Abstract
In this chapter, the global surgery research team of the JW LEE Center for Global Medicine, Seoul National University College of Medicine, introduced the cardiac surgery and interventional cardiology workforce training programs in Ethiopia and Côte d'Ivoire. A team-based collaborative capacity-building model was implemented in both countries, and details of program design and delivery are documented. The research team shared their experiences and identified achievements, lessons, and challenges for cardiac surgical interventions in Sub-Saharan Africa. Future directions were put forward to advance and strengthen the LMICs’ “Safe Surgery.”
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References
Levesque JF, Harris MF, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health. 2013;12:18. https://doi.org/10.1186/1475-9276-12-18.
Ethiopia data. https://data.worldbank.org/country/ethiopia. Last Accessed 30 Mar 2021.
WHO Ethiopia. https://www.who.int/countries/eth/en/. Last Accessed 30 Mar 2021.
Population, total—Cote d’Ivoire|data. https://data.worldbank.org/indicator/SP.POP.TOTL?locations=CI. Last Accessed 30 Mar 2021.
Human development reports. http://hdr.undp.org/en/countries/profiles/CIV. Last Accessed 30 Mar 2021.
Eberly LA, Rusingiza E, Park PH, et al. Understanding the etiology of heart failure among the rural poor in Sub-Saharan Africa: a 10-year experience from district hospitals in Rwanda. J Card Fail. 2018;24:849–53. https://doi.org/10.1016/j.cardfail.2018.10.002.
GBD results tool GHDx. http://ghdx.healthdata.org/gbd-results-tool. Last Accessed 30 Mar 2021.
Tankeu AT, Bigna JJR, Nansseu JRN, et al. Prevalence and patterns of congenital heart diseases in Africa: a systematic review and meta-analysis protocol. BMJ Open. (2017); 7.
Murala JSK, Karl TR, Pezzella AT. Pediatric cardiac surgery in low-and middle-income countries: present status and need for a paradigm shift. Front Pediatr. 2019;7:214. https://doi.org/10.3389/fped.2019.00214.
Yuyun MF, Sliwa K, Kengne AP, et al. Cardiovascular diseases in sub-saharan Africa compared to high-income countries: an epidemiological perspective. Glob Heart. 2020;15:15. https://doi.org/10.5334/GH.403.
Nigussie B, Tadele H. Heart failure in Ethiopian children: mirroring the unmet cardiac services. Ethiop J Health Sci. 2019;29:811–8. https://doi.org/10.4314/ejhs.v29i1.2.
Azagoh-Kouadio R, Diby KF, Asse KV, et al. Childhood heart disease in Côte d’Ivoire: retrospective multicentric study about 228 cases. Open J Pediatr. 2018;08:375–88. https://doi.org/10.4236/ojped.2018.84037.
Yangni-Angate KH, Meneas C, Diby F, et al. Cardiac surgery in Africa: a thirty-five year open heart surgery in Cote d’Ivoire. Cardiovasc Diagn Ther. (2016); 6:S44–S63. https://doi.org/10.21037/cdt.2016.10.06.
Leuner CJ, Weldegerima AH. Cardiology services in Ethiopia. Eur Heart J. 2018;39:2699–700. https://doi.org/10.1093/eurheartj/ehy373.
Burssa D, Teshome A, Iverson K, et al. Safe surgery for all: early lessons from implementing a national government-driven surgical plan in Ethiopia. World J Surg. 2017;41:3038–45. https://doi.org/10.1007/s00268-017-4271-5.
Gebremariam S, Moges T. Pediatric heart failure, lagging, and sagging of care in low income settings: a hospital based review of cases in Ethiopia. Cardiol Res Pract. (2016). https://doi.org/10.1155/2016/7147234.
Choi S, Shin H, Heo J, et al. How do caregivers of children with congenital heart diseases access and navigate the healthcare system in Ethiopia? BMC Health Serv Res. 2021;21:1–7. https://doi.org/10.1186/s12913-021-06083-2.
Edwin F, Tettey M, Aniteye E, et al. The development of cardiac surgery in West Africa—the case of Ghana. Pan Afr Med J. 2011;9:1937–8688.
