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Infrastructure Expansion for Children's Surgery: Models That are Working.

Emmanuel A Ameh1, Marilyn W Butler2

  • 1Division of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.

World Journal of Surgery
|January 5, 2019
PubMed
Summary

Expanding pediatric surgical care in low- and middle-income countries is crucial for child survival and development. Partnerships, training, and advocacy are key to meeting global health goals for children's surgery.

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Area of Science:

  • Global Health
  • Pediatric Surgery
  • Health Systems Strengthening

Background:

  • Children's surgical care is vital for averting mortality and long-term disability, with lifelong impacts on individuals, families, and communities.
  • Significant gaps and limited capacity in pediatric surgical services exist in low- and middle-income countries (LMICs).
  • Failure to scale up infrastructure risks missing World Health Assembly (WHA) resolution targets, Sustainable Development Goals (SDGs), and Universal Health Care (UHC) by 2030.

Purpose of the Study:

  • To highlight the critical need for expanding children's surgical care infrastructure in LMICs.
  • To identify effective models for scaling up pediatric surgical services.
  • To emphasize the importance of partnerships, capacity building, and advocacy in achieving universal access to surgical care for children.

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Main Methods:

  • The study reviews existing models for expanding surgical infrastructure, focusing on partnerships and capacity building.
  • It emphasizes the role of training local healthcare professionals to ensure sustainable, long-term care and knowledge transfer.
  • The analysis considers guidance from National Surgical, Obstetrics, and Anesthesia Plans and the Optimal Resources for Children's Surgery document.

Main Results:

  • Partnership-based models with ongoing capacity building are most promising for expanding pediatric surgical infrastructure.
  • Training local surgeons and healthcare professionals is essential for sustainable service delivery and future workforce development.
  • Engaging the private sector can help address infrastructure and service gaps unmet by public funding.

Conclusions:

  • Scaling up children's surgical care infrastructure is imperative to meet global health targets for child survival and well-being.
  • Sustainable expansion requires integrated approaches including training, adherence to standards, private sector engagement, and robust advocacy for funding.
  • Achieving universal health coverage for pediatric surgical needs necessitates dedicated funding and strategic planning at national and international levels.