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津巴布韦心脏直视手术的可持续发展之路。

Towards Sustainable Open Heart Surgery in Zimbabwe.

作者信息

Machawira Simukayi Percy, Muteweye Wilfred, Mutetwa Emmerson, Kajese Shield

机构信息

Department of Cardiothoracic Surgery, Parirenyatwa Group of Hospitals, Harare, Zimbabwe.

Department of Cardiothoracic Surgery, University of Zimbabwe, Harare, Zimbabwe.

出版信息

Front Pediatr. 2022 Jul 5;10:806411. doi: 10.3389/fped.2022.806411. eCollection 2022.

Abstract

Open heart surgery has become more readily available worldwide, especially in the West, whilst it remains elusive for the majority of the people in Sub-Saharan Africa, and Zimbabwe in particular. Efforts to provide the service began in the 1950s and open heart surgery became a regular service from 1989 to 2003. From 1997, Zimbabwe went through a phase of political and economic turmoil resulting in the disruption of meaningful service. This study seeks to make the case for prioritization of domestic resources toward open heart surgery, taken as learning from African countries that faced a similar predicament such as Ghana but who have since been able to sustain their programs. To ensure the success of the program, the following are necessary: the requisite personnel, equipment, consumables, and competitive remuneration. The plan is to work with Government, the private sector, and other players to harness resources toward sustainable open heart surgery in Zimbabwe.

摘要

心脏直视手术在全球范围内,尤其是在西方,已变得更加普及,而撒哈拉以南非洲的大多数人,特别是津巴布韦人,仍然难以获得这种手术。提供这项服务的努力始于20世纪50年代,心脏直视手术从1989年到2003年成为一项常规服务。从1997年开始,津巴布韦经历了政治和经济动荡时期,导致有意义的服务中断。本研究旨在说明应优先将国内资源用于心脏直视手术,这是借鉴了加纳等面临类似困境但后来能够维持其项目的非洲国家的经验。为确保该项目取得成功,以下条件必不可少:必要的人员、设备、耗材和具有竞争力的薪酬。计划是与政府、私营部门和其他各方合作,调动资源以在津巴布韦实现可持续的心脏直视手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd36/9294396/fd232e6d3ff0/fped-10-806411-g001.jpg

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