{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:28:07Z","timestamp":1770139687094,"version":"3.49.0"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T00:00:00Z","timestamp":1604361600000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The COVID-19 pandemic is currently ravaging the globe and the African continent is not left out. While the direct effects of the pandemic in regard to morbidity and mortality appear to be more significant in the developed world, the indirect harmful effects on already insufficient healthcare infrastructure on the African continent would in the long term be more detrimental to the populace. Women and children form a significant vulnerable population in underserved areas such as the sub-Saharan region, and expectedly will experience the disadvantages of limited healthcare coverage which is a major fall out of the pandemic. Paediatric cardiac services that are already sparse in various sub-Saharan countries are not left out of this downsizing. Restrictions on international travel for patients out of the continent to seek medical care and for international experts into the continent for regular mission programmes leave few options for children with cardiac defects to get the much-needed care.<\/jats:p><jats:p>There is a need for a region-adapted guideline to scale-up services to cater for more children with congenital heart disease (CHD) while providing a safe environment for healthcare workers, patients, and their caregivers. This article outlines measures adapted to maintain paediatric cardiac care in a sub-Saharan tertiary centre in Nigeria during the COVID-19 pandemic and will serve as a guide for other institutions in the region who will inadvertently need to provide these services as the demand increases.<\/jats:p>","DOI":"10.1017\/s1047951120003650","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T11:35:28Z","timestamp":1604403328000},"page":"1588-1594","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Maintaining paediatric cardiac services during the COVID-19 pandemic in a developing country in sub-Saharan Africa: guidelines for a \u201cscale up\u201d in the face of a global \u201cscale down\u201d"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6543-2600","authenticated-orcid":false,"given":"Ogochukwu J.","family":"Sokunbi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ogadinma","family":"Mgbajah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augustine","family":"Olugbemi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassey O.","family":"Udom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariyo","family":"Idowu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael O.","family":"Sanusi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,11,3]]},"reference":[{"key":"S1047951120003650_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"S1047951120003650_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31094-1"},{"key":"S1047951120003650_ref5","article-title":"Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China","author":"Dong","year":"2020","journal-title":"Pediatrics"},{"key":"S1047951120003650_ref2","unstructured":"2. WHO Director-General\u2019s Opening Remarks at the Media Briefing on COVID-19 \u2013 11 March 2020. \u2014https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-themedia-briefing-on-covid-19\u201411-march-2020"},{"key":"S1047951120003650_ref14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.8259"},{"key":"S1047951120003650_ref11","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.02.055"},{"key":"S1047951120003650_ref10","unstructured":"10. Transmission of COVID-19 by asymptomatic cases. http:\/\/www.emro.who.int\/health-topics\/corona-virus\/transmission-of-covid-19-by-asymptomatic-cases.html"},{"key":"S1047951120003650_ref7","first-page":"1","article-title":"Congenital heart disease in school children in Lagos, Nigeria: prevalence and the diagnostic gap","volume":"2020","author":"Ekure","year":"2019","journal-title":"Am J Med Genet Part C"},{"key":"S1047951120003650_ref3","volume-title":"First Case of Corona Virus Disease Confirmed in Nigeria","year":"2020"},{"key":"S1047951120003650_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2020.04.001"},{"key":"S1047951120003650_ref9","volume-title":"Interim Guidance for Healthcare Providers during COVID-19 Outbreak"},{"key":"S1047951120003650_ref16","article-title":"Considerations for pediatric heart programs during coronavirus disease 2019: recommendations from the Congenital Cardiac Anesthesia Society","author":"Faraoni","year":"2020","journal-title":"Anesth Analg"},{"key":"S1047951120003650_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2020.04.005"},{"key":"S1047951120003650_ref1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2020.25.3.2000044"},{"key":"S1047951120003650_ref8","unstructured":"8. Coronavirus disease (COVID-19) advice for the public. https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/advice-for-public"},{"key":"S1047951120003650_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.05.016"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120003650","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T11:28:29Z","timestamp":1608550109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120003650\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["S1047951120003650"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120003650","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2020. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}