Abstract
The care of patients with CHD remains a challenge in low- and middle-income countries. Their health systems have not been able to achieve consistently high performance in this field. The large volume of patients, manpower constraints, inconsistencies in the level and type of background training of the teams caring for this patient population, and the inadequate quality control systems are some of the barriers to achieving excellence of care. We describe three different international projects supporting the paediatric cardiac surgical and paediatric cardiac intensive care programmes in Latin America, Asia, and the Caribbean.
Highlights
IntroductionWhile most of the population lives in Asia, the highest rate of population increase is in Africa
THE WORLD’S CURRENT POPULATION IS ~7.2 billion
Noncommunicable disease-related mortality is estimated to cause as many as 80% of all deaths in low- and middle-income countries
Summary
While most of the population lives in Asia, the highest rate of population increase is in Africa These countries are affected by the “double disease burden”: communicable or infectious diseases and non-communicable diseases. Despite over 300 million patients undergoing different surgical procedures worldwide every year, there is epidemiological data suggesting that over another 140 million are needed, mostly in low- and middle-income countries. Surgical accessibility is not the only problem for children in low- and middle-income countries. They are at risk of high morbidity and mortality rates postoperatively, with some reports showing mortality rates 10 times higher in low- and middle-income countries when compared with high-income countries.[4] Safe perioperative practices, reduction of infections, and team-based practices are a few of the Downloaded from https://www.cambridge.org/core. The objective of this paper is to present four different models of international partnership programmes in Mexico, India, Vietnam, and Jamaica
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