Manoel Poliana Zanotto, Uwishema Olivier, Manoel Agnes Zanotto, Dike Innocent Chijioke, Yassin Nour, Mshaymesh Sarah
Department of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.
Department of Medicine, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.
Ann Med Surg (Lond). 2025 Apr 2;87(5):2847-2854. doi: 10.1097/MS9.0000000000003236. eCollection 2025 May.
Non-communicable diseases (NCDs) encompass five major categories: cardiovascular disease, cancer, diabetes mellitus, mental health disorders, and chronic respiratory diseases. The burden of NCDs is rising in Africa, particularly in sub-Saharan Africa, having increased by 67% from 1990 to 2017, which puts additional pressure on healthcare services. Although most treatments for NCDs are non-surgical, surgical intervention plays a crucial role in managing many of these diseases. Unfortunately, barriers to accessing surgical care for NCDs remain in Africa.
A comprehensive literature review was conducted employing the following search databases: AJOL, PubMed/Medline, and Google Scholar. Search strategies that combined terms pertaining to "non-communicable disease," "surgical care," and "Africa" were utilized.
The main barriers to surgical access in the management of NCDs in Africa include restricted financial resources, a lack of adequate infrastructure, and deficiencies in competent surgical training. Measures to improve surgical intervention associated with NCDs include international collaborations, improved education and training of professionals, and the use of mobile technology tools.
There is a need to implement strategies that seek to improve access to surgery for the treatment of NCDs on the African continent. Some of these strategies involve multi-professional action alongside the establishment of prevention actions and policies aimed at the management of NCDs. Furthermore, support from the governments of each nation, as well as ongoing research on the subject, also contribute to better development of surgical care for these diseases in the African context.
非传染性疾病（NCDs）涵盖五大类：心血管疾病、癌症、糖尿病、精神健康障碍和慢性呼吸道疾病。非洲，尤其是撒哈拉以南非洲地区的非传染性疾病负担正在上升，从1990年到2017年增加了67%，这给医疗服务带来了额外压力。尽管大多数非传染性疾病的治疗是非手术性的，但手术干预在这些疾病的管理中起着关键作用。不幸的是，非洲在获得非传染性疾病手术治疗方面仍然存在障碍。
采用以下检索数据库进行了全面的文献综述：AJOL、PubMed/Medline和谷歌学术。使用了将与“非传染性疾病”、“手术治疗”和“非洲”相关的术语组合在一起的检索策略。
非洲非传染性疾病管理中手术治疗的主要障碍包括财政资源有限、缺乏足够的基础设施以及合格手术培训的不足。改善与非传染性疾病相关的手术干预的措施包括国际合作、加强专业人员的教育和培训以及使用移动技术工具。
有必要在非洲大陆实施旨在改善非传染性疾病手术治疗可及性的战略。其中一些战略涉及多专业行动，同时制定针对非传染性疾病管理的预防行动和政策。此外，每个国家政府的支持以及对该主题的持续研究，也有助于在非洲背景下更好地发展这些疾病的手术治疗。
