Status and Challenges of Care in Africa for Adults With Congenital Heart Defects

Author:

Edwin Frank12,Zühlke Liesl34,Farouk Heba5,Mocumbi Ana Olga6,Entsua-Mensah Kow1,Delsol-Gyan Desrie12,Bode-Thomas Fidelia7,Brooks Andre8,Cupido Blanche4,Tettey Mark19,Aniteye Ernest110,Tamatey Martin M.12,Gyan Kofi B.12,Tchoumi Jacques Cabral Tantchou11,Elgamal Mohamed-Adel12

Affiliation:

1. National Cardiothoracic Center, Korle Bu Teaching Hospital, Accra, Ghana

2. Department of Surgery, University of Health & Allied Sciences, Ho, Ghana

3. Department of Pediatric Cardiology, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa

4. Cardiac Clinic Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa

5. Department of Cardiovascular Medicine, Cairo University Hospitals, Giza, Egypt

6. Division of Non-Communicable Diseases, Faculty of Medicine, Department of Medicine & Instituto Nacional de Saúde, Universidade Eduardo Mondlane, Maputo, Mozambique

7. Department of Pediatrics, University of Jos, Jos, Nigeria

8. Chris Baarnard Division of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa

9. Department of Surgery, School of Medicine and Dentistry, University of Ghana, Accra, Ghana

10. Department of Anesthesia, School of Medicine and Dentistry, University of Ghana, Accra, Ghana

11. Cardiac Centre, St Elizabeth Catholic General Hospital, Shisong, Kumbo, Cameroon

12. Mansoura University Children’s Hospital, Mansoura, Egypt

Abstract

The 54 countries in Africa have an estimated total annual congenital heart defect (CHD) birth prevalence of 300,486 cases. More than half (51.4%) of the continental birth prevalence occurs in only seven countries. Congenital heart disease remains primarily a pediatric health issue in Africa because of the deficient health-care systems: the adults with CHD made up just 10% of patients with CHD in Ghana, and 13.7% of patients with CHD presenting for surgery in Mozambique. With Africa’s population projected to double in the next 35 years, the already deficient health systems for CHD care will suffer unbearable strain unless determined and courageous action is undertaken by the African leaders.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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