Saxena Anita
Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110 029, India.
Indian Pediatr. 2018 Dec 15;55(12):1075-1082.
Considering a birth prevalence of congenital heart disease as 9/1000, the estimated number of children born with congenital heart disease in India is more than 200,000 per year. Of these, about one-fifth are likely to have serious defect, requiring an intervention in the first year of life. Currently advanced cardiac care is available to only a minority of such children. A number of cardiac centers have been developed over the last 10 years. However, most are in the private sector, and are not geographically well-distributed. Challenges to pediatric cardiac care include financial constraints, health-seeking behavior of community, and lack of awareness. Government of India is taking a number of steps for improving health of children through its various program and schemes that are likely to benefit children with congenital heart disease, especially those who are vulnerable and marginalized.
考虑到先天性心脏病的出生患病率为9/1000,印度每年出生的先天性心脏病患儿估计超过20万。其中,约五分之一可能患有严重缺陷,需要在出生后第一年进行干预。目前,只有少数此类儿童能够获得先进的心脏护理。在过去10年中,已经建立了许多心脏中心。然而,大多数在私营部门,而且在地理分布上不均衡。儿科心脏护理面临的挑战包括资金限制、社区的就医行为以及缺乏认识。印度政府正在通过其各种计划和方案采取一系列措施来改善儿童健康,这些措施可能会使先天性心脏病患儿受益,特别是那些弱势群体和边缘化儿童。