Yangni-Angate KH. Open heart surgery in Sub-Saharan Africa: challenges and promise. Cardiovasc Diagn Ther. 2016;6:S1–4.
Baker DP, Day R, Salas E. Teamwork as an essential component of high-reliability organizations. Health Serv Res. 2006;41:1576–98.
Pradarelli JC, Yule S, Smink DS. Evaluating non-technical skills in surgery. In: Health services research. Cham: Springer; 2020. p. 125–35.
Scott J, Revera Morales D, McRitchie A, et al. Non-technical skills and health care provision in low- and middle-income countries: a systematic review. Med Educ. (2016); 50:441–455. https://doi.org/10.1111/medu.12939.
Choi S, Vervoort D, Kim W-H. The role of cardiac surgery in global surgery and global health: a case study from Tashkent. J Glob Heal Rep. (2019);3. https://doi.org/10.29392/joghr.3.e2019074.
Corbett MC, Mathenge W, Zondervan M, Astbury N. Cascading training the trainers in ophthalmology across Eastern Cental and Southern Africa. Global Health. 2017;13:46. https://doi.org/10.1186/s12992-017-0269-x.
White RE, Parker RK. Delivery of subspecialty surgical care in low-resource settings. In: Global surgery: the essentials. Springer International Publishing;(2017). pp 69–107.
Han S, Choi S, Heo J, et al. Evaluation of a ten-year team-based collaborative capacity-building program for pediatric cardiac surgery in uzbekistan: lessons and implications. Ann Glob Heal. 2020;86:1–11. https://doi.org/10.5334/AOGH.2883.
Kassam F, Damji KF, Kiage D, et al. The sandwich fellowship: a subspecialty training model for the developing world. Acad Med. 2009;84:1152–60. https://doi.org/10.1097/ACM.0b013e3181acf95c.
Addis standard twitter. https://twitter.com/addisstandard/status/1227878636319051776?s=20. Last Accessed 4 Apr 2021.
Magadzire BP, Budden A, Ward K, et al. Frontline health workers as brokers: provider perceptions, experiences and mitigating strategies to improve access to essential medicines in South Africa. BMC Health Serv Res. 2014;14:1–10. https://doi.org/10.1186/s12913-014-0520-6.
Howell JM, Shea CM, Higgins CA. Champions of product innovations: defining, developing, and validating a measure of champion behavior. J Bus Ventur. 2005;20:641–61. https://doi.org/10.1016/j.jbusvent.2004.06.001.
Saluja S, Silverstein A, Mukhopadhyay S, et al. Using the consolidated framework for implementation research to implement and evaluate national surgical planning. BMJ Glob Heal. 2017;2:e000269–e000269. https://doi.org/10.1136/bmjgh-2016-000269.
Healey AN, Undre S, Vincent CA. Defining the technical skills of teamwork in surgery. Qual Saf Heal Care. 2006;15:231–4.
WHO. Surgical care systems strengthening; (2017).
Rocha E. Health promoting universities. Rev Port Cardiol. 2008;27:29–35.
Park J, Cheoun M-L, Choi S, et al. The landscape of academic global surgery: a rapid review. J Public Heal Emerg. (2021); 5:9–9. https://doi.org/10.21037/jphe-20-80.
Grant CL, Robinson T, Al Hinai A, et al. Ethical considerations in global surgery: a scoping review. BMJ Glob Heal. (2020); 5:2319.
Acknowledgements
We gratefully acknowledge all the medical volunteers and researchers who participated in the program. We would also like to thank the Korea Foundation for International Healthcare (KOFIH), Seoul National University College of Medicine, and Seoul National University Hospital for supporting and promoting the capacity-building program.
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Kim, WH., Park, J., Heo, J., Kim, GB., Cho, S., Kwak, J.G. (2022). Cardiac Surgery and Interventional Cardiology Capacity Development: Insights from Ethiopia and Côte d’Ivoire. In: Kpodonu, J. (eds) Global Cardiac Surgery Capacity Development in Low and Middle Income Countries. Sustainable Development Goals Series. Springer, Cham. https://doi.org/10.1007/978-3-030-83864-5_38
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