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Botelho, Fábio; Reis, Eliane Josefa Barbosa dos; Ribeiro, Karen Dyminski Parente; Faleiro, Matheus Daniel; Sampaio, Natália Zaneti; Marcião, Luiz; Ndasi, Henry; Whyte, Marta; Djadje, Laure; Youmbi, Vanessa Nono; Tafesse, Surafeal; Belachew, Fitsum Kifle; Tirsit, Abenezer; Abebe, Mesfin; Asingei, Juventine; Franco, Helena; James, Deeptiman; Bansal, Varun; Zadey, Siddhesh; Shetty, Ritika; Ouma, Gabriel; Shah, Sayed Shah Nur Hussein; Mlinde, Elijah; Dworkin, Myles; Paek, Samuel; Aoyama, Togo; Jesuyajolu, Damilola; Diehl, Thomas M.; Milligan, Laurie; Kyengera, Daniel K.; Bedada, Alemayehu Ginbo; Moon, Jeongyoon; Pawlak, Natalie; Peric, Ines; Sasson, Lior; Bola, Rajan; Torquato, Amanda; Džunic, Anja; Binda, Catherine; Paterson, Amy; Salehi, Mina; Flores, Michael J.; Gripp, Karen W.; Yanchar, Natalie; Naus, Abbie; Poenaru, Dan; Baird, Robert; Farias, Leonildo; Silva, Ana Gabriely; Viana, F. M. P.; Neto, José Armando Pessoa; Silva, Sidney; Gatto, Luana; Fernandez, Miguel Godeiro; Salgado, Lucas Sousa; Mendes, Anna Luiza; Ferreira, Rodrigo Vaz; Canto, G.; Borges, José Felipe Teixeira; Araujo, Victor Leonardo de; Andrade, Gabrielly; Braga, Joyce; Bentes, Lívia Guerreiro de Barros; Pinto, Luís Cláudio Santos; Amlani, Lahin; Aminake, Ghislain; Penda, Xavier; Tima, Serge; Lechtig, Aron; Agarwal-Harding, Kiran J.; Fowler-Woods, Melinda; Fowler-Woods, Amanda; Shingoose, Geraldine; Hatala, Andrew R.; Daeninck, Felicia; Vergis, Ashley; Clouston, Kathleen; Hardy, Krista; Djoutsop, Olga Mbougo; Djabo, Adrien Tangmi; Kanmounye, Ulrick Sidney; Kakobo, Patricia; Tamene, Bisrat; Chimdesa, Zelalem; Alemayehu, Eden; Abera, Birhanu; Yifru, Dawit; Deyassa, Negussie; Moen, Bente E.; Sundstrøm, Terje; Lund‐Johansen, Morten; Khan, Rabia; Mekasha, Amha; Soklaridis, Sophie; Haji, Faizal; O’Flynn, Eric; O’Donovan, Diarmuid T.; Masuka, Sophia C.; Mashava, Doreen; Akello, Faith V.; Ulisubisya, Mpoki; Njai, Abdoulie; Simister, Samuel; Joseph, Micelle; Woolley, Pierre Marie; Evans, Faye M.; Rai, Ekta; Roy, Nobhojit; Kamble, Jyoti; Aroke, Anna; David, Siddarth; Veetil, Deepa Kizhakke; Soni, Kapil Dev; Wärnberg, Martin Gerdin; Vissoci, João Ricardo Nickenig; Jindal, Anushka; Iyer, Himanshu; Hinchman, Carrie A; Rayel, Isaiah Michael; May, Collin; Banza, Leonard; Chokotho, Linda; Mbomuwa, Foster; Chidothi, Paul; Martin, Claude; Harrison, W. J.; Abdoulmouinou, Poudiougo; Traoré, Amadou; Traoré, Youssouf; Konaté, Madiassa; Younoussa, Dicko Moussa; Samake, Moussa; Bah, Amadou; Hawa, Touré; Laurent, Abramowitz; Okeke, Charles Arinze; Obuh, Otomi; Ehizibue, Peace; Ikemefula, Nnamdi E.; Ekennia-Ebeh, Jamike; Ibraham, Abdulqudus A.; Ikegwuonu, Obinna; Bunogerane, Gisèle Juru; Neal, Dan; Ndibanje, Alain Jules; Petroze, Robin T.; Ntaganda, Edmond; Cairncross, Lydia; Malherbe, Francois; Roodt, L; O’Hara, Nathan N.; Stockton, David J.; Hsiao, Marvin; Chilisa, Unami; Yarranton, Brianne; Chinyepi, Nkhabe; Azzie, Georges; Rehany, Zachary; Bakhshi, Mehrshad; Bergeron, Amy; Boulanger, Nathalie; Watt, Larry; Wong, Evan G.; Bierema, Christine; Ameh, Emmanuel A.; Bekele, Abebe; Jimenez, Maria; Lakhoo, Kokila; Sacato, Hernan; Tefera, Girma; Ozgediz, Doruk; Jayaraman, Sudha; Youngson, George; Borgstein, Eric; Simões, Joana; Kingsley, Pamela Alice; Dekel, Hagi; Sternfeld, Alona Raucher; Assa, Sagi; Sarid, Racheli Sion; Mnong’one, Naizihijwa Joel; Sharau, Godwin Godfrey; Mongella, Stella Mihayo; Caryl, William Goldstein; Goldman, Bernard; Ngonzi, Joseph; Ujoh, Fanan; Kihumuro, Raymond Bernard; Lett, Ronald; Tavares, Clara; Lech, Gabriele; Gusa, Victoria; Apeaii, Rosemary; Noor, Rafat; Guyan, Isaac Ohene; Christilaw, Jan; Hodgins, Stephen; Heo, Kayoung; Cheng, Samuel; Foggin, Hannah; Maerkl, Nina; Hu, Grace; Lam, Sheila; Feng, Lydia; Labinaz, Alisha; Adams, Jayd; Livergant, Rachel; Williams, Sacha; Vasanthakumaran, Tamilarasy; Lounes, Youcef; Mata, Juan; Hache, Philip; Schamberg-Bahadori, Christian; Monytuil, Adaw; Mayom, Emmanuel; Joharifard, Shahrzad; Maswime, Salome; Hardy, Anneli; Pearse, Rupert M.; Biccard, Bruce M.; Živković, Irena; Jatana, Sukhdeep; Joos, Émilie; Brown, Kelsey; Roberts, Heather J.; Donnelley, Claire A.; Kaeppler, Ericka P. von; Eliezer, Edmund; Haonga, Billy; Morshed, Saam; Shearer, David

