Surgical care in low and middle-income countries: Burden and barriers

International Journal of Surgery

Volumn 12, Issue 8, 2014, Pages 858-863

  Ologunde, Rele ^a   Maruthappu, Mahiben ^b   Shanmugarajah, Kumaran ^c   Shalhoub, Joseph ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Barriers; Burden; Global surgery

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; BEHAVIOR DISORDER; CATARACT; CHRONIC RESPIRATORY TRACT DISEASE; CONGENITAL MALFORMATION; COST EFFECTIVENESS ANALYSIS; DEVELOPING COUNTRY; DIABETES MELLITUS; GLAUCOMA; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INCOME; LOWER RESPIRATORY TRACT INFECTION; MALIGNANT NEOPLASTIC DISEASE; MENTAL DISEASE; MUSCULOSKELETAL DISEASE; NEUROLOGIC DISEASE; NEWBORN DISEASE; PATIENT COMPLIANCE; PEROPERATIVE CARE; PRIORITY JOURNAL; REVIEW; HEALTH DISPARITY; INTERNATIONAL COOPERATION; LOW AND MIDDLE INCOME COUNTRY; PATIENT CARE; PERSONNEL SHORTAGE; COST OF ILLNESS; HEALTH CARE FACILITY; HEALTH CARE PLANNING; PUBLIC HEALTH; PUBLIC RELATIONS; STANDARDS; SUPPLY AND DISTRIBUTION; SURGERY; TOTAL QUALITY MANAGEMENT;

COST OF ILLNESS; DEVELOPING COUNTRIES; HEALTH FACILITIES; HEALTH PRIORITIES; HUMANS; INTERINSTITUTIONAL RELATIONS; INTERNATIONAL COOPERATION; PATIENT COMPLIANCE; PUBLIC HEALTH; QUALITY IMPROVEMENT; SURGICAL PROCEDURES, OPERATIVE;

EID: 84905676765     PISSN: 17439191     EISSN: 17439159     Source Type: Journal    
DOI: 10.1016/j.ijsu.2014.07.009     Document Type: Review

References (54)

