Mobile gastrointestinal and endoscopic surgery in rural Ecuador: 20 years’ experience of Cinterandes

Abstract

Surgery is a very effective way to gain the trust of the community, due to immediate results. Trust opens doors to other programmes (e.g. family medicine). Surgery can be incorporated with all other aspects of health care, which can in turn be incorporated with all other aspects of human development, education, food production and nutrition, housing, work and productivity, communication, and recreation.

Access to Surgical Care in Rural Ecuador and the Role of Cinterandes Mobile Surgery in Addressing Barriers and Delays: A Qualitative and Biosocial Research Analysis

“…It is equipped with a preparation room which includes a changing area, washing station, small bathroom, autoclave and storage. This area connects to the operating theater which is 4.20m x 2.50m (Shalabi et al, 2017). The operating room is fully equipped for general surgery procedures including laparoscopic surgery.…”

“…Overall, by understanding the perspectives of Cinterandes mobile surgical care providers, hospital providers, leaders and patients, we aimed to assess surgical care access in rural settings of Ecuador and understand the role that mobile surgery plays in addressing the surgical needs of rural populations. (Shalabi et al, 2017) 2. METHODOLOGY…”

“…This model unites all the necessary components of effective surgical care delivery including the necessary surgical staff, the surgical infrastructure, surgical supplies as well as surgical expertise to manage low risk surgical cases. Cinterandes mobile surgery is effective to treat people in rural and remote settings (Shalabi, 2017).…”

“…In addition, Cinterandes uses socialización to break-down barriers of distrust in the healthcare system. It has been documented that Cinterandes surgical care has the capacity to gain trust in rural communities (Shalabi, 2017). The Cinterandes team interacts with rural communities with respect, compassion, and provides high quality care.…”

A mobile caesarean birth center as a solution to improve access to surgical birth in rural Ethiopia: a mixed methods research protocol

“…[18][19][20][21] Prior to their success, surgical trucks were used for fteen years in Ecuador to deliver surgical services to remote areas of the country. [19][20][21] The Ecuadorian truck was out tted with an operating table, surgical light, anesthesia machine, cautery, laparoscopy, and a scrub sink and changing area. 19 It was air conditioned and had its own water supply.…”