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Challenges to Achieving Surgical Equity in Slums.

Rahul M Jindal1,2,3, Sushila Tiwari4

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|January 28, 2025
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Summary

Defining "slum surgical health" is crucial for addressing healthcare disparities. Community health worker programs show promise in improving surgical care access for urban slum populations.

Keywords:
Indiaslum healthslum surgical healthsurgical equityunmet surgical needs

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Area of Science:

  • Global Surgery
  • Public Health
  • Health Equity

Background:

  • Limited surgical data exists for urban slum populations, hindering resource allocation and preventative strategies.
  • Surgical care in slums is impacted by unique factors including trust deficits, mental health, and socioeconomic barriers.
  • Existing research on urban health or slum health does not adequately address the distinct challenges of surgical care.

Purpose of the Study:

  • To establish "slum surgical health" as a distinct field of study.
  • To define the scope and challenges of slum surgical health.
  • To present evidence-based models for improving surgical care in urban slums.

Main Methods:

  • Literature review and synthesis of existing data on surgical care in urban slums.
  • Analysis of cross-country evidence highlighting unique challenges.
  • Case study of a community health worker intermediary model.

Main Results:

  • Urban slums present unique obstacles to surgical care access and delivery.
  • A community health worker model achieved a 60% conversion rate from unmet to met surgical needs.
  • Culturally sensitive, community-based interventions are effective in reducing surgical inequities.

Conclusions:

  • "Slum surgical health" requires a dedicated academic and practical approach.
  • Community health worker programs can bridge the gap between slum dwellers and healthcare systems.
  • Addressing surgical inequities in urban slums necessitates tailored, community-focused strategies.