Journal of Cardiovascular, Neurovascular & Stroke https://mycvns.com 24 A REVIEW OF STRATEGIES TO IMPROVE STROKE CARE SERVICES IN LOW AND MIDDLE-INCOME COUNTRIES: THE INNOVATIVE EXPERIENCE OF LAHORE GENERAL HOSPITAL STROKE PROGRAMME 1* Saima Ahmad DMRD, MSc, 1 Umair Rashid EdiNR, 2 Ossama Yasin Mansour MD, MSc, 3 Anchalee Churojana MD, 4 Ahmad Sobri Muda MD, MMed, 5 Husnain Haider Shah MD 1 Lahore General Hospital, Lahore, Pakistan. 2 Alexandria University, Egypt 3 Hospital, Mahidol University, Thailand 4 Putra Malaya University, Malaysia 5 Universal Hospital, UAE *Corresponding Author: Saima Ahmad, Pakistan Institute of Neurosciences, Neurointerventional Department, Lahore General Hospital, Lahore, Pakistan. Email: masterinfluencer@gmail.com Tel: 00923224122866 DOI: https://doi.org/10.32896/cvns.v4n1.24-34 Published: 15.03.2022 Article History: Received January 19, 2021; Revised September 30, 2021; Accepted October 28, 2021 ABSTRACT Stroke, especially ischemic stroke, is the second leading cause of death and disability. The burden of stroke in low and middle-income countries is high and growing, putting already overburdened healthcare resources to the test. To combat the disease's enormous burden, innovative stroke treatment services are needed. This requires the advancement of a nationwide stroke plan in order to offer the right care to all patients who qualify for reperfusion therapy. High levels of coordination, close collaboration with crisis medicinal administrations for pre-emergency clinic evaluation, our comprehensive understanding of stroke singularity, the advancement of pre-assessment tools, a high level of responsibility of all stroke groups at stroke centres, the accessibility of a stroke-specific registry, and the local government to seize the initiative are all key components of success. In this study, we look at different systems in low and middle-income countries that deal with various aspects of stroke treatment. We can use the achievement of the Lahore General Hospital stroke programme as an indicator of progress. Reperfusion therapy has only recently started in Lahore General Hospital, and this paper describes a one-of-a-kind experience in Pakistan of using a limited number of resources to help the country's first stroke centre grow. The aim of this research is to compare and contrast the approaches to stroke care control and treatment in Pakistan, Thailand, and Egypt. While these countries have equal economic standings, Egypt and Thailand have stronger stroke-management healthcare networks than Pakistan. As a result, this paper investigates these disparities and proposes possible options for improving stroke care treatment in Pakistan. In addition, the present state of stroke treatment in Pakistan is examined. In conclusion, public and governmental awareness is more important as a first step as compared to structural stroke care establishment in developing countries such as Pakistan. Keywords: Stroke Prevention; Acute Stroke Care; Stroke Unit; Low and Middle Income Countries