State of surgery in tropical Africa: a review.

Lavy C., Sauven K., Mkandawire N., Charian M., Gosselin R., Ndihokubwayo JB., Parry E.

This is a review of recently published literature on surgery in tropical Africa. It presents the current state of surgical need and surgical practice on the continent. We discuss the enormous burden of surgical pathology (as far as it is known) and the access to and acceptability of surgery. We also describe the available facilities in terms of equipment and manpower. The study looked at the effects of the human immunodeficiency virus, the role of traditional healers, anesthesia, and the economics of surgery. Medical training and research are discussed, as are medical migration out of Africa and the concept of task shifting, where surgical procedures are performed by others when surgeons are not available. It closes with recommendations for involvement and action in this area of great global need.

DOI

10.1007/s00268-010-0885-6

Type

Journal article

Journal

World j surg

Publication Date

02/2011

Volume

35

Pages

262 - 271

Keywords

Africa, General Surgery, Health Services Needs and Demand, Humans, Research, Surgical Procedures, Operative, Workforce

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