1. Daar A.S., Singer P.A., Persad D.L., Pramming S.K., Matthews D.R., Beaglehole R., et al. Grand challenges in chronic non-communicable diseases. Nature 2007 Nov 22, 450(7169).
2. Murray C.J., Vos T., Lozano R., Naghavi M., Flaxman A.D., Michaud C., et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012, 380(9859):2197-2223.
3. Debas H.T., Gosselin R., McCord C., Thind A. Surgery. Disease Control Priorities in Developing Countries 2006, 1245-1259. Oxford University Press, New York. second ed. D.T. Jamison, J.G. Breman, A.R. Measham, G. Alleyne, M. Claeson, D.B. Evans (Eds.).
4. Taira B.R., McQueen K.A.K., Burkle F.M. Burden of surgical disease: does the literature reflect the scope of the international crisis?. World J. Surg. 2009, 33(5):893-898.
5. Weiser T.G., Regenbogen S.E., Thompson K.D., Haynes A.B., Lipsitz S.R., Berry W.R., et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008, 372(9633):139-144.
6. Grimes C.E., Bowman K.G., Dodgion C.M., Lavy C.B. Systematic review of barriers to surgical care in low-income and middle-income countries. World J. Surg. 2011, 35(5):941-950.
7. McIntyre D., Thiede M., Birch S. Access as a policy-relevant concept in low- and middle-income countries. Health Econ. Policy Law 2009, 4(Pt 2):179-193.
8. Munro S.A., Lewin S.A., Smith H.J., Engel M.E., Fretheim A., Volmink J. Patient adherence to tuberculosis treatment: a systematic review of qualitative research. PLoS Med. 2007, 4(7):e238.
9. Afsana K., Rashid S.F. The challenges of meeting rural Bangladeshi women's needs in delivery care. Reprod. Health Matters 2001, 9(18):79-89.
10. Bronsard A., Geneau R., Shirima S., Courtright P., Mwende J. Why are children brought late for cataract surgery? Qualitative findings from Tanzania. Ophthalmic Epidemiol. 2008, 15(6):383-388.
11. Geneau R., Lewallen S., Bronsard A., Paul I., Courtright P. The social and family dynamics behind the uptake of cataract surgery: findings from Kilimanjaro region, Tanzania. Br. J. Ophthalmol. 2005, 89(11):1399-1402.
12. Kazibwe H., Struthers P. Barriers experienced by parents of children with clubfoot deformity attending specialised clinics in Uganda. Trop. Dr. 2009, 39(1):15-18.
13. Kagee A., Remien R.H., Berkman A., Hoffman S., Campos L., Swartz L. Structural barriers to ART adherence in Southern Africa: challenges and potential ways forward. Glob. Public Health 2011, 6(1):83-97.
14. Schieber G., Baeza C., Kress D., Maier M. Financing health systems in the 21st century 2006, 225-242. Oxford University Press, New York. second ed. D.T. Jamison, J.G. Breman, A.R. Measham, G. Alleyne, M. Claeson, D.B. Evans (Eds.).
15. Ologunde R. The challenges of health system financing. World Med. Health Policy 2013, 5(4):403-411.
16. Howitt P., Darzi A., Yang G.Z., Ashrafian H., Atun R., Barlow J., et al. Technologies for global health. Lancet 2012, 380(9840):507-535.
17. Rangan K.A. Aravind Eye Hospital, Madurai, India: In Service for Sight 1993.
18. Kingham T.P., Kamara T.B., Cherian M.N., Gosselin R.A., Simkins M., Meissner C., et al. Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care. Arch. Surg. 2009, 144(2):122-127.
19. Iddriss A., Shivute N., Bickler S., Cole-Ceesay R., Jargo B., Abdullah F., et al. Emergency, anaesthetic and essential surgical capacity in the Gambia. Bull. World Health Organ. 2011, 89(8):565-572.
20. Taira B.R., Cherian M.N., Yakandawala H., Kesavan R., Samarage S.M., DeSilva M. Survey of emergency and surgical capacity in the conflict-affected regions of Sri Lanka. World J. Surg. 2010, 34(3):428-432.
21. WHO Rapid Scaling up of Health Workforce Production 2006, (19 May 2013). Available from:. http://www.who.int/hrh/resources/WHA_59-23_EN.pdf.
22. Kiwanuka S.N., Ekirapa E.K., Peterson S., Okui O., Rahman M.H., Peters D., et al. Access to and utilisation of health services for the poor in Uganda: a systematic review of available evidence. Trans. R. Soc. Trop. Med. Hyg. 2008, 102(11):1067-1074.
23. Luboga S., Macfarlane S.B., von Schreeb J., Kruk M.E., Cherian M.N., Bergstrom S., et al. Increasing access to surgical services in sub-Saharan Africa: priorities for national and international agencies recommended by the Bellagio essential surgery group. Plos Med. 2009, 6(12).
24. Sani R., Nameoua B., Yahaya A., Hassane I., Adamou R., Hsia R.Y., et al. The impact of launching surgery at the district level in Niger. World J. Surg. 2009, 33(10):2063-2068.
25. Jiskoot P. On-the-job training of clinical officers in Malawi. Malawi Med. J. 2008, 20(3):74-77.
26. Chu K., Rosseel P., Gielis P., Ford N. Surgical task shifting in sub-Saharan Africa. Plos Med. 2009, 6(5).
27. Yousuf R.M., Fauzi A.R.M., How S.H., Rasool A.G., Rehana K. Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: a cross-sectional comparative study in Malaysia and Kashmir, India. Singap. Med. J. 2007, 48(6):559-565.
28. Ologunde R., Rufai S.R. Surgical follow-up in low-income and middle-income countries. Lancet Global Health 2013, 1(3):e132.
29. Briesen S., Geneau R., Roberts H., Opiyo J., Courtright P. Understanding why patients with cataract refuse free surgery: the influence of rumours in Kenya. Trop. Med. Int. Health 2010, 15(5):534-539.
