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Pediatric Cardiac Service Development Programs for Low- and Middle-Income Countries in Need of Improving or

William M Novick1,2, Frank Molloy2,3, Karen Bowtell2

  • 1University of Tennessee Health Science Center, Global Surgery Institute, Memphis, TN, United States.

Frontiers in Pediatrics
|October 17, 2019
PubMed

Insights

Most children worldwide lack adequate pediatric cardiac care. This initiative developed sustainable pediatric cardiac services in 32 low- and middle-income countries (LMIC) through education and training.

Area of Science:

  • Cardiology
  • Global Health
  • Pediatric Medicine

Background:

  • Pediatric cardiac services are globally deficient, with 80-90% of children lacking adequate care for congenital or acquired heart conditions.
  • This deficiency is particularly pronounced in low- and middle-income countries (LMIC).

Purpose of the Study:

  • To describe the development strategies for establishing sustainable pediatric cardiac services in LMIC.
  • To provide a framework and tools for successful implementation of global pediatric cardiac care initiatives.

Main Methods:

  • Initiated a program in 1992 to develop pediatric cardiac services in LMIC.
  • Employed three distinct development strategies tailored to local needs across 32 countries.
  • Focused on education, training, and experience transfer to ensure long-term sustainability.

Main Results:

  • Successfully provided pediatric cardiac services in 32 countries.
  • Developed and implemented distinct strategies to meet diverse local needs.
  • Established a model for creating fully functional, independently operating pediatric cardiac services.

Conclusions:

  • Sustainable pediatric cardiac services can be established in LMIC through targeted education and training.
  • A strategic, needs-based approach is crucial for the success of global pediatric cardiac care initiatives.
  • The described strategies and tools can guide future efforts to improve pediatric cardiac care worldwide.

Keywords:
congenital hearteducationglobal surgeryhumanitarian assistancepediatric cardiac surgery

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