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Global perspective of paediatric surgery in low and middle income countries

Saqib Hamid Qazi1, Sohail Asghar Dogar1, Samie Asghar Dogar1

  • 1Department of Surgery, Aga Khan University, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|January 31, 2019
PubMed

Insights

Low and middle-income countries face significant challenges in pediatric surgical care due to a shortage of specialists and inadequate resources. Improving healthcare systems, training, and infrastructure can prevent millions of child deaths annually.

Area of Science:

  • Global Health
  • Pediatric Surgery
  • Healthcare Systems Strengthening

Background:

  • Low and middle-income countries (LMICs) bear a disproportionately high burden of pediatric surgical diseases.
  • Key challenges include a scarcity of trained pediatric surgeons, high infection rates, and suboptimal postoperative care.

Purpose of the Study:

  • To identify actionable strategies for improving pediatric surgical care delivery in resource-limited settings.
  • To propose systemic improvements within existing healthcare infrastructures in LMICs.

Main Methods:

  • Analysis of existing healthcare structures and challenges in LMICs.
  • Identification of key areas for intervention, including surgical training, infrastructure, and healthcare policy.

Main Results:

  • Systemic improvements, including enhanced coding, research on pediatric bellwether procedures, and task shifting, can optimize care.
  • Incentivizing local retention of trained surgeons and investing in infrastructure, finances, and registries are crucial.

Conclusions:

  • Implementing targeted interventions in government hospitals can significantly reduce pediatric surgical mortality in LMICs.
  • A multi-faceted approach encompassing infrastructure, training, financial support, and policy changes is essential for sustainable improvements.

Keywords:
Global surgery, Bellwether procedures, Congenital anomalies.

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