Paediatric cardiac care in low resource settings evidence from the Gambia

Abstract

Paediatric congenital heart disease remains an important contributor to childhood morbidity in The Gambia. Evidence from 2008 to 2022 shows improved detection and reduced in-hospital mortality due to strengthened diagnostics and clinical care. However, late presentation and limited access to definitive cardiac interventions continue to drive adverse outcomes, highlighting the need for enhanced early detection, regional cardiac services, and integrated preventive strategies.