CARDIOVASCULAR JOURNAL OF AFRICA • Volume 34, No 2, May/June 2023 92 AFRICA engage in health preventative projects, which impacts positively on attitudes for new strategies.22 Our weakness was the absence of more frequent refresher courses with health workers, which was well demonstrated in HIV-based studies as the key in sustaining new programmes.23 Conclusion From this study, we observed sub-optimal knowledge of ARF diagnosis and the use of BPG among health workers in rural eastern Uganda. Political support from the district enabled access to and acceptability of the training programme at different levels, and improved health-worker knowledge on RHD and BPG use. This report will provide a scalable approach for training healthcare workers and effectively improve ARF detection in regional centres in Uganda. 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