Amado Vanda, Martins Deborah B, Karan Abraar, Johnson Brittni, Shekherdimian Shant, Miller Lee T, Taela Atanasio, DeUgarte Daniel A
Hospital Central de Maputo; Universidade Eduardo Mondlane Faculdade de Medicina, Avenida Eduardo Mondlane, Maputo, Mozambique.
David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
J Pediatr Surg. 2017 Sep;52(9):1528-1533. doi: 10.1016/j.jpedsurg.2016.12.026. Epub 2017 Jan 5.
BACKGROUND/PURPOSE: There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique.
A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized.
The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration.
This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings.
Level IV.
背景/目的：全球范围内，外科治疗中的差异越来越受到关注。人们越来越努力改善低收入地区的当地基础设施和外科医生培训。本研究的目的是回顾加州大学洛杉矶分校（UCLA）与莫桑比克马普托的爱德华多·蒙德拉内大学之间全球学术性小儿普通外科合作的头五年。
采用混合方法进行持续的需求评估。对入院和手术记录进行回顾性审查。总结合作活动。
需求评估发现了几个挑战，包括手术时间有限、人员、设备和资源。对记录的审查发现烧伤入院和结直肠手术的频率很高。合作活动侧重于提供教育资源、现场指导、培训机会和研究合作。
本研究突出了撒哈拉以南非洲一家小儿普通外科转诊中心的疾病谱和手术病例数量，并为学术合作活动提供了背景，以促进资源有限地区的小儿普通外科护理培训并提高其质量。
四级。
