Department of Pediatrics

Health Services Strengthening and Provision of Pediatric Care


We have been working clinically in Gaborone, Botswana since spring 2014 laying the groundwork for possible development of a formal academic partnership between the University of Botswana, Princess Marina Hospital, Baylor College of Medicine/Texas Children's Hospital Section of Emergency Medicine in order to effectively improve the management and care of acutely ill patients in Botswana and to develop long-term capacity building for sustainable training programs in country. We will be conducting a formal site assessment in October 2015 to determine feasibility of a formal academic partnership including understanding opportunities for collaboration, investigating possible funding models and development of a partnership structure for staffing, education/research support and administrative support. Beginning October 2015 we will pilot a program of capacity building through direct teaching/training and development of PEM-based educational curricula and support provision of care for acutely ill children via five PEM faculty/fellows rotating at Princess Marina Hospital during the 2015 - 2016 year.

Heather Crouse, M.D., Nick Glomb, M.D., M.P.H., Rebecca Chancey, M.D, M.P.H., Amber Hathcock, M.D., M.P.H. (current Global Health Fellow), Deola Kosoko, M.D. and Marideth Rus, M.D., M.Ed.

We worked with our partner hospital in Antigua, Guatemala to scale-up ETAD/CETEP trainings locally for pediatric healthcare providers from referral health centers, health posts, ambulances and the fire department in the region of Sacatepequez, Guatemala. The program included training in pediatric evaluation and management with ETAT/CETEP, the development of local triage processes, and assistance in the formalization of referral and counter-referral systems in the region. Internal funding was secured through a TCH Educational Grant.

Heather Crouse, M.D. and Rupa Kapoor, M.D.

We are working in Entebbe, Uganda in collaboration with an NGO to construct a pediatric emergent and urgent care facility in collaboration with local personnel and officials in a rural village in Uganda where advanced medical care is not already available, with an overall goal of education and sustainability. A publication describing how the formal needs assessment with local, surrounding health center, community leaders, medical community leaders, and officials form the Ministry of Health advised the facility's construction and processes is pending. We will bring providers to construct ETAT trainings with healthcare providers on site in January 2016 as the clinic is set to open.

Carol Chen, M.D.

We are working in La Guajira, Colombia in collaboration with Chevron and the BIPAI SAIL program (Health and Indigenous Self-Sufficiency) aimed at improving the health of a migrant indigenous community in a remote part of the country. In 2015 we sent six PEM faculty/fellows to provide pediatric care for area children for one week per month for a period of three months in April, May and June during a gap in their program's pediatric coverage. Cumulatively, we saw over 500 patients, the majority of which had malnutrition, and have plans to begin collaborating with the program in the coming months to support their efforts. Anticipated projects include ETAT/CETEP trainings for health promoters and personnel in the local health centers and hospitals and a collaborative project to improve the referral/counter-referral system in the region.

Heather Crouse, M.D., Eric Russell, M.D., Elsa Haddad, M.D., Esther Sampayo, M.D., M.P.H., Claritsa Santos-Malave, M.D., and Manish Shah, M.D.