Cardiovascular Center of Excellence in Eldoret, Kenya

Cardiovascular Center for Excellence

In June of 2009, the National Heart Lung and Blood Institute awarded Moi University of Eldoret, Kenya, in collaboration with its "Developed Country Partner," Duke University, a contract to establish the AMPATH Cardiovascular and Pulmonary Disease (CVPD) Center of Excellence. One of eleven funded programs, the award was made in response to the need for more innovative approaches to combating non-communicable disease in the developing world. These diseases, including cardiovascular diseases, diabetes, cancer and pulmonary diseases, account for the leading causes of death in many developing countries, and are expected to account for 80% of the global disease burden by the year 2020 (Boutayeb, 2005).

The mission of the Cardiovascular and Pulmonary Center of Excellence was to establish a unique and sustainable continuous quality improvement environment in Western Kenya to cyclically evaluate how to diagnose, characterize, treat, and ultimately prevent chronic cardiovascular and pulmonary diseases.  This included:

  • Organizing an administrative core for CVPD clinical care, training, and research;
  • Developing and implementing a competency-based clinical training curriculum;
  • Establishing a clinical research training program;
  • Adopting and enhancing existing data management and laboratory infrastructure for CVPD;
  • Implementing research programs to address prevalence, prevention, and treatment.

Given that MTRH did not have subspecialists when the COE was first started, the Hubert Yeargan Center committed to developing a general clinical cardiology fellowship training program and to address the critical shortage of clinical infrastructure resulting in the construction of a 10 bed cardiac care unit.  For more information about the evolution of the Cardiovascular Center of Excellence, read https://www.nhlbi.nih.gov/about/org/globalhealth/centers/.

Videos about the work taking place at the COE:

Make a Difference in Cardiology Care in Western Kenya
Join the Duke Global Health CV Alumni Corps 

During Morning Report for the Cardiology Service the lament becomes a refrain. “I have a sad story to tell ……” it begins, as the tale of the nights events are shared with all of us present. What is often shared is the “what was”, and the “what could have been”, and facts about the life of a person with a treatable illness who is now no more. The final outcome of these personal stories does not have to end this way, and our bright, eager cardiology trainees and residents know it.” -- John Lawrence, MD

 We are currently seeking US trained cardiologists/Nurse Educators willing to live overseas for two to three months at a time to provide clinical training and support for our Cardiology Service. We are also seeking donations of funding/equipment for our care program.

Qualifications

If you have enthusiasm for working in a developing country, cultural flexibility and competence, and a passion for making a positive contribution to Kenya’s health care delivery system, please email hubert-yeargan@dm.duke.edu mailbox to set up a time to speak with a Duke faculty/staff member.