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Breaking Barriers: Ensuring Gender Neutral Care on Short Term Surgical Missions.

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This study on short-term surgical missions (STSMs) found no significant gender disparity in inguinal hernia repairs in Ghana and Sierra Leone. Equitable patient selection in humanitarian surgery is crucial for addressing gender-related disparities.

Keywords:
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Area of Science:

  • Global Surgery
  • Health Equity
  • Medical Ethics

Background:

  • Gender discrimination in healthcare is a global issue.
  • Short-term surgical missions (STSMs) face ethical challenges in resource allocation.
  • This study investigates gender equity in patient selection for STSMs.

Purpose of the Study:

  • To examine gender equity in operative care distribution during STSMs.
  • To assess if female patients receive equitable surgical care in STSMs.
  • To inform ethical considerations in global surgical outreach.

Main Methods:

  • Analysis of International Surgical Health Initiative (ISHI) records from Ghana and Sierra Leone (2013-2023).
  • Focus on inguinal hernia repairs as the most common procedure.
  • Comparison with a control group from a literature review of over 500 patients per study.

Main Results:

  • A literature review of 26 studies showed 13% female representation in inguinal hernia repairs.
  • In Sierra Leone, 11.4% of 246 repairs were in females, not significantly different from the control (P=0.45).
  • In Ghana, 8% of 150 repairs were in females, also not significantly different from the control (P=0.07).

Conclusions:

  • This is the first study to investigate gender equity in humanitarian surgical outreach.
  • Patient selection in STSMs must prioritize equitable distribution of care.
  • Addressing gender disparities is essential in global surgical initiatives.