These priorities have been informed by outstanding needs in RHD control. The persistent burden of RF and RHD demonstrates that effective approaches to disease control are not being delivered to populations in need. A number of articles have sought to identify barriers to tackling RHD worldwide. Research priorities were outlined in an article by Carapetis and Zhulke in 2011. Although the article was targeted at the research community, the highest priority was given to implementation research: 'translating what we already know into practical RHD control'.
Similarly, the Position Statement of the World Heart Federation on the Prevention and Control of Rheumatic Heart Disease emphasizes practical and policy implementation activities.