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Assessing the Secretory Capacity of Pancreatic Acinar Cells

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Directions for surgical capacity developments in Nepal: a population-based assessment.

Arjan J Knulst¹, Shailvi Gupta^2,3, Reinou S Groen^4,5

¹Delft University of Technology, Delft, The Netherlands.

Tropical Medicine & International Health : TM & IH

|July 23, 2019

Summary

This summary is machine-generated.

Addressing unmet surgical needs in Nepal is crucial. Key focus areas include the head, extremities, and groin/genitalia, requiring improved affordability, availability, and acceptability of care.

Keywords:

Nepal Népal PRFI besoin non atteint chirurgie générale disability global surgery incapacité low and middle income country unmet need

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Area of Science:

Global Health
Surgical Care Access
Disability Studies

Background:

Lack of access to safe surgery is a significant global health challenge.
Unmet surgical needs contribute to preventable disability, particularly in low-income countries.
Nepal faces substantial challenges in providing adequate surgical services to its population.

Purpose of the Study:

To identify factors contributing to high rates of unmet surgical needs and resulting disability in Nepal.
To define priority areas for intervention to maximize the impact of surgical care initiatives.
To inform policy and practice for improving surgical access and outcomes in Nepal.

Main Methods:

A large-scale, population-based survey was conducted in Nepal in 2014.
Data collected included anatomical areas affected, disease specifics, injury types, reasons for unmet needs, and disability types.
Analysis focused on identifying patterns of unmet surgical needs and their association with disability.

Main Results:

The head, extremities, and groin/genitalia were identified as anatomical areas with the highest disabling unmet surgical needs.
Specific focus areas for intervention include non-traumatic conditions of the eye and extremities, traumatic conditions of the extremities, and non-traumatic groin/genital conditions.
Fear and mistrust were significant barriers to seeking surgical care for non-traumatic groin/genital conditions, despite associated shame.

Conclusions:

Four key areas requiring focused interventions were identified based on unmet surgical needs and disability.
Improving affordability, availability, and acceptability of surgical care is essential for addressing these unmet needs.
Interventions should encompass technical developments, capacity building, and public awareness campaigns to enhance surgical care access and outcomes.