Cardiovascular Journal of Africa: Vol 28 No 1 (January/February 2016)

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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 28, No 1, January/February 2017 54 AFRICA
Audit of availability and distribution of paediatric
cardiology services and facilities in Nigeria
Ekanem N Ekure, Wilson E Sadoh, Fidelia Bode-Thomas, Adeola A Orogade, Adeola B Animasahun,
Oluwatoyin O Ogunkunle, Iretiola Babaniyi, Maxwell U Anah, Barbara E Otaigbe, Adebiyi Olowu,
Frances Okpokowuruk, Samuel I Omokhodion, Ogechi C Maduka, Uvie U Onakpoya, Daberechi K
Adiele, Usman M Sani, Mustapha Asani, Christopher S Yilgwan, Queennette Daniels, Chinyere C
Uzodimma, Chika O Duru, Mohammad B Abdulkadir, Joseph K Afolabi, John A Okeniyi
Abstract
Background: Paediatric cardiac services in Nigeria have been
perceived to be inadequate but no formal documentation of avail-
ability 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 descrip-
tive 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 inten-
sive 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.
Keywords: audit, Nigeria, paediatric cardiac services, open-heart
surgery
Submitted 9/8/15, accepted 5/5/16
Published online 2/8/16
Cardiovasc J Afr 2017; 28: 54–59
DOI: 10.5830/CVJA-2016-057
An estimated 70 000 children are born with congenital heart
disease (CHD) in Nigeria annually, based on seven million
Department of Paediatrics, College of Medicine, University of
Lagos, Lagos, Nigeria
Ekanem N Ekure, MB BS, FWACP
Paediatric Cardiology Unit, Department of Child Health,
University of Benin Teaching Hospital, Benin City, Nigeria
Wilson E Sadoh, MB BS, FWACP, MPH,
Department of Paediatrics, University of Jos, Nigeria
Fidelia Bode-Thomas, MB BS, FWACP
Christopher S Yilgwan, MB BS, FWACP
Department of Paediatrics, Ahmadu Bello University Teaching
Hospital, Zaria, Nigeria
Adeola A Orogade, MB BS, FWACP
Department of Paediatrics and Child Health, Lagos State
University College of Medicine, Ikeja, Lagos, Nigeria
Adeola B Animasahun, MB BS, FWACP
Division of Paediatric Cardiology, Department of Paediatrics,
University College Hospital, Ibadan, Nigeria
Oluwatoyin O Ogunkunle, MB BS, FWACP
Samuel I Omokhodion, MB BS, FWACP, FMCP
Department of Paediatrics, National Hospital, Abuja, Nigeria
Iretiola Babaniyi, MB BS, FMCP
Department of Paediatrics, University of Calabar Teaching
Hospital, Calabar, Nigeria
Maxwell U Anah, MB BS, FWACP
Department of Paediatrics, College of Health Sciences,
University of Port Harcourt, Nigeria
Barbara E Otaigbe, MB BCh, FWACP
Department of Paediatrics, Olabisi Onabanjo University
Teaching Hospital, Sagamu, Nigeria
Adebiyi Olowu, MB BS, FWACP
Department of Paediatrics, University of Uyo Teaching
Hospital, Uyo, Nigeria
Frances Okpokowuruk, MB BS, FWACP
Department of Paediatrics, Federal Staff Hospital, Abuja, Nigeria
Ogechi C Maduka, MB BS, FWACP
Surgery Unit, Bikets Medical Centre, Osogbo, Nigeria
Uvie U Onakpoya, MB BS,FWACS, CCTh
Department of Paediatrics, University of Nigeria Teaching
Hospital, Enugu, Nigeria
Daberechi K Adiele, MB BS, MPH, FWACP, FPedCardio
Department of Paediatrics, Usmanu Danfodiyo Teaching
Hosptial, Sokoto, Nigeria
Usman. M Sani, MB BS, FWACP, Cert (Ped Cardiol)
Department of Paediatrics, Aminu Kano Teaching Hospital,
Kano City, Nigeria
Mustapha Asani, MB BS, FWACP
Paediatrics Unit, Zankli Hospital, Abuja, Nigeria
Queennette Daniels, MB BS, FMCP, MPSCard
Department of Paediatrics, Federal Medical Centres, Abeokuta,
Nigeria
Chinyere C Uzodimma, MB BS, FWACP
Department of Paediatrics and Child Health, Niger Delta
University Teaching Hospital, Wilberforce Island, Bayelsa
State, Nigeria
Chika O Duru, MB BS, FWACP
Department of Paediatrics and Child Health, University of
Ilorin, Ilorin, Nigeria
Mohammad B Abdulkadir, MB BS, FWACP
Joseph K Afolabi, MB BS, FMCP
Department of Paediatrics, College of Health Sciences,
Obafemi Awolowo University, Ile-Ife, Nigeria
John A Okeniyi, MB ChB, FWACP