The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy

Congenital heart diseases (CHD) are present in nearly 1% of live births; according to WHO, there are 1. 5 million newborns affected by CHD per year and more than 4 million children waiting for cardiac surgery treatment worldwide. The majority of these children (~90%) could be treated, saved and subs...

Full description

Bibliographic Details
Main Authors: Alessandro Giamberti, Gianfranco Butera, Charles MVE Mvondo, Silvia Cirri, Alessandro Varrica, Nadia Moussaidi, Giuseppe Isgrò, Jean Claude Ambassa, Cabral Tantchou, Giovanni Giamberti, Alessandro Frigiola
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2018.00188/full
_version_ 1818920557088866304
author Alessandro Giamberti
Alessandro Giamberti
Gianfranco Butera
Gianfranco Butera
Charles MVE Mvondo
Silvia Cirri
Alessandro Varrica
Nadia Moussaidi
Giuseppe Isgrò
Jean Claude Ambassa
Cabral Tantchou
Giovanni Giamberti
Alessandro Frigiola
Alessandro Frigiola
author_facet Alessandro Giamberti
Alessandro Giamberti
Gianfranco Butera
Gianfranco Butera
Charles MVE Mvondo
Silvia Cirri
Alessandro Varrica
Nadia Moussaidi
Giuseppe Isgrò
Jean Claude Ambassa
Cabral Tantchou
Giovanni Giamberti
Alessandro Frigiola
Alessandro Frigiola
author_sort Alessandro Giamberti
collection DOAJ
description Congenital heart diseases (CHD) are present in nearly 1% of live births; according to WHO, there are 1. 5 million newborns affected by CHD per year and more than 4 million children waiting for cardiac surgery treatment worldwide. The majority of these children (~90%) could be treated, saved and subsequently have a good quality of life but unfortunately, in developing countries with a suboptimal care or no access to care, they are destined to die. Cameroon, one of the 40 poorest countries in the world, is a typical example of this dramatic scenario and this is why we started a collaboration project with a local religious partner (Tertiary Sisters of Saint Francis) in 2001 with the aim of establishing the first cardiac surgery center in this country. There are various well-known organizational models to start a cooperation project in pediatric cardiac surgery in a developing country. In our case, the project included a long-term collaboration with a stable local partner, a big financial investment and a long period of development (10 years or more). It is probably the most difficult model but it is the only one with the greatest guarantee of success in terms of sustainability and autonomy. The aim of this study is to analyze the constructive and problematic aspects of the 17-year collaboration in this project, and to assess possible solutions regarding its critical issues. Although much has been done during this 17-year we are aware that there is still a lot that needs to be done.
first_indexed 2024-12-20T01:23:38Z
format Article
id doaj.art-2904140203584af7b0b8a6f347b6eec5
institution Directory Open Access Journal
issn 2296-2360
language English
last_indexed 2024-12-20T01:23:38Z
publishDate 2018-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj.art-2904140203584af7b0b8a6f347b6eec52022-12-21T19:58:18ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-07-01610.3389/fped.2018.00188364397The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward AutonomyAlessandro Giamberti0Alessandro Giamberti1Gianfranco Butera2Gianfranco Butera3Charles MVE Mvondo4Silvia Cirri5Alessandro Varrica6Nadia Moussaidi7Giuseppe Isgrò8Jean Claude Ambassa9Cabral Tantchou10Giovanni Giamberti11Alessandro Frigiola12Alessandro Frigiola13Department of Pediatric Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, ItalyAssociation “Bambini Cardiopatici nel Mondo” ONG, Milan, ItalyDepartment of Pediatric Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, ItalyAssociation “Bambini Cardiopatici nel Mondo” ONG, Milan, ItalyCardiac Center Shisong, Kumbo, CameroonAssociation “Bambini Cardiopatici nel Mondo” ONG, Milan, ItalyDepartment of Pediatric Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, ItalyInternational Cooperation Unit, IRCCS Policlinico San Donato, San Donato Milanese, ItalyDepartment of Anesthesiology and Intensive Care, IRCCS Policlinico San Donato, Milan, ItalyCardiac Center Shisong, Kumbo, CameroonCardiac Center Shisong, Kumbo, CameroonPurchase Department, IRCCS Policlinico San Donato, San Donato Milanese, ItalyDepartment of Pediatric Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, ItalyAssociation “Bambini Cardiopatici nel Mondo” ONG, Milan, ItalyCongenital heart diseases (CHD) are present in nearly 1% of live births; according to WHO, there are 1. 5 million newborns affected by CHD per year and more than 4 million children waiting for cardiac surgery treatment worldwide. The majority of these children (~90%) could be treated, saved and subsequently have a good quality of life but unfortunately, in developing countries with a suboptimal care or no access to care, they are destined to die. Cameroon, one of the 40 poorest countries in the world, is a typical example of this dramatic scenario and this is why we started a collaboration project with a local religious partner (Tertiary Sisters of Saint Francis) in 2001 with the aim of establishing the first cardiac surgery center in this country. There are various well-known organizational models to start a cooperation project in pediatric cardiac surgery in a developing country. In our case, the project included a long-term collaboration with a stable local partner, a big financial investment and a long period of development (10 years or more). It is probably the most difficult model but it is the only one with the greatest guarantee of success in terms of sustainability and autonomy. The aim of this study is to analyze the constructive and problematic aspects of the 17-year collaboration in this project, and to assess possible solutions regarding its critical issues. Although much has been done during this 17-year we are aware that there is still a lot that needs to be done.https://www.frontiersin.org/article/10.3389/fped.2018.00188/fullhealthcooperationcardiac surgerycongenital heart diseasecollaboration project
spellingShingle Alessandro Giamberti
Alessandro Giamberti
Gianfranco Butera
Gianfranco Butera
Charles MVE Mvondo
Silvia Cirri
Alessandro Varrica
Nadia Moussaidi
Giuseppe Isgrò
Jean Claude Ambassa
Cabral Tantchou
Giovanni Giamberti
Alessandro Frigiola
Alessandro Frigiola
The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
Frontiers in Pediatrics
health
cooperation
cardiac surgery
congenital heart disease
collaboration project
title The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
title_full The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
title_fullStr The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
title_full_unstemmed The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
title_short The Shisong Cardiac Center in Cameroon: An Example of a Long-Term Collaboration/Cooperation Toward Autonomy
title_sort shisong cardiac center in cameroon an example of a long term collaboration cooperation toward autonomy
topic health
cooperation
cardiac surgery
congenital heart disease
collaboration project
url https://www.frontiersin.org/article/10.3389/fped.2018.00188/full
work_keys_str_mv AT alessandrogiamberti theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrogiamberti theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT gianfrancobutera theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT gianfrancobutera theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT charlesmvemvondo theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT silviacirri theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrovarrica theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT nadiamoussaidi theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT giuseppeisgro theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT jeanclaudeambassa theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT cabraltantchou theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT giovannigiamberti theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrofrigiola theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrofrigiola theshisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrogiamberti shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrogiamberti shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT gianfrancobutera shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT gianfrancobutera shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT charlesmvemvondo shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT silviacirri shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrovarrica shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT nadiamoussaidi shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT giuseppeisgro shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT jeanclaudeambassa shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT cabraltantchou shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT giovannigiamberti shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrofrigiola shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy
AT alessandrofrigiola shisongcardiaccenterincameroonanexampleofalongtermcollaborationcooperationtowardautonomy