The pediatric surgery workforce in low- and middle-income countries: problems and priorities
Sanjay Krishnaswami1, Benedict C Nwomeh2, Emmanuel A Ameh3
1Division of Pediatric Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Suite 300, Portland, Oregon 97239.
Insights
The global pediatric surgical workforce faces a critical shortage, especially in low- and middle-income countries (LMICs). Addressing this requires understanding workforce gaps and prioritizing capacity building for essential child surgical care.
Area of Science:
- Global Health
- Surgical Workforce Development
- Pediatric Surgery
Background:
- A significant global surgical workforce crisis exists, disproportionately affecting resource-poor regions.
- Human resource shortages are a primary driver of inadequate surgical care in low- and middle-income countries (LMICs).
- The availability of multidisciplinary teams is crucial for effective surgical service delivery.
Purpose of the Study:
- To examine the current state of the pediatric surgical workforce in LMICs.
- To identify the reasons behind current shortfalls in pediatric surgical personnel.
- To discuss progress in capacity building and future priorities for pediatric surgical care.
Main Methods:
- Review of existing literature on pediatric surgical workforce in LMICs, with a focus on sub-Saharan Africa (SSA).
- Inclusion of global LMIC data where available.
- Primary focus on the role and challenges of pediatric surgeons.
Main Results:
- Significant shortfalls exist in the pediatric surgical workforce in LMICs.
- Multiple factors contribute to these workforce deficits.
- Progress in capacity building has been observed, but challenges remain.
Conclusions:
- The pediatric surgical workforce crisis in LMICs is a critical global health issue.
- Strategic capacity building and addressing workforce shortages are essential for improving pediatric surgical care.
- Further focus on supporting pediatric surgeons and their teams is needed.
Abstract:
Most of the world is in a surgical workforce crisis. While a lack of human resources is only one component of the myriad issues affecting surgical care in resource-poor regions, it is arguably the most consequential. This article examines the current state of the pediatric surgical workforce in low- and middle-income countries (LMICs) and the reasons for the current shortfalls. We also note progress that has been made in capacity building and discuss priorities going forward. The existing literature on this subject has naturally focused on regions with the greatest workforce needs, particularly sub-Saharan Africa (SSA). However, wherever possible we have included workforce data and related literature from LMICs worldwide. The pediatric surgeon is of course critically dependent on multi-disciplinary teams. Surgeons in high-income countries (HICs) often take for granted the ready availability of excellent anesthesia providers, surgically trained nurses, radiologists, pathologists, and neonatologists among many others. While the need exists to examine all of these disciplines and their contribution to the delivery of surgical services for children in LMICs, for the purposes of this review, we will focus primarily on the role of the pediatric surgeon.
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