Barriers to Essential Surgical Care in Low- and Middle-Income Countries: A Pilot Study of a Comprehensive Assessment Tool in Ghana

2015 ◽  
Vol 39 (11) ◽  
pp. 2613-2621 ◽  
Author(s):  
Barclay T. Stewart ◽  
Adam Gyedu ◽  
Francis Abantanga ◽  
Abdul Rashid Abdulai ◽  
Godfred Boakye ◽  
...  
Keyword(s):  
Pilot Study ◽  
Assessment Tool ◽  
Surgical Care ◽  
Comprehensive Assessment ◽  
Middle Income ◽  
Middle Income Countries ◽  
Essential Surgical Care ◽  
Low And Middle Income

scholarly journals Quality of essential surgical care in low- and middle-income countries: a systematic review of the literature

2018 ◽  
Vol 31 (3) ◽  
pp. 166-172 ◽  
Author(s):  
Saurabh Saluja ◽  
Swagoto Mukhopadhyay ◽  
Julia R Amundson ◽  
Allison Silverstein ◽  
Jessica Gelman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Care ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Essential Surgical Care ◽  
Low And Middle Income

Bellwether Procedures for Monitoring and Planning Essential Surgical Care in Low- and Middle-Income Countries: Caesarean Delivery, Laparotomy, and Treatment of Open Fractures

2016 ◽  
Vol 40 (11) ◽  
pp. 2611-2619 ◽  
Author(s):  
Kathleen M. O’Neill ◽  
Sarah L. M. Greenberg ◽  
Meena Cherian ◽  
Rowan D. Gillies ◽  
Kimberly M. Daniels ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Surgical Care ◽  
Open Fractures ◽  
Middle Income ◽  
Middle Income Countries ◽  
Essential Surgical Care ◽  
Low And Middle Income

scholarly journals Barriers to training in laparoscopic surgery in low- and middle-income countries: A systematic review

2021 ◽  
pp. 004947552199818
Author(s):  
Ellen Wilkinson ◽  
Noel Aruparayil ◽  
J Gnanaraj ◽  
Julia Brown ◽  
David Jayne
Keyword(s):  
Laparoscopic Surgery ◽  
Low Cost ◽  
Surgical Care ◽  
Successful Implementation ◽  
Middle Income ◽  
Middle Income Countries ◽  
Technological Advances ◽  
Local Access ◽  
And Training ◽  
Low And Middle Income

Laparoscopic surgery has the potential to improve care in resource-deprived low- and-middle-income countries (LMICs). This study aims to analyse the barriers to training in laparoscopic surgery in LMICs. Medline, Embase, Global Health and Web of Science were searched using ‘LMIC’, ‘Laparoscopy’ and ‘Training’. Two researchers screened results with mutual agreement. Included papers were in English, focused on abdominal laparoscopy and training in LMICs. PRISMA guidelines were followed; 2992 records were screened, and 86 full-text articles reviewed to give 26 key papers. Thematic grouping identified seven key barriers: funding; availability and maintenance of equipment; local access to experienced laparoscopic trainers; stakeholder dynamics; lack of knowledge on effective training curricula; surgical departmental structure and practical opportunities for trainees. In low-resource settings, technological advances may offer low-cost solutions in the successful implementation of laparoscopic training and improve access to surgical care.

Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low- and Middle-Income Countries in Sierra Leone

2021 ◽  
Author(s):  
Peter G. Delaney ◽  
Zachary J. Eisner ◽  
Alfred H. Thullah ◽  
Benjamin D. Muller ◽  
Kpawuru Sandy ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Trauma Care ◽  
Assessment Tool ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Assessment ◽  
Prehospital Emergency ◽  
Low And Middle Income

scholarly journals A standardised equine-based welfare assessment tool used for six years in low and middle income countries

PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192354 ◽  
Author(s):  
Rebecca Sommerville ◽  
Ashleigh F. Brown ◽  
Melissa Upjohn
Keyword(s):  
Assessment Tool ◽  
Middle Income ◽  
Welfare Assessment ◽  
Middle Income Countries ◽  
Low And Middle Income

Challenges and possibilities of developing cardiac surgery in a peripheral hospital of low- and middle-income countries

Perfusion ◽  
2020 ◽  
Vol 36 (1) ◽  
pp. 38-43
Author(s):  
Kaushal K Tiwari ◽  
Julia Grapsa ◽  
Shankar Laudari ◽  
Michal Pazdernik ◽  
Dominique Vervoort
Keyword(s):  
Cardiac Surgery ◽  
Heart Disease ◽  
Surgical Care ◽  
Capital City ◽  
World Population ◽  
Middle Income ◽  
Middle Income Countries ◽  
Peripheral Hospital ◽  
Challenges And Opportunities ◽  
Low And Middle Income

Objective: Over a million cardiac surgeries are performed every year around the globe. However, approximately 93% of world population living in low- and middle-income countries have no access to cardiac surgery. The incidence of rheumatic and congenital heart disease is high in Nepal, while only 2,500-3,000 cardiac surgeries are performed annually. The aim of our study is to analyze challenges and opportunities of establishing a cardiac surgery program in a peripheral hospital of Nepal. Methods: We analyzed our effort to establish a cardiac surgery program in a peripheral hospital in Nepal. Results: Out of 2,659 consulted and diagnosed patients, we performed 85 open-heart surgeries in 4 years. Mean age of patients was 38.35 ± 14.13 years. The majority of patients were male (62.4% of patients) with 65.9% suffering from rheumatic heart disease. Average intensive care unit stay and hospital stay were 2.32 ± 1.1 and 8.29 ± 2.75 days, respectively. No in-hospital mortality was observed. Conclusion: We conclude that developing cardiac surgical care in a peripheral hospital of a developing country is feasible with support from government, foreign colleagues, local teams, and non-governmental organizations. The availability of a regular cardiac surgery service in the periphery of the country makes such services more accessible for the patients and helps in reducing the long waiting lists and unmanageable workload in the established cardiac centers in the capital city.

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