doi:10.1503/cjs.007622

Cited by 5 publications

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Financial impact and healthcare expenditures among surgical patients in Burundi

Niyukuri,

Zadey,

Shrime

et al. 2024

World j. surg.

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BackgroundThe largest proportion of people at risk of catastrophic expenditures for surgical care live in low‐ and middle‐income countries. This study aims to evaluate the financial impact among surgical patients at Kibuye Hope Hospital (KHH) in Burundi.MethodsData were collected from patients undergoing a surgical procedure at KHH from January to October 2019. A predesigned questionnaire was used to collect information regarding socio‐demographics, pre‐hospital and hospitalization characteristics, finances, and surgical outcomes. Out‐of‐pocket (OOP) health expenditure, catastrophic health expenditure (CHE), impoverishing health expenditure (IHE), and financial distress (FD) were summarized.ResultsOf a total of 301 patients, 60% lived below the extreme poverty line ($2.15) at baseline. After surgery, 66% of patients faced CHE, 66% faced FD, and 73% faced IHE. Almost all patients (94%) reported having an insurance plan, although the rate of OOP expenditure was high (98%). The median cost of medications ($215.5) or surgery ($305.6) surpassed the median monthly household expenditure allocated to food ($183.4). The proportion of patients facing extreme poverty at baseline increased from 60% to 96% after direct medical expenses. Many patients reported borrowing money (30%) or selling their land/possessions (46%) to cover OOP expenses.ConclusionsMost surgical patients at KHH face extremely high risks of CHEs and impoverishment due to OOP expenses for care, despite insurance coverage. The risk of families being forced into poverty and experiencing FD from surgical care are indicators of the lack of effective financial risk protection programs in Burundi.

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Financial impact and healthcare expenditures among surgical patients in Burundi

Niyukuri,

Zadey,

Shrime

et al. 2024

World j. surg.

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Evaluating the status of the Lancet Commission on Global Surgery indicators for India

Zadey¹,

Iyer²,

Nayan³

et al. 2023

The Lancet Regional Health - Southeast Asia

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Exploring strategies for building a sustainable healthcare system in Africa: lessons from Japan and Switzerland

Muili,

Tangmi,

Shariff

et al. 2024

Annals of Medicine &Amp; Surgery

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Strengthening healthcare infrastructure is an important strategy for building a sustainable healthcare system in Africa. This involves investing in facilities, equipment, and supplies, as well as training and retaining skilled healthcare workers. Additionally, improving healthcare infrastructure and investing in healthcare education and training can lead to significant improvements in health outcomes, such as reducing maternal and child mortality. This is critical for building a sustainable healthcare system. Through a literature review, we assessed the approaches to building a sustainable healthcare system in Africa from the perspectives of Japan’s and Switzerland’s healthcare systems. It was discovered that Japan currently has the highest life expectancy, which can be attributed to insurance policies, healthcare policies, and the integration of emerging technologies and clinical research into their healthcare system. Lessons that Africa must emulate from the Japanese healthcare system include ensuring universal healthcare coverage, improving the workforce, improving primary healthcare, prioritizing the aging population, and investing in technology, infrastructure, and research. Japans healthcare system is also sustainable thanks to its stable workforce and primary healthcare. Switzerland also has an exceptional healthcare system globally, with technical and socioeconomic advancements leading to increased life expectancy and population aging through a worldwide health policy approach, programs tackling professional responsibilities and interprofessional cooperation, and initiatives to support family medicine. By learning from Japan’s and Switzerland’s approaches, Africa will gradually achieve the Sustainable Development Goals and build a sustainable healthcare system.

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Cited by 5 publications

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Financial impact and healthcare expenditures among surgical patients in Burundi

Financial impact and healthcare expenditures among surgical patients in Burundi

Evaluating the status of the Lancet Commission on Global Surgery indicators for India

Exploring strategies for building a sustainable healthcare system in Africa: lessons from Japan and Switzerland

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