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Review ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Pediatr. | doi: 10.3389/fped.2019.00359

Pediatric Cardiac Service Development Programs for Low- and Middle-Income Countries in Need of Improving or Initiating Local Services.

 William M. Novick1, 2*,  Frank Molloy2, 3,  Karen M. Bowtell2,  Brian Forsberg2, 4, Martina Pavanic'2*, Igor Polivenok2, 5, Sri Rao2, 6, Yamile M. Pérez2, 7 and Marcelo Cardarelli2, 8
  • 1University of Tennessee Health Science Center (UTHSC), United States
  • 2William Novick Global Cardiac Alliance Inc., United States
  • 3Great Ormond Street Hospital, United Kingdom
  • 4Children's Memorial Hermann Hospital, United States
  • 5Institute of General and Emergency Surgery, National Academy of Sciences of Ukraine (NAN Ukraine), Ukraine
  • 6Medical University of South Carolina, United States
  • 7Clinica Cardiovid Medellin, Colombia
  • 8Inova Children's Hospital, United States

Pediatric cardiac services are deficient in most of the world. Various estimates are that between 80-90%
of the world’s children do not receive adequate cardiac care for their congenital or acquired heart
disease. We began a modest effort in 1992 to assist in the development of pediatric cardiac services in
low- and middle-Income countries (LMIC). Since then, we have provided services in 32 countries based on 3 distinctive development strategies, in order to meet the local needs for
pediatric cardiac services. Our goal has always been to provide education, training and sufficient
experience so that eventually we leave a site with a fully functional, independently operating pediatric cardiac service that is sustainable over time. The margin between success and failure is dependent upon a number of factors and we hope that this chapter will provide others with the tools for success.

Keywords: pediatric cardiac surgery, Humanitarian development, Congenital heart defect (CHD), Sustainable Programs, medical educaion, Low- and lower-middle-income countries

Received: 03 May 2019; Accepted: 15 Aug 2019.

Copyright: © 2019 Novick, Molloy, Bowtell, Forsberg, Pavanic', Polivenok, Rao, Pérez and Cardarelli. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Prof. William M. Novick, University of Tennessee Health Science Center (UTHSC), Memphis, United States,
Ms. Martina Pavanic', William Novick Global Cardiac Alliance Inc., Memphis, Tennessee, United States,