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Related Experiment Video

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Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy (NIRS) Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
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Teamwork and program organization in developing countries.

Kathleen N Fenton1, Sergio Hernandez Castillo, Carlos Duarte Claro

  • 1International Children's Heart Foundation, Memphis, TN, USA.

World Journal for Pediatric & Congenital Heart Surgery
|June 28, 2013
PubMed
Summary
This summary is machine-generated.

Establishing congenital heart surgery programs in developing nations is challenging. A focused approach using a domestic leadership team and visiting surgeons improved patient care and program sustainability.

Keywords:
congenital heart surgeryeducationinternational collaborationpediatric

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Area of Science:

  • Cardiovascular Surgery
  • Global Health Equity
  • Medical Program Development

Background:

  • Developing countries face resource limitations and provider competition when establishing congenital heart surgery programs.
  • Existing models often struggle with sustainability and coordination.

Purpose of the Study:

  • To describe a novel model for establishing a sustainable congenital heart surgery program in a developing country.
  • To evaluate the effectiveness of a domestic leadership team approach.

Main Methods:

  • Formation of a leadership group including domestic and visiting surgeons, cardiologists, and local benefactors.
  • Gradual increase in surgical case volume and complexity, starting with closed procedures.
  • Mentorship by visiting surgeons and periodic medical brigades, fostering local capacity.

Main Results:

  • 185 pediatric patients operated on over 3 years, with progression to complex open and closed procedures.
  • Overall mortality rate of 6.5%.
  • Significant local team development: 3/5 pediatric cardiologists, 2/4 intensivists, the sole perfusionist, and the sole active pediatric heart surgeon are involved.

Conclusions:

  • A domestic leadership-focused model facilitates coordination of referrals and resources, enhancing patient care.
  • This approach promotes program sustainability and improves outcomes for pediatric congenital heart surgery in resource-limited settings.