Jeyaraj D. Pandian (India)
Christian Medical College Ludhiana
Neurology
Name: Jeyaraj Durai Pandian Qualifications: MBBS MD DM FRACP FRCP FESO FWSO FNAMS Dr Jeyaraj D Pandian is a Professor of Neurology and the Principal/Dean from Christian Medical College (CMC), Ludhiana, Punjab, India. Dr Pandian is the current Vice-President of World Stroke Organisation. He is a Fellow of the Royal Australasian College of Physicians, Fellow of Royal College of Physicians, Fellow of European Stroke Organization and Fellow of World Stroke Organisation (WSO). He is the recipient of the World Stroke Organisation Global Services to Stroke Award 2020. Dr Pandian was the past Chair of World Stroke Campaign International Working Group of WSO. He is also in the editorial board of International Journal of Stroke, Journal of Stroke and European Stroke Journal. He is also the Editor-in-Chief of CHRISMED J Health Research and J Stroke Medicine. He has been a member of WSO Policy and Research Committees. Dr Pandian was the Co-chair of the World Stroke Congress 2016 held in Hyderabad, India. He has served one term in EC of Indian Stroke Association and serves as President-elect of ISA. Dr Pandian has made significant contribution to stroke care services, epidemiology, and thrombolysis in low and middle-income countries. He is the National PI for the newly created Indian Stroke Clinical Trial Network (INSTRuCT). He has 201 peer-reviewed publications (Citations 122901, h-index 57, i10-index 117).

Presenter of 2 Presentations

 Conference Calendar

Challenges in Delivering Comprehensive Stroke Care

Session Name
0730 - Stroke in Low to Middle Income Countries (ID 61)
Session Type
Plenary Session
Date
29.10.2021, Friday
Session Time
11:30 - 13:00
Room
PLENARY
Presenter
Lecture Time
12:26 - 12:40

Abstract

Abstract Body

The stroke burden is increasing in low and middle income countries (LMICs). The health care systems are not unform in these nations. Largely the private hospitals cater to the need of stroke patients and the infrastructure in government run hospitals are poor. There are several challenges in the implementation of stroke care services in LMICs. Lack of neurologists, nurses, therapists and infrastructure are the most imporatnt barriers in the delivery of stroke care services. Despite the above challenges there are several low cost stroke unit models are available in LMICs. The Tezpur model demonstrated the effectiveness of the implementation of stroke care services using the Physician in a remote hospital of Northeast India. Simlar sucessful efforts has been undertaken in remote places of South Africa, Rwanda, Uganda and India through the Organisation of Stroke Care Across all Income Levels (OSCAIL). Many government hospitals in India have stroke units managed by Physicians. The Stroke care services in Brazil is largely in public hospitals with funding from the Government. One of the reasons for low thrombolysis rate in LMICs is the cost of the drug. The mechanical thrombectomy centers are growing in few LMICs. Again the cost of the treatment limits the wider usage of evidence based hyperacute treatments. Partnership of government and private hospitals with insurance coverage and training of health care professionals is the way forward in implementing comprehensive stroke services in LMICs.

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Policy and Pragmatic Solutions to Improve Rehabilitation and Re-integration of Stroke Survivors

Session Name
0360 - Joint Session WSO-WHO: Evidence-based Pragmatic Solutions and Policy Interventions for Reducing the Global Burden of Stroke (ID 28)
Session Type
Joint Session
Date
28.10.2021, Thursday
Session Time
15:45 - 17:15
Room
JOINT SESSIONS
Presenter
Lecture Time
16:36 - 16:53

Abstract

Abstract Body

Stroke rehabilitation is fragmented in low and middle income countries (LMICs). Most of the patients are discharged to their homes and the relatives become the caregivers. Outpatient and in patient rehabilitation facilities are available in urban areas however the rural folks are left without any access to rehabilitation. Caregiver driven stroke rehabilitation model has been tested in India which needs further modifications. Delivery of stroke rehabilitation using nurses has been tested in China eventhough it was feasible but there was no improvement in outcome. Training of community health workers in stroke rehabilitation has been found effective in South Africa. Multiprong approach is needed in LMICs in the effective implementation of stroke rehabilitation. Training of caregivers, nurses, community health workers and integration with low cost telerehabilitation (WhastApp or any other portal) is the way forward for developing stroke rehabilitation in LMICs.

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