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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.
Appears in Collections:School of Medicine

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