Health sector priority setting at meso-level in lower and middle income countries: Lessons learned, available options and suggested steps

Hipgrave, David; Alderman, Katarzyna; Anderson, Ian; Soto, Eliana Jimenez

doi:10.1016/j.socscimed.2013.11.056

Cited by 51 publications

(47 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[5,6] Investment in health priorities exclusive of surgery has left many poor countries unable to care for the growing burden of surgical diseases. [7][8][9] Deficient infrastructure, personnel, and equipment limit even basic surgical care. [6,10] Moreover, those in need of surgery face significant access to care barriers including: excessive distance to capable health facilities, poor roads, inability to afford care, fear and mistrust of the healthcare system.…”

Section: Introductionmentioning

confidence: 99%

An estimate of hernia prevalence in Nepal from a countrywide community survey

et al. 2015

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

An estimate of hernia prevalence in Nepal from a countrywide community survey

et al. 2015

View full text Add to dashboard Cite

“…Fulfilling the vision of NPI requires sustained investments in routine immunization. Since its inception, expanded immunization has been a continuous and progressive story building on the fundamental managerial and technical health systems, building blocks of leadership and governance; financing; service delivery; health workforce; products, vaccines, and technologies; and information systems 8,20 . Additionally, the economic benefits of immunization are significant 21 .…”

Section: Current Immunization Statusmentioning

confidence: 99%

Dynamics of Child Health Services in Nigeria: A Review

Ogbonna

Ajagu

Ezenekwe

et al. 2017

AJPRHC

View full text Add to dashboard Cite

Childcare has been identified as an integral aspect of integrated maternal and child health services and is aimed at child health promotion for childhood psychosocial and physical development. This study assessed the dynamics of child health services in Nigeria. This was in relation to Nigeria's poor child health indices with the view to encouraging standard practices neglected over the years. It targets preventive health services to stem diseases and disability among children while promoting early diagnosis of diseases and prompt treatment. These services encompass the provision of childhood immunization, probing for and identification of handicapped children for early rehabilitation, child health education, and nutrition, promotion of environmental sanitation, and monitoring of developmental milestone through proper feeding. Other child health services include sickle cell prevention services, education of caregivers on the importance and use of oral rehydration therapy, and use of antimalarial treatment, and rehabilitation of already affected children. This is invaluable, especially in regions with developing countries where more than 50% of children die before their fifth birthday.

show abstract

“…[7–9] Deficient infrastructure, personnel, and equipment limit even basic surgical care. [6, 10] Moreover, those in need of surgery face significant access to care barriers including: excessive distance to capable health facilities, poor roads, inability to afford care, fear and mistrust of the healthcare system.…”

Section: 1 Introductionmentioning

confidence: 99%

An estimate of hernia prevalence in Nepal from a countrywide community survey

Stewart

Pathak

Gupta

et al. 2015

International Journal of Surgery

View full text Add to dashboard Cite

Background Herniorrhaphy is one of the most frequently performed general surgical operations worldwide. However, most low- and middle-income countries (LMICs) are unable to provide this essential surgery to the general public, resulting in considerable morbidity and mortality. This study aimed to estimate the prevalence, barriers to care and disability of untreated hernias in Nepal. Methods Nepal is a low-income country in South Asia with rugged terrain, infrastructure deficiencies and a severely under-resourced healthcare system resulting in substantial unmet surgical need. A cluster randomized, cross-sectional household survey was performed using the validated Surgeons OverSeas Assessment of Surgical (SOSAS) tool. Fifteen randomized clusters consisting of 30 households with two randomly selected respondents each were sampled to estimate surgical need. The prevalence of and disability from groin hernias and barriers to herniorrhaphy were assessed. Results The survey sampled 1,350 households, totaling 2,695 individuals (97% response rate). There were 1,434 males (53%) with 1.5% having a mass or swelling in the groin at time of survey (95% CI 0.8 – 3.0). The age-standardized rate for inguinal hernias in men ranged from 1,144 per 100,000 persons between age 5 and 49 years and 2,941 per 100,000 persons age ≥50 years. Extrapolating nationally, there are nearly 310,000 individuals with groin masses and 66,000 males with soft/reducible groin masses in need of evaluation in Nepal. Twenty-nine respondents were not able to have surgery due to lack of surgical services (31%), fear or mistrust of the surgical system (31%) and inability to afford care (21%). Twenty percent were unable to work as previous or perform self-care due to their hernia. Conclusions Despite the lower than expected prevalence of inguinal hernias, hundreds of thousands of people in Nepal are currently in need of surgical evaluation. Given that essential surgery is a necessary component in health systems, the prevalence of inguinal hernias and the cost-effectiveness of herniorrhaphy, this disease is an important target for LMICs planning surgical capacity improvements.

show abstract

Health sector priority setting at meso-level in lower and middle income countries: Lessons learned, available options and suggested steps

Cited by 51 publications

References 82 publications

An estimate of hernia prevalence in Nepal from a countrywide community survey

An estimate of hernia prevalence in Nepal from a countrywide community survey

Dynamics of Child Health Services in Nigeria: A Review

An estimate of hernia prevalence in Nepal from a countrywide community survey

Contact Info

Product

Resources

About