Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya.

Abstract:

:Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular health in a national public referral hospital. We highlight our stepwise approach to developing sustainable cardiovascular services using the health system strengthening World Health Organization Framework for Action. The building blocks of this framework (leadership and governance, health workforce, health service delivery, health financing, access to essential medicines, and health information system) guided our comprehensive and sustainable approach to delivering subspecialty care in a resource-limited setting. Our experiences may guide the development of similar collaborations in other settings.

journal_name

J Am Coll Cardiol

authors

Binanay CA,Akwanalo CO,Aruasa W,Barasa FA,Corey GR,Crowe S,Esamai F,Einterz R,Foster MC,Gardner A,Kibosia J,Kimaiyo S,Koech M,Korir B,Lawrence JE,Lukas S,Manji I,Maritim P,Ogaro F,Park P,Pastakia SD,Sugut W,Ve

doi

10.1016/j.jacc.2015.09.086

subject

Has Abstract

pub_date

2015-12-08 00:00:00

pages

2550-60

issue

22

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(15)06845-X

journal_volume

66

pub_type

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