Training doctors and surgeons to meet the surgical needs of Africa.
David A. K. Watters,A. C. Bayley +1 more
TLDR
An audit of the operations performed and the use of anaesthesia over one year at the University Teaching Hospital, two provincial hospitals, and five district or church hospitals in Zambia found that if more doctors were trained to give local and regional anaesthesia more necessary surgery could be performed.Abstract:
An audit of the operations performed and the use of anaesthesia over one year at the University Teaching Hospital, two provincial hospitals, and five district or church hospitals in Zambia was carried out. The aim of the audit was to determine what proportion of operations required full surgical training and to collect information on which recommendations for training surgeons in central Africa could be based. Of the 21,245 operations performed, 18,401 (86.4%) were found not to be complex, and the procedures could be taught to non-surgeons. General anaesthesia was used often, but if more doctors were trained to give local and regional anaesthesia more necessary surgery could be performed.read more
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Increasing access to surgical services in sub-saharan Africa: priorities for national and international agencies recommended by the Bellagio Essential Surgery Group.
Sam Luboga,Sarah B. Macfarlane,Johan von Schreeb,Margaret E Kruk,Meena Cherian,Staffan Bergström,Paul B. M. Bossyns,Ernest Denerville,Delanyo Dovlo,Moses Galukande,Renee Y. Hsia,Sudha Jayaraman,Lindsey A. Lubbock,Charles Mock,Doruk Ozgediz,Patrick Sekimpi,Andreas Wladis,Ahmed Zakariah,Naméoua Babadi Dade,Peter Donkor,Jane Kabutu Gatumbu,Patrick Hoekman,Carel IJsselmuiden,Dean T. Jamison,Nasreen Jessani,Peter Jiskoot,Ignatius Kakande,Jacqueline Mabweijano,Naboth Mbembati,Colin McCord,Cephas Mijumbi,Helder de Miranda,Charles A. Mkony,Pascoal Mocumbi,Jean Bosco Ndihokubwayo,Pierre Ngueumachi,Gebreamlak Ogbaselassie,Evariste Lodi Okitombahe,Cheikh Tidiane Toure,Fernando Vaz,Charlotte M. Zikusooka,Haile T. Debas +41 more
TL;DR: In this Policy Forum, the Bellagio Essential Surgery Group, which was formed to advocate for increased access to surgery in Africa, recommends four priority areas for national and international agencies to target in order to address the surgical burden of disease in sub-Saharan Africa.
Journal ArticleDOI
The neglect of the global surgical workforce: experience and evidence from Uganda.
Doruk Ozgediz,Moses Galukande,Jacqueline Mabweijano,Stephen Kijjambu,Cephas Mijumbi,Gerald Dubowitz,Samuel Kaggwa,Samuel Luboga +7 more
TL;DR: The first comprehensive analysis of the surgical workforce in Uganda is reported, identifying challenges to workforce development, and evaluating current programs addressing these challenges.
Journal ArticleDOI
Systematic Review of Met and Unmet Need of Surgical Disease in Rural Sub-Saharan Africa
TL;DR: District hospitals are not meeting the surgical needs of the populations they serve, and urgent intervention is required to build up their capacity, to train healthcare personnel in safe surgery and anesthesia, and to overcome obstacles to timely emergency care.
Journal ArticleDOI
The burden of musculoskeletal injury in low and middle-income countries: challenges and opportunities.
David Spiegel,Richard A. Gosselin,R. Richard Coughlin,Manjul Joshipura,Bruce D. Browner,John P. Dormans +5 more
TL;DR: The goals for this review were to provide a public health perspective on the burden of injury in low and middle-income countries, to discuss the delivery of musculoskeletal trauma care in resource-challenged environments, and to highlight deficiencies in physical resources and human resources for health care.
Journal Article
Perioperative mortality in Zambia.
TL;DR: An audit of 10,592 consecutive operations performed during 7 months in a central African teaching hospital is presented and the value of combined anaesthetic and surgical audit is emphasised.
References
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