Low and Middle Income Countries

If you assume that the rate of cardiac disease in the developed world is at least equal to the rate of cardiac disease in the developing world, then of all the people in the world living outside North America, Australia, and Europe, 93% have no access to cardiac surgery! Approximately 4.5 billion people in the world have no access to cardiac surgery (Unger F. Worldwide survey on cardiac interventions 1995. Cor Europaeum. 1999;7:128-46.)

The inequality between developed and developing countries in terms of shortfall in financial , technological and human resources is widening every day. One of the multiple heartbreaking emergency calls for immediate action is the destiny of children who suffer from congenital cardiac malformations or acquired diseases. There are currently between 8 and 24 million children in the world who are born with congenital malformations , half of whom will die from lack of care before reaching their second birthday. Among the survivors, 5 million, mostly in poor countries, are in desperate need of open heart surgery. For how long will they have to wait ?

Cardiac surgery cannot be performed in most of these countries due to the lack of money or infrastructure to support it. However, many Cardiac Surgeons, Cardiologists and other Health Care Providers in the more affluent countries want to become involved in a program to improve the world’s access to cardiac surgery but have no idea how to do go about it. More importantly, those who are involved are often unaware of other ongoing programs. GHN addresses both these issues and looks at establishing a more structured global approach to this worldwide problem. GHN aims to overcome the problem of how to distribute the services in a more efficient and effective manner by collaboration.