Building Sustainable Partnerships to Strengthen Pediatric Capacity at a Government Hospital in Malawi
| Autor: | Marideth C Rus, Irving F. Hoffman, Megan Coe, Beatrice M. Mkandawire, Tisungane Mvalo, Michelle Eckerle, Hanny Friesen, Allyson McKenney, Ajib Phiri, Charles J. Schubert, Peter N. Kazembe, Elizabeth Fitzgerald, Msandeni Chiume, Heather L. Crouse |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
resource-constrained Malawi Referral pediatrics global health 03 medical and health sciences multi-institution partnerships 0302 clinical medicine Pediatric emergency medicine Nursing 030225 pediatrics Acute care medicine Global health 030212 general & internal medicine Government business.industry lcsh:Public aspects of medicine Environmental resource management Public Health Environmental and Occupational Health low resource lcsh:RA1-1270 Call to action Child mortality General partnership Africa Public Health business Community Case Study |
| Zdroj: | Frontiers in Public Health Frontiers in Public Health, Vol 5 (2017) |
| ISSN: | 2296-2565 |
| Popis: | Introduction To achieve sustained reductions in child mortality in low- and middle-income countries, increased local capacity is necessary. One approach to capacity-building is support offered via partnerships with institutions in high-income countries. However, lack of cooperation between institutions can create barriers to successful implementation of programs and may inadvertently weaken the health system they are striving to improve. A coordinated approach is necessary. Background Three U.S.-based institutions have separately supported various aspects of pediatric care at Kamuzu Central Hospital (KCH), the main government referral hospital in the central region of Malawi, for several years. Within each institution’s experience, common themes were recognized which required attention in order to sustain improvements in care. Each recognized that support of clinical care is a necessary cornerstone before initiating educational or training efforts. In particular, the support of emergency and acute care is paramount in order to decrease in-hospital mortality. Through the combined efforts of Malawian partners and the U.S.-based institutions, the pediatric mortality rate has decreased from >10% to |
| Databáze: | OpenAIRE |
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