Qazi Saqib Hamid, Dogar Sohail Asghar, Dogar Samie Asghar, Fitzgerald Tamara, Saleem Ayesha, Das Jai K
Department of Surgery, Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2019 Feb;69(Suppl 1)(1):S108-S111.
There is huge burden of paediatric surgical diseases in low and middle income countries. Issues behind such a scenario include lack of trained paediatric surgeons, higher mortality due to infections, and poor postoperative care. The possible solution is improvement in the existing structure, which is government hospitals, because they are the most prevalent form of healthcare delivery in such countries. Proper coding system, research and identification of paediatric bellwether procedures can improve the existing health system. Task shifting and sharing can help in many areas. The doctors leaving their countries for better training and employment options should be properly incentivised locally. A lot can be done in terms of providing infrastructure, finances, changing mind-sets, developing expertise, making registry and rehabilitation. By doing so, millions of paediatric mortalities can be prevented in low and middle income countries.
低收入和中等收入国家存在着巨大的小儿外科疾病负担。这种情况背后的问题包括缺乏训练有素的小儿外科医生、感染导致的较高死亡率以及术后护理不佳。可能的解决办法是改善现有的结构，即政府医院，因为它们是这些国家最普遍的医疗服务形式。适当的编码系统、对小儿关键手术的研究和识别可以改善现有的卫生系统。任务转移和分担在许多领域会有所帮助。对于那些为了更好的培训和就业机会而离开本国的医生，应在当地给予适当激励。在提供基础设施、资金、改变观念、培养专业技能、建立登记制度和康复方面可以做很多工作。通过这样做，低收入和中等收入国家可以预防数百万儿童死亡。
