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应对全球儿童外科挑战:布基纳法索的一个独特项目。

Responding to the challenges of Global Children Surgery: a unique program in Burkina Faso.

机构信息

Institute of Global Health, University of Geneva, Geneva, Switzerland.

Division of Pediatric and Adolescent Surgery, Unit of Pediatric Surgery, Department of Pediatrics, Gynecology, and Obstetrics, University Hospitals of Geneva, Rue Willy Donzé 6, 1205, Geneva, Switzerland.

出版信息

Pediatr Surg Int. 2024 Nov 15;40(1):310. doi: 10.1007/s00383-024-05903-w.

Abstract

PURPOSE

The challenges are immense when it comes to enhancing the development of pediatric surgery in low- and middle-income countries in line with current recommendations for holistic and sustainable approaches. The Pediatric surgery development plan in Burkina Faso was started in 2020. This paper reports on our unique experience, focusing on the main actions and indicators monitored.

METHODS

The program was developed based on the core principles of the Global Initiative for Children's Surgery, employing a comprehensive health system-strengthening strategy. Our approach aimed to address the pediatric surgical ecosystem through partnerships, research, and interventions at all levels of the healthcare system.

RESULTS

Significant actions were implemented across various domains, including infrastructure, quality of care, workforce, community awareness, research, and advocacy. These efforts have led to a substantial strengthening of the pediatric surgical ecosystem in the country, achieving major milestones and outcomes in each of these areas.

CONCLUSION

This program has not only helped to create a major impulse for the expansion of pediatric surgery in Burkina Faso, but also enriched the community of interest with a robust implementation program to confirm the main challenge to succeed: integrating this most essential discipline into the wider framework of global health.

摘要

目的

在符合整体和可持续方法的当前建议下,加强中低收入国家小儿外科学发展面临巨大挑战。布基纳法索的小儿外科学发展计划于 2020 年启动。本文报告了我们独特的经验,重点介绍了监测的主要行动和指标。

方法

该计划基于全球儿童外科学倡议的核心原则制定,采用全面的卫生系统强化战略。我们的方法旨在通过各级医疗保健系统的伙伴关系、研究和干预来解决小儿外科学领域的生态系统问题。

结果

在基础设施、医疗质量、劳动力、社区意识、研究和宣传等各个领域都实施了重大行动。这些努力极大地加强了该国的小儿外科学生态系统,在这些领域都取得了重大里程碑和成果。

结论

该计划不仅为布基纳法索小儿外科学的发展创造了重大推动力,而且还为利益共同体提供了一个强大的实施计划,以确认成功的主要挑战:将这一最基本的学科纳入更广泛的全球卫生框架。

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本文引用的文献

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Estimates of number of children and adolescents without access to surgical care.估算无法获得外科治疗的儿童和青少年人数。
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Epidemiology of pediatric surgical needs in low-income countries.低收入国家儿童外科需求的流行病学
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Pediatric surgical capacity in Africa: Current status and future needs.非洲的小儿外科手术能力:现状与未来需求。
J Pediatr Surg. 2017 May;52(5):843-848. doi: 10.1016/j.jpedsurg.2017.01.033. Epub 2017 Jan 29.

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