Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria

Cardiovasc J Afr. 2017;28(1):54-59. doi: 10.5830/CVJA-2016-057. Epub 2016 Aug 2.

Abstract

Background: Paediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done.

Objective: To evaluate and document the currently available paediatric cardiac services in Nigeria.

Methods: In this questionnaire-based, cross-sectional descriptive study, an audit was undertaken from January 2010 to December 2014, of the personnel and infrastructure, with their distributions according to geopolitical zones of Nigeria.

Results: Forty-eight centres participated in the study, with 33 paediatric cardiologists and 31 cardiac surgeons. Echocardiography, electrocardiography and pulse oximetry were available in 45 (93.8%) centres while paediatric intensive care units were in 23 (47.9%). Open-heart surgery was performed in six (12.5%) centres. South-West zone had the majority of centres (20; 41.7%).

Conclusions: Available paediatric cardiac services in Nigeria are grossly inadequate and poorly distributed. Efforts should be intensified to upgrade existing facilities, establish new and functional centres, and train personnel.

Publication types

  • Multicenter Study

MeSH terms

  • Cardiology / organization & administration*
  • Child
  • Clinical Audit*
  • Cross-Sectional Studies
  • Female
  • Health Services Accessibility / organization & administration*
  • Humans
  • Male
  • Nigeria
  • Pediatrics / organization & administration*
  • Surveys and Questionnaires