**3. Challenges accruing from establishing pediatric cardiac surgery**

NCTCE has some challenges emanating from poor funding, incomplete treatment of patients, and late presentation by patients as well as poor equipment maintenance. It is thought that successful creation of Nigeria Cardiac Foundation where every Nigerian contributes 0.20–0.25% monthly salary will impact significantly in funding cardiac surgery. Another alternative is to incorporate pediatric cardiac surgery into National Health Insurance (NHIS). This will also address the challenges of late presentation. As can be seen, the Cardiac Surgery Intersociety Alliance (CSIA) or any other body can assist our center in providing appropriate training for pediatric cardiac surgeons, anesthetists, perfusionists, nurses, etc., among other helps that are needed. Donation of consumables and equipment will be of immense benefit to the program. CSIA model is what NCTCE needs at this time in addition to what others may offer.
