The Challenge

Our Motivation

The care provider capacity to save critically ill children is severely lacking.

  • Currently, there are only two pediatric critical care and two pediatric emergency medicine¬†trained doctors in Kenya serving a population of 17 million children below 14 years of age.
  • The two pediatric critical care training programs in all of Africa (one in Egypt, one in South Africa and in contrast to 64 pediatric critical care and 51 pediatric emergency medicine training sites in the United States) are at capacity and unable to meet the growing needs for the region.
  • African physicians training in Western nations frequently do not return to their home countries, leading to brain drain and contributing to the huge lack of trained health care personnel in low-income countries.

Close to 17,000 children in resource-limited settings continue to die each day from preventable causes including severe pneumonia, diarrhea and malaria [1, 2] .

  • More than 80% of inpatient deaths occur within the first 48 hours of hospital admission [3].
  • The majority of these deaths are preventable with timely and appropriate inpatient care.

Most public hospitals in sub-Saharan Africa struggle with their infrastructure [4, 5].

  • Emergency medications and simple resuscitation equipment is frequently not available and the emergency and critical care capacity is extremely limited.

 

References

  1. Bhutta, Z.A. and R.E. Black, Global maternal, newborn, and child health–so near and yet so far. N Engl J Med, 2013. 369(23): p. 2226-35.
  2. Wang, H., et al., Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 2014. 384(9947): p. 957-79.
  3. Molyneux, E., S. Ahmad, and A. Robertson, Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting. Bull World Health Organ, 2006. 84(4): p. 314-9.
  4. English, M., et al., Health systems research in a low-income country: easier said than done. Arch Dis Child, 2008. 93(6): p. 540-4.
  5. English, M., et al., Adoption of recommended practices and basic technologies in a low-income setting. Arch Dis Child, 2014. 99(5): p. 452-6.