2018
DOI: 10.1007/s00192-018-3561-2
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Demand and capacity to integrate pelvic organ prolapse and genital fistula services in low-resource settings

Abstract: Introduction and hypothesisThere is a need for expanded access to safe surgical care in low- and middle-income countries (LMICs) as illustrated by the report of the 2015 Lancet Commission on Global Surgery. Packages of closely-related surgical procedures may create platforms of capacity that maximize impact in LMIC. Pelvic organ prolapse (POP) and genital fistula care provide an example. Although POP affects many more women in LMICs than fistula, donor support for fistula treatment in LMICs has been underway f… Show more

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Cited by 4 publications
(3 citation statements)
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“…The terminology document defines methods for nonsurgical treatment of fistula with catheter, debridement, and fulguration. This report acknowledges that PFF may not occur in isolation but may be associated with pelvic organ prolapse (POP) [18][19][20][21] and voiding, defecatory and/or sexual dysfunctions and/or other pelvic floor dysfunction, and/or other diagnoses of musculoskeletal, renal, reproductive, and mental health aetiologies.…”
Section: Introductionmentioning
confidence: 99%
“…The terminology document defines methods for nonsurgical treatment of fistula with catheter, debridement, and fulguration. This report acknowledges that PFF may not occur in isolation but may be associated with pelvic organ prolapse (POP) [18][19][20][21] and voiding, defecatory and/or sexual dysfunctions and/or other pelvic floor dysfunction, and/or other diagnoses of musculoskeletal, renal, reproductive, and mental health aetiologies.…”
Section: Introductionmentioning
confidence: 99%
“…Human resource management (Abadi et al, 2018;Jain & Ajmera, 2018;Muljo & Pardamean, 2013;Rahman & Zailani, 2017), resource dependence (Lin, 2014), resource allocation (Malairajan et al, 2012), operational performance measurement (Lin, 2014;Kim, 2017;Rahman & Zailani, 2017), demand and capacity integration (Murray & Berwick, 2003;Xu et al, 2018;Sanden et al, 2005), and capacity planning (Murray & Berwick, 2003;Farmer, Hosek & Adamson, 2016;Wirtz, 2016;Tripathi, Elneil & Romanzi, 2018) are some of the topics discussed in the literature within the context of medical tourism service resource management. Human resource planning is critical due to the high level of human participation to deliver services in order to guarantee satisfied patients (Rahman & Zailani, 2017).…”
Section: Capacity and Resource Managementmentioning
confidence: 99%
“…Pelvic floor disorders fall between major policy groupings and features in different specialities (gynaecology & obstetrics, care of the elderly, urology …) but has no place of its own. These disorders are sometimes treated through the lens of maternal and reproductive health ( 7 ), sometimes through general gynaecology care ( 8 ) and sometimes through urology and surgery ( 9 ). Additionally, globally, pelvic floor disorders such as urinary incontinence and organ prolapse are considered a disease of ageing ( 10 ).…”
Section: Introductionmentioning
confidence: 99%