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Paediatric Cardiac Services in South Africa

Paediatric Cardiac Services in South Africa. A Summary of reports from South African units. AIM. Global overview of paediatric cardiac services that we offer in South Africa To identify the challenges facing units . Report Content. Geographic area and population covered by unit Staffing

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Paediatric Cardiac Services in South Africa

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  1. Paediatric Cardiac Services in South Africa A Summary of reports from South African units

  2. AIM • Global overview of paediatric cardiac services that we offer in South Africa • To identify the challenges facing units

  3. Report Content • Geographic area and population covered by unit • Staffing • ICU • Patient numbers • Echocardiographic and cath volumes • Cardiac surgical volumes and waiting lists • Challenges

  4. Limitations • Covers activities of large units/centres predominantly • May not give individual practices/ small centres there due • Limited outputs

  5. Units • Jhb Gen/Baragwanath/Coronation (JHB) • Pretoria Academic (Pret) • Bloemfontein (Bloem) • Inkosi Albert Luthuli Central Hospital – Durban(Dbn) • Red Cross /Tygerberg – Western Cape Paediatric Cardiac Services (WC) • Sunninghill Hospital (SH) • Christiaan Barnard Memorial Hospital (CBMH) • Limpopo –Polokwane/Mankweng • Mthatha

  6. Unit coverage* * Largely excludes medical aid patients

  7. Unit coverage - Private

  8. Staffing

  9. Intensive Care *Adult and paediatric

  10. Patient Load *Excludes mixed practices

  11. Cardiology Services

  12. Surgical Load *WSPPCA

  13. Summary

  14. Challenges • Staff shortages : nursing, medical and support staff • Poor salaries and lack of career pathing • Insufficient surgical output: • Intensive care –competing with general paeds/adult cardio • Theatre time • Staff shortages • Inadequate funding for percutaneous interventions • Patient transport • Equipment –ageing, lack of appropriate equipment. • Diagnosis of Congenital Heart Disease in Peripheral Hospitals • Lack of official referral pathways for cardiacs (Limpopo) • Care of CHD patients in adulthood • Public /Private practice relationship • Teaching and training • Research

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