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http://ir.mu.ac.ke:8080/jspui/handle/123456789/2676
Title: | Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya |
Authors: | Kimaiyo Sylvester Binanay Cynthia Akwanalo Constantine O. Aruasa Wilson Barasa Felix A Corey Ralph Crowe Susie Esamai Fabian Einterz Robert Foster Michael C Gardner Adrian Kibosia John Koech Myra Korir Belinda Korir Belinda Lawrence John E Stephanie Lukas Imran Manji Peris Maritim Ogaro Francis Park Peter Pastakia Sonak D Sugut Wilson Vedanthan Rajesh Yanoh Reuben Velazquez Eric J Bloomfield Gerald S |
Keywords: | Cardiovascular Care |
Issue Date: | Dec-2015 |
Publisher: | Elsevier Ltd. |
Abstract: | 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. |
URI: | http://dx.doi.org/10.1016/j.jacc.2015.09.086 http://ir.mu.ac.ke:8080/xmlui/handle/123456789/2676 |
Appears in Collections: | School of Medicine |
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