Surgical disease



Pediatric Critical Care in Botswana

Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More


Tracking perioperative mortality and maternal mortality: challenges and opportunities

Access to surgery remains inequitable worldwide, with 5 billion people lacking safe and affordable surgical and anaesthesia care when needed.1 The Lancet Commission on Global Surgery was convened in 2013 to assess the state of surgery around the world, provide recommendations for improving access, and propose indicators for assessing national surgical systems. A key safety indicator is the perioperative mortality rate (POMR). This is defined by the Commission as the number of all-cause deaths before discharge in patients who have undergone a procedure in an operating theatre, divided by the total number of procedures, and presented as a percentage.


Closing the data gaps for surgical care delivery in LMICs

In their study in The Lancet Global Health, Tarsicio Uribe-Leitz and colleagues1 find great discrepancies in surgical outcomes across the regions of the world.1 The authors examined three procedures that are fairly standardised in their operative indications and techniques (caesarean delivery, appendectomy, and groin hernia repair), and thus for which reporting should be nearly uniform. By undertaking a robust systematic review, Uribe-Leitz and colleagues have shown that quality surgical outcome data are a relatively void zone in low-income and middle-income countries (LMICs).


Investing in Human Resources via Education Is Essential to Improving Access to Surgical and Anesthetic Care Across the Globe


The Lancet Commission on Global Surgery published a report on the state of global surgery in April 2015 reporting the staggering statistic that “5 billion Read More

In Koulikoro, Malian Women with Fistula Find Compassion and Solidarity

As I listened to the obstetric health histories of the women who came to the Koulikoro referral health center in Mali last month, I got a brief introduction to how obstetric fistula has affected their lives.Each one had come to the facility hoping to undergo a successful repair surgery to heal her fistula (a childbirth injury that can occur during obstructed or prolonged labor). And their accounts revealed some unmistakable parallels:Sali is 27 years old and developed obstetric fistula during her second pregnancy. After laboring for three days, she received an emergency cesarean to remove her stillborn child. She’s lived with a fistula for nine years and has lingering incontinence after receiving two previous fistula repair operations. Of two total pregnancies, she has only one living child.Their stories reflect a health system that offers inadequate access to high-quality perinatal care

Pediatric Critical Care in Botswana


Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More

Meri Asha: Kiran Di and the ASHAs of Nanakpur

Varshini Cherukupalli and Manisha Bhatia are third-year medical students at Northwestern University and Texas Tech University. Here they share their perspectives working for the last two years on a global health research project with Accredited Social Health Activists (ASHA’s) in Nanakpur, India. As the lead community health worker in the rural area of Nanakpur, Haryana, India, Kiran Didi is irreplaceable. She devotes herself to her community by assisting in antenatal care, tending to newborns, and providing preventative health services to families. At the end of her busy days, she comes home to take care of her own family and household

Emergency medicine in Nepal: present practice and direction for future

Emergency medicine is one of the youngest recognized specialties in Nepal, and its growth in clinical practice and academic development has been challenging.

One Year After Surgery, Haiti Triplets on the Move

Photos by Aliesha J. Porcena / Partners In HealthManoucheca Ketan (center) says “it’s magical” watching her triplet daughters, Marian, Michelle, and Tamar. The thing about triplet toddlers is that they never sit still. Twenty-month-old Tamar, Michelle, and Marian Bernard walk, run, squirm in their seats, dance, and generally create chaos for their parents, Manoucheca Ketan and David Bernard. But instead of being a headache, their movement is a source of constant relief and joy

Task-sharing or public finance for the expansion of surgical access in rural Ethiopia: an…

Despite a high burden of surgical disease, access to surgical services in low- and middle-income countries is often limited.

An innovative safe anesthesia and analgesia package for emergency pediatric procedures and…

Adequate pain control through sedation and anesthesia for emergency procedures is a crucial aspect of pediatric emergency care.

Blantyre-Oslo Neurosurgery Program

(no abstract available)(Published: 3 June 2016)Citation: Glob Health Action 2016, 9: 32016 –

Better Access To Surgeons, High Quality Obstetric Care Critical To Preventing, Treating Fistula

The Guardian: Why do a million women still suffer the treatable condition of fistula? Kate Grant, CEO of the Fistula Foundation “…The most crucial variable in the outcomes for women is the competency of the surgeon developed over years of experience. Yet the biggest challenge to treating more women [with fistula] goes beyond money, it…More

Topical fluorouracil after surgery for ocular surface squamous neoplasia in Kenya: a…

Topical fluorouracil after surgery substantially reduced recurrence of OSSN, was well-tolerated, and its use recommended.

Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New…

by Anna J. Dare, Katherine C. Lee, Josh Bleicher, Alex E. Elobu, Thaim B.

Hospital Surgical Volumes and Mortality after Coronary Artery Bypass Grafting: Using…

Objective To estimate a safe minimum hospital volume for hospitals performing coronary artery bypass graft (CABG) surgery.

Risk Of Post-Surgical Death Higher Among Patients In Low-, Middle-Income Countries Compared…

Reuters Health: Death after surgery three times more likely in lower-income countries “How many people survive after emergency surgery is one measure of the quality of care they have access to, and post-surgery death rates in low- and middle-income countries suggest quality needs to be better, researchers say. Using mortality rates within 24 hours and…More

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