Tackling the challenges of providing surgical services in low resource LMICs: Shortcomings in surgical healthcare in Nepal

Shah, Ram Kewal; Markus, A.F.; Shah, Niraj Kumar

doi:10.1016/j.jobcr.2021.09.019

Cited by 1 publication

(2 citation statements)

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“…National projections suggest that 2.4 million residents in Nepal may not get care when they need it ( 137 ). Further, differences in capacity and quality of care, as well as training of surgical specialists, play an important role in within-country variations in SOTA care provision ( 138 ).…”

Section: Current Challengesmentioning

confidence: 99%

“…Beyond compiling high-level evidence, the catalog can act as an important resource to demonstrate to decision-makers reliability and local stewardship regarding universal and equitable SOTA care. Examples of models include a collaborative trauma care initiative for managing road traffic injuries in Nepal ( 138 ), quality improvement model solving infrastructural challenges in the maternity ward of the national referral hospital in Bhutan ( 161 ), and a sustainable and efficient model for low-cost cataract surgery in India among others ( 162 ). The catalog can be further expanded to models beyond South Asia to include countries and settings that can promote Global South–South learning.…”

Section: Potential Directionsmentioning

confidence: 99%

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Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia

Zadey,

Rao,

Gondi

et al. 2024

Front. Public Health

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South Asia is a demographically crucial, economically aspiring, and socio-culturally diverse region in the world. The region contributes to a large burden of surgically-treatable disease conditions. A large number of people in South Asia cannot access safe and affordable surgical, obstetric, trauma, and anesthesia (SOTA) care when in need. Yet, attention to the region in Global Surgery and Global Health is limited. Here, we assess the status of SOTA care in South Asia. We summarize the evidence on SOTA care indicators and planning. Region-wide, as well as country-specific challenges are highlighted. We also discuss potential directions—initiatives and innovations—toward addressing these challenges. Local partnerships, sustained research and advocacy efforts, and politics can be aligned with evidence-based policymaking and health planning to achieve equitable SOTA care access in the South Asian region under the South Asian Association for Regional Cooperation (SAARC).

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Section: Current Challengesmentioning

confidence: 99%