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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Binanay, CA; Akwanalo, CO; Aruasa, W; Barasa, FA; Corey, GR; Crowe, S; Esamai, F; Einterz, R; Foster, MC; Gardner, A; Kibosia, J; Kimaiyo, S; Koech, M; Korir, B; Lawrence, JE; Lukas, S; Manji, I; Maritim, P; Ogaro, F; Park, P; Pastakia, SD; Sugut, W; Vedanthan, R; Yanoh, R; Velazquez, EJ; Bloomfield, GS

Published Date

  • December 8, 2015

Published In

Volume / Issue

  • 66 / 22

Start / End Page

  • 2550 - 2560

PubMed ID

  • 26653630

Pubmed Central ID

  • PMC4680855

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2015.09.086


  • eng

Conference Location

  • United States