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

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• 作者：Cynthia A. Binanay ; MA ; BSN^&lowast ; ; ^&dagger ; ; Constantine O. Akwanalo ; MBChB ; MMed^&Dagger ; ; Wilson Aruasa ; MBChB ; MMed^&Dagger ; ; Felix A. Barasa ; MBChB ; MMed^&Dagger ; ; G. Ralph Corey ; MD^&lowast ; ; ^&dagger ; ; ^§ ; ; ^‖ ; Susie Crowe ; PharmD^¶ ; ; Fabian Esamai ; MBChB ; MMed ; PhD ; MPH^# ; Robert Einterz ; MD^&lowast ; &lowast ; ; Michael C. Foster ; RCS^§ ; ; Adrian Gardner ; MD ; MPH^&lowast ; &lowast ; ; John Kibosia ; MBChB ; MMed^&Dagger ; ; Sylvester Kimaiyo ; MBChB ; MMed^&Dagger ; ; ^# ; Myra Koech ; MBChB ; MMed^&Dagger ; ; Belinda Korir ; BSN^&dagger ; ; John E. Lawrence ; MD^&dagger ; ; ^§ ; ; Stephanie Lukas ; PharmD ; MPH^¶ ; ; Imran Manji ; BPharm^&Dagger ; ; Peris Maritim ; KRCHN^&Dagger ; ; Francis Ogaro ; MBChB ; MMed^&Dagger ; ; Peter Park ; MBA^&dagger ; ; ^&lowast ; &lowast ; ; Sonak D. Pastakia ; PharmD ; MPH^¶ ; ; Wilson Sugut ; MBChB ; MMed^&Dagger ; ; Rajesh Vedanthan ; MD ; MPH^&dagger ; &dagger ; ; Reuben Yanoh ; RCO ; RCS ; BSc^&Dagger ; ; Eric J. Velazquez ; MD^&lowast ; ; ^§ ; ; ^‖ ; Gerald S. Bloomfield ; MD ; MPH^&lowast ; ; ^§ ; ; ^‖ ; ^{gerald.bloomfield@duke.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：cardiovascular disease ; global health partnership ; limited resources ; sub-Saharan Africa
• 刊名：Journal of the American College of Cardiology
• 出版年：2015
• 出版时间：8 December 2015
• 年：2015
• 卷：66
• 期：22
• 页码：2550-2560
• 全文大小：780 K

文摘

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.