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Global Neurosurgery: The Unmet Need.

Kee B Park¹, Walter D Johnson², Robert J Dempsey³

¹Program in Global Surgery and Social Change, Department of Global Health & Social Medicine, Harvard Medical School, Boston, Massachusetts, USA; Department of Neurosurgery, Preah Kossamak Hospital, Phnom Penh, Cambodia; Foundation for International Education in Neurological Surgery, Madison, Wisconsin, USA.

World Neurosurgery

|January 7, 2016

Summary

Lack of surgical care access causes more deaths than major infectious diseases. Global health initiatives must prioritize essential and emergency surgery, especially in low-income nations.

Keywords:

Essential surgery FIENS Global neurosurgery Global surgery Health disparity Health inequality LMIC WFNS WHO

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Area of Science:

Global Health
Surgical Care Access
Neurosurgery

Background:

Lack of access to basic surgical care results in a mortality rate three times higher than HIV/AIDS, tuberculosis, and malaria combined.
Essential and emergency surgery access is a critical global health priority.
Significant disparities exist in surgical care availability and affordability, particularly in low-income countries.

Purpose of the Study:

To examine global neurosurgical efforts to improve access to care.
To identify challenges and propose solutions for enhancing surgical care delivery in resource-limited settings.
To advocate for increased access to neurosurgical services worldwide.

Main Methods:

Review of current global neurosurgical initiatives and their impact.
Analysis of the demand-supply gap in neurosurgical care.
Identification of key areas for health system strengthening in low- and middle-income countries.

Main Results:

While training efforts show some strengths, global neurosurgical capacity is insufficient to meet demand.
The majority of individuals in low-income countries lack access to essential surgical interventions due to availability and cost barriers.
Robust health systems require concurrent scaling of human resources, capacity building, and local data collection.

Conclusions:

Urgent implementation of projects to build resilient health systems in low- and middle-income countries is crucial.
A unified voice within the neurosurgical community is essential for effective advocacy.
Addressing the global surgical care gap requires collaborative efforts and strategic investments.