Department of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.
Center for Equity in Global Surgery, University of Global Health Equity, Kigali, Rwanda.
BMC Surg. 2024 Oct 12;24(1):304. doi: 10.1186/s12893-024-02596-9.
Accessing surgical care is of profound significance that face remote African communities due to insufficient healthcare means and infrastructure. Deploying mobile surgical units (MSUs) have present a potential solution to underserved populations in rural Africa to address said issues. The aim of this narrative review is to examine the role of MSU utilization in remote African communities to meet surgical needs and evaluate how this has affected healthcare provision.
To identify studies focusing on the dissemination of MSUs in remote African communities covered countries such as Uganda, Kenya, Tanzania, Nigeria, and Ethiopia, and we employed a plethora of electronic search databases including PubMed/Medline, Google Scholar, Scopus and other relevant literature sources. Inclusion criteria were studies on MSUs in remote African communities, while exclusion criteria involved non- African or urban-focused studies.
This review highlights that the current literature depicts that application of MSUs bring a positive impact in providing timely and quality surgical care to remote African communities. Frequent interventions, such as minor surgeries, obstetric procedures, and major trauma control, have been performed on MSUs. In settings with shortages of human resources and clinical equipments, these units have improved patient outcomes, reduced healthcare disparities, and increased access to emergency surgical care. While challenges such as financial constraints and surgical sustainability have been noted, the need for interdisciplinary collaboration and the advantages of MSU deployment often help mitigate these obstacles.
A lack of surgical care for individuals living in remote African domiciles may be addressed via MSU application. Through delivering fundamental surgical services directly to underserved populations, MSUs may potentially prevent disabilities, save countless lives, and enhance overall health outcomes in African remote communities. To guarantee the long-term feasibility and sustainability of MSU programs in Africa, however, more funding must be allocated to infrastructure, supplies, and relevant education.
由于医疗手段和基础设施不足,获取外科护理对偏远的非洲社区来说具有重要意义。派遣移动外科单位(MSU)为解决上述问题提供了一个潜在的解决方案,为农村非洲的服务不足人群提供服务。本叙述性综述的目的是检查 MSU 在偏远的非洲社区中的利用情况,以满足手术需求,并评估其对医疗服务提供的影响。
为了确定研究重点是在偏远的非洲社区中传播 MSU,我们使用了多种电子搜索数据库,包括 PubMed/Medline、Google Scholar、Scopus 和其他相关文献来源,这些数据库涵盖了乌干达、肯尼亚、坦桑尼亚、尼日利亚和埃塞俄比亚等国家。纳入标准为关于偏远非洲社区中 MSU 的研究,排除标准为非非洲或城市为重点的研究。
本综述表明,目前的文献表明,MSU 的应用为偏远的非洲社区提供及时和高质量的外科护理带来了积极的影响。已经在 MSU 上进行了频繁的干预,如小手术、产科程序和重大创伤控制。在人力资源和临床设备短缺的情况下,这些单位改善了患者的预后,减少了医疗保健差距,并增加了获得紧急外科护理的机会。尽管注意到了财务限制和外科手术可持续性等挑战,但跨学科合作的必要性和 MSU 部署的优势通常有助于克服这些障碍。
通过应用 MSU,可以解决生活在偏远的非洲家庭中的个人缺乏外科护理的问题。通过直接向服务不足的人群提供基本的外科服务,MSU 可能会预防残疾,挽救无数生命,并提高非洲偏远社区的整体健康结果。然而,为了确保 MSU 项目在非洲的长期可行性和可持续性,必须为基础设施、供应品和相关教育提供更多资金。