N, Bolman C, Sewase J, Ndayisaba G, Bolman Iii RM, Goldberg H, Mucumbitsi J. Postoperative Rheumatic Heart Disease Follow-Up: Creating a National Registry and First Results from Rwanda. Ann Glob Health. 2020 09 09; 86(1):115. PMID: 32963968
Rouhani SA, Marsh RH, Rimpel L, Anderson K, Outhay M, Edmond MC, Checkett KA, Berkowitz AL, Kwan GF, Baugh CW, Schuur JD. Protocolized emergency department observation care improves quality of ischemic stroke care in Haiti. Afr J Emerg Med. 2020 Sep; 10(3):145-151. PMID: 32923326
Kwan GF, Yan LD, Isaac BD, Bhangdia K, Jean-Baptiste W, Belony D, Gururaj A, Martineau L, Vertilus S, Pierre-Louis D, Fenelon DL, Hirschhorn LR, Benjamin EJ, Bukhman G. High Poverty and Hardship Financing Among Patients with Noncommunicable Diseases in Rural Haiti. Glob Heart. 2020 02 06; 15(1):7.View Related Profiles. PMID: 32489780
Global, regional, and national burden of congenital heart disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Child Adolesc Health. 2020 03; 4(3):185-200. PMID: 31978374; DOI: 10.1016/S2352-4642(19)30402-X;
Eberly LA, Rusangwa C, Ng'ang'a L, Neal CC, Mukundiyukuri JP, Mpanusingo E, Mungunga JC, Habineza H, Anderson T, Ngoga G, Dusabeyezu S, Kwan G, Bavuma C, Rusingiza E, Mutabazi F, Mucumbitsi J, Gahamanyi C, Mutumbira C, Park PH, Mpunga T, Bukhman G. Cost of integrated chronic care for severe non-communicable diseases at district hospitals in rural Rwanda. BMJ Glob Health. 2019; 4(3):e001449. PMID: 31321086
Eberly LA, Rusingiza E, Park PH, Ngoga G, Dusabeyezu S, Mutabazi F, Gahamanyi C, Ntaganda E, Kwan GF, Bukhman G. 10-Year Heart Failure Outcomes From Nurse-Driven Clinics in Rural Sub-Saharan Africa. J Am Coll Cardiol. 2019 03 05; 73(8):977-980. PMID: 30819366
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Available to Mentor as: (Review Mentor Role Definitions)
Dr. Kwan is willing and available to mentor faculty, fellows, residents, and students with an academic interest in cardiology, chronic non-communicable diseases, global health, implementation science, and social determinants of health.
Co-Mentor or Peer Mentor
Research / Scholarly Mentor