A Nationwide Assessment of Pediatric Surgical Capacity in Mongolia

Goodman, Libby; Chuluun, Erdenetsetseg; Sanjaa, Burmaa; Urjin, Sanchin; Erdene, Sarnai; Khad, Narantuya; Jamiyanjav, Adiyasuren; Stephenson, Jacob T.; Farmer, Diana L.

doi:10.1007/s00268-018-4613-y

Cited by 3 publications

(4 citation statements)

References 23 publications

(22 reference statements)

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“…Little over 10% of the capital's inhabitants are aged under 5 years and care for the paediatric population primarily provided in family health centre setting or secondary district hospitals. 22 More specialised paediatric care is Open access provided in the tertiary paediatric hospital (National Centre for Maternal and Child Health, NCMCH) located in on the border of the city centre.…”

Section: Data Sourcesmentioning

confidence: 99%

Impact assessment of a raw coal ban on maternal and child health outcomes in Ulaanbaatar: a protocol for an interrupted time series study

et al. 2023

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IntroductionDespite a decade of policy actions, Ulaanbaatar’s residents continue to be exposed to extreme levels of air pollution, a major public health concern, especially for vulnerable populations such as pregnant women and children. In May 2019, the Mongolian government implemented a raw coal ban (RCB), prohibiting distribution and use of raw coal in households and small businesses in Ulaanbaatar. Here, we present the protocol for an interrupted time series (ITS; a strong quasi-experimental study design for public health interventions) that aims to assess the effectiveness of this coal ban policy on environmental (air quality) and health (maternal and child) outcomes.Methods and analysisRoutinely collected data on pregnancy and child respiratory health outcomes between 2016 and 2022 in Ulaanbaatar will be collected retrospectively from the four main hospitals providing maternal and/or paediatric care as well as the National Statistics Office. Hospital admissions data for childhood diarrhoea, an unrelated outcome to air pollution exposure, will be collected to control for unknown or unmeasured coinciding events. Retrospective air pollution data will be collected from the district weather stations and the US Embassy. An ITS analysis will be conducted to determine the RCB intervention impact on these outcomes. Prior to the ITS, we have proposed an impact model based on a framework of five key factors, which were identified through literature search and qualitative research to potentially influence the intervention impact assessment.Ethics and disseminationEthical approval has been obtained via the Ministry of Health, Mongolia (No.445) and University of Birmingham (ERN_21-1403). To inform relevant stakeholders of our findings, key results will be disseminated on both (inter)national and population levels through publications, scientific conferences and community briefings. These findings are aimed to provide evidence for decision-making in coal pollution mitigation strategies in Mongolia and similar settings throughout the world.

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Section: Data Sourcesmentioning

confidence: 99%

Impact assessment of a raw coal ban on maternal and child health outcomes in Ulaanbaatar: a protocol for an interrupted time series study

et al. 2023

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“…In 2015, >75% of their pediatric surgeries were reported occurring in the capital. 11 In contrast, Papua New Guinea is less urbanized, and its topography makes safe transport of sick children difficult, making a central referral model more challenging. New Zealand, albeit an HIC and more urbanized than Mongolia and South Africa, has taken a novel approach to try to ensure high-quality pediatric anesthesia care for all children regardless of geographic location.…”

Section: Glossarymentioning

confidence: 99%

Access to Safe Pediatric Anesthesia in LMICs—The Problem Is Clear; It Is Time to Solve It!

Evans

Wake

Gathuya

et al. 2022

Anesthesia &Amp; Analgesia

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“…Although biased by referral and access, hospital-based data can provide valuable information on the burden of pediatric surgical diseases, especially in sub-Saharan Africa where there is a marked paucity of data [37][38][39]. In light of the inherent challenges in both community-based and institutional data, several investigators have combined them, hence both reinforcing data validity and gaining unique supply/demand perspectives in LMICs [40,41].…”

Section: Burden Of Diseasementioning

confidence: 99%

“…Mission and other charitable non-governmental hospitals and externally funded surgeons make valuable contributions to elective and specialist surgery in many countries [62][63][64][65], but they rarely contribute to capacity-building [66]. To assess surgical capacity, use of the PediPIPES tool as an adaptation of the PIPES tool to children's surgery [67] has facilitated surgical capacity assessments in several LMIC settings beyond its original application in West Africa [41,68]. Several other formalized and/or validated survey tools have been used in LMICs.…”

Section: Surgical Capacitymentioning

confidence: 99%

Developing Metrics to Define Progress in Children’s Surgery

Poenaru

Seyi‐Olajide

2018

World j. surg.

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There is a need for relevant, valid, and practical metrics to better quantify both need and progress in global pediatric surgery and for monitoring systems performance. There are several existing surgical metrics in use, including disability‐adjusted life years (DALYs), surgical backlog, effective coverage, cost‐effectiveness, and the Lancet Commission on Global Surgery indicators. Most of these have, however, not been yet applied to children’s surgery, leaving therefore significant data gaps in the burden of disease, infrastructure, human resources, and quality of care assessments in the specialty. This chapter reviews existing global surgical metrics, identifies settings where these have been already applied to children’s surgery, and highlights opportunities for further inquiry in filling the knowledge gaps. Directing focused, intentional knowledge translation efforts in the identified areas of deficiency will foster the maturation of global pediatric surgery into a solid academic discipline able to contribute directly to the cause of improving the lives of children around the world.

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A Nationwide Assessment of Pediatric Surgical Capacity in Mongolia

Cited by 3 publications

References 23 publications

Impact assessment of a raw coal ban on maternal and child health outcomes in Ulaanbaatar: a protocol for an interrupted time series study

Impact assessment of a raw coal ban on maternal and child health outcomes in Ulaanbaatar: a protocol for an interrupted time series study

Access to Safe Pediatric Anesthesia in LMICs—The Problem Is Clear; It Is Time to Solve It!

Developing Metrics to Define Progress in Children’s Surgery

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