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

作者:Binanay Cynthia A; Akw****o Constantine O; Aruasa Wilson; Barasa Felix A; Corey G Ralph; Crowe Susie; Esamai Fabian; Einterz Robert; Foster Michael C; Gardner Adrian; Kibosia John; Kimaiyo Sylvester; Koech Myra; Korir Belinda; Lawrence John E; Lukas Stephanie; Manji Imran; Maritim Peris; Ogaro Francis; Park Peter; Pastakia Sonak D; Sugut Wilson; Vedanthan Rajesh; Yanoh Reuben; Velazquez Eric J; Bloomfield Gerald S*
来源:Journal of the American College of Cardiology, 2015, 66(22): 2550-2560.
DOI:10.1016/j.jacc.2015.09.086

摘要

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.

  • 出版日期2015-12-8