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Published on: July 18, 2014
The global burden of paediatric heart disease
Ndidiamaka L Musa1, Vibeke Hjortdal2, Bistra Zheleva3
11Department of Pediatrics,University of Washington,Division of Paediatric Critical Care Medicine,Seattle Children's Hospital Seattle,Seattle,Washington,United States of America.
Insights
Millions of children in low-income countries suffer from treatable heart conditions annually. This review highlights the global burden of pediatric heart disease and strategies to improve care, emphasizing the need for greater attention and resources.
Area of Science:
- Pediatric Cardiology
- Global Health
- Public Health Interventions
Background:
- Millions of children in low- and middle-income countries (LMICs) are affected by treatable or preventable heart disease annually.
- Global child mortality reduction efforts have largely overlooked pediatric congenital heart disease (CHD) and acquired heart disease.
- Significant barriers exist in LMICs, including lack of awareness, limited access to care, poor healthcare infrastructure, and a shortage of pediatric cardiac specialists.
Purpose of the Study:
- To describe the global burden of pediatric heart disease.
- To outline strategies for improving the quality of care for children with heart disease in resource-limited settings.
- To advocate for increased attention and resources towards pediatric heart conditions in global health initiatives.
Main Methods:
- This study is a review of existing literature and data on pediatric heart disease globally.
- It synthesizes information on the prevalence, impact, and challenges associated with pediatric heart disease in LMICs.
- It identifies and discusses strategies being implemented, particularly by non-governmental organizations, to address these challenges.
Main Results:
- Pediatric heart disease represents a significant, yet under-addressed, cause of mortality and morbidity in LMICs.
- Non-governmental organizations are playing a crucial role in bridging the gap in care for these children.
- Effective strategies are available to improve outcomes, but require greater global focus and investment.
Conclusions:
- There is an urgent need to prioritize pediatric heart disease in global health agendas.
- Implementing targeted strategies can significantly improve the quality of care and outcomes for affected children.
- Collaborative efforts, including those by NGOs, are essential to overcome existing healthcare disparities.
Abstract:
An estimated 15 million children die or are crippled annually by treatable or preventable heart disease in low- and middle-income countries. Global efforts to reduce under-5 mortality have focused on reducing death from communicable diseases in low- and middle-income countries with little to no attention focusing on paediatric CHD and acquired heart disease. Lack of awareness of CHD and acquired heart disease, access to care, poor healthcare infrastructure, competing health priorities, and a critical shortage of specialists are important reasons why paediatric heart disease has not been addressed in low resourced settings. Non-governmental organisations have taken the lead to address these challenges. This review describes the global burden of paediatric heart disease and strategies to improve the quality of care for paediatric heart disease. These strategies would improve outcomes for children with heart disease.
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