30. Haynes A.B., Weiser T.G., Berry W.R., Lipsitz S.R., Breizat A.-H.S., Dellinger E.P., et al. Asurgical safety checklist to reduce morbidity and mortality in a global population. N.Engl. J. Med. 2009, 360(5):491-499.
31. Contini S., Taqdeer A., Cherian M., Shokohmand A.S., Gosselin R., Graaff P., et al. Emergency and essential surgical services in Afghanistan: still a missing challenge. World J. Surg. 2010, 34(3):473-479.
32. Vo D., Cherian M.N., Bianchi S.L., Noel L., Lundeg G., Taqdeer A., et al. Anesthesia capacity in 22 low and middle income countries. J.Anesth. Clin. Res. 2012, 3(4).
33. Hsia R.Y., Mbembati N.A., Macfarlane S., Kruk M.E. Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan. 2012, 27(3):234-244.
34. Tongaonkar R., Reddy B., Mehta V., Singh N., Shivade S. Preliminary multicentric trial of cheap indigenous mosquito-net cloth for tension-free hernia repair. Indian J. Surg. 2003, 65:89-95.
35. Freudenberg S., Sano D., Ouangre E., Weiss C., Wilhelm T.J. Commercial mesh versus Nylon mosquito net for hernia repair. A randomized double-blind study in Burkina Faso. World J. Surg. 2006, 30(10):1784-1789.
36. Dye T.D., Bogale S., Hobden C., Tilahun Y., Hechter V., Deressa T., et al. Complex care systems in developing countries: breast cancer patient navigation in Ethiopia. Cancer 2010, 116(3):577-585.
37. Chandrashekhar T.S., Bhat H.V., Pai R.P., Nair S.K. Coverage, utilization and barriers to cataract surgical services in rural South India: results from a population-based study. Public Health 2007, 121(2):130-136.
38. Medicines Sans Frontieres Activity Reports 17 November 2012, Available from:. http://www.msf.org.uk/activityreports.aspx.
39. O'Donnell O. Access to health care in developing countries: breaking down demand side barriers. Cad. Saude Publica 2007, 23(12):2820-2834.
40. Barnett-Vanes A., Maruthappu M., Shalhoub J. Integration not competition: surgical care in low- and middle-income settings. Lancet 2013, 381(9871):994-995.
41. Patel P.B., Hoyler M., Maine R., Hughes C.D., Hagander L., Meara J.G. An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings. Plast. Surg. Int. 2012, 2012:892437.
42. WHO Global Strategies to Reduce the Health-care Burden of Craniofacial Anomalies 24-26 May 2001, Report of WHO Meetings on International Collaborative Research on Craniofacial Anomalies. Geneva, Switzerland, 5-8 November 2000; Park City, Utah, U. S. A.
43. Melese M., Alemayehu W., Friedlander E., Courtright P. Indirect costs associated with accessing eye care services as a barrier to service use in Ethiopia. Trop. Med. Int. Health 2004, 9(3):426-431.
44. Nattrass N. AIDS, science and governance: the battle over antiretroviral therapy in post-apartheid South Africa. South. Afr. J. HIV Med. 2006, (14 April 2013). Available from:. http://www.physics.smu.edu/scalise/P3333sp09/AIDS/nattrass-1.pdf.
45. Witter S., Fretheim A., Kessy F.L., Lindahl A.K. Paying for performance to improve the delivery of health interventions in low- and middle-income countries. Cochrane Database Syst. Rev. 2012, 2:CD007899.
46. McQueen K.A.K., Hyder J.A., Taira B.R., Semer N., Burkle F.M., Casey K.M. The provision of surgical care by international organizations in developing countries: a preliminary report. World J. Surg. 2010, 34(3):397-402.
47. McQueen K.A.K., Magee W., Crabtree T., Romano C., Burkle F.M. Application of outcome measures in international humanitarian aid: comparing indices through retrospective analysis of corrective surgical care cases. Prehospital Disaster Med. 2009, 24(1):39-46.
48. Spiegel David A., Abdullah F., Price Raymond R., Gosselin Richard A., Bickler Stephen W. World Health Organization global initiative for emergency and essential surgical care: 2011 and beyond. World J. Surg. 2013, 37(7):1462-1469.
49. Laxminarayan R., Chow J., Shahid-Salles S.A. Intervention of cost-effectiveness: overview of main messages. Disease Control Priorities in Developing Countries 2006, 35-86. Oxford University Press, New York. second ed. D.T. Jamison, J.G. Breman, A.R. Measham, G. Alleyne, M. Claeson, D.B. Evans (Eds.).
50. Farmer P.E., Kim J.Y. Surgery and global health: a view from beyond the OR. World J. Surg. 2008, 32(4):533-536.
51. Ologunde R., Holmer H. The post-2015 development agenda: the role of surgical care in improving health. World J. Surg. 2014 Mar 25.
52. Organization WH Provisional Agenda, WHO Executive Board 135th Session 2014, Available from:, (accessed 12.04.14.). http://apps.who.int/gb/ebwha/pdf_files/EB135/B135_1-en.pdf.
53. Henry J.A., Orgoi S., Govind S., Price R.R., Lundeg G., Kehrer B. Strengthening surgical services at the soum (first-referral) hospital: the WHO emergency and essential surgical care (EESC) program in Mongolia. World J. Surg. 2012, 36(10):2359-2370.
54. World Health Organization Fifth Meeting of the World Health Organization Global Initiative for Emergency and Essential Surgical Care (WHO GIEESC) 2013, (accessed 12.04.14.). Available from:. http://www.who.int/surgery/globalinitiative/GIEESC_report-2013.pdf?ua=1.