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Published on: May 20, 2018
Five years as a flying surgeon in Zimbabwe
1Department of Surgery, United Bulawayo Hospitals, P.O. Box 958, Bulawayo, Zimbabwe.
World Journal of Surgery
|October 1, 1996
Summary
A novel surgical outreach program brought surgeons to rural areas, performing over 500 procedures with low complication rates. This cost-effective model improved access to surgical services and enhanced local medical training.
Area of Science:
- Global Health
- Surgical Outreach
- Developing World Healthcare
Background:
- Conventional Western surgical models pose challenges in developing regions due to patient-initiated referrals.
- Logistical hurdles, including distance and potential language barriers, often impede access to essential surgical care in rural areas.
Purpose of the Study:
- To evaluate the effectiveness and impact of a "reverse policy" where surgeons travel to rural hospitals.
- To assess the feasibility of providing surgical services in underserved remote locations.
Main Methods:
- A program was established involving air travel to 10 rural hospitals for pre-advertised surgical visits.
- Patients were selected by local resident doctors and underwent surgery on the day of the visit, with postoperative reviews conducted the following day.
- Over 500 diverse surgical operations were performed.
Main Results:
- Fewer than 10 complications were reported across more than 500 operations of varying complexity.
- The program proved cost-effective, popular, and beneficial for hospital staff.
- The initiative reduced the burden on referral centers and facilitated training for local resident doctors.
Conclusions:
- A surgeon-led outreach program, bringing surgical services to rural patients, is a viable and beneficial model for developing countries.
- This approach enhances surgical access, reduces referral burdens, and supports local medical education and staff development.
