Establishing a head and neck unit in a developing country

Aswani, Joyce; Baidoo, Kenneth; Otiti, Jeffrey

doi:10.1017/s0022215112000333

Cited by 16 publications

(14 citation statements)

References 4 publications

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“…needed to provide quality care. 13,14,19,20,23,35 These also contribute to the poor diagnostic ability in many hospitals in developing countries 19 . When equipment are available, some of them are also poorly maintained leading to breakdown.…”

Section: Resultsmentioning

confidence: 99%

“…When equipment are available, some of them are also poorly maintained leading to breakdown. 18,20,24 …”

Section: Resultsmentioning

confidence: 99%

“…2,10,16,20,53 A previous survey among surgeons in sub-Saharan Africa had shown that many surgeons in these areas desire a better understanding of clinical research 54 . This knowledge is critical to improving interest and quality of surgical research.…”

Section: Resultsmentioning

confidence: 99%

“…10,35 This therefore makes the support and engagement of political and local leaders indispensable. 20,30,32,55 Leaders must be committed to improving the health and livelihood of citizens-especially the poor 2 . Good transport and communication are also key to an effective referral system.…”

Section: Resultsmentioning

confidence: 99%

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Surgical care in the developing world-strategies and framework for improvement

Akenroye

Adebona

Akenroye

2013

J Public Health Africa

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The purpose of this study was to identify the various problems with surgical care in the developing world and enumerate identified strategies or propose solutions. We also sought to rank these strategies in order of potential impact. The MEDLINE database was sought. Studies published in English, reporting currently employed solutions to identified barriers or problems to surgical care in developing countries or potential solution(s) and published between 2000 and 2012 were eligible for inclusion. 2156 articles were identified for possible inclusion. MeSH terms include surgery, general surgery, developing countries, health services accessibility and quality improvement. Forty-nine full articles with a primary focus on the solutions to the challenges to surgical care in the developing world were included in the final review. Many articles identified problems with infrastructure, workforce shortage, inadequate or inappropriate policies, and poor financing as major problems with healthcare in the developing world. Solutions addressing these problems are multifactorial and would require active participation of local authorities and collaboration with providers from the developed world. The burden of surgical care is increasing. There is poor access to surgical services in the developing world. If and when surgical care is received, the quality could be less than the standard in developed nations. Solutions exist to tackle these problems but require a multidimensional approach to be successful.

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Section: Resultsmentioning

confidence: 99%

“…When equipment are available, some of them are also poorly maintained leading to breakdown. 18,20,24 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Surgical care in the developing world-strategies and framework for improvement

Akenroye

Adebona

Akenroye

2013

J Public Health Africa

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“…In this issue [2][3][4][5] and those following, we have invited selected authors to present their experience of developing ENT services in poorer countries. In addition, the JLO Digital Archive provides a readily available resource for ENT practitioners worldwide, enabling access to a huge database of articles relevant to the global health agenda and its ENT perspective.…”

mentioning

confidence: 99%

The global scope of ENT

Fagan¹,

Stafford²,

Youngs³

2012

J. Laryngol. Otol.

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The global scope of ENTThe term 'global health' refers to the health of populations in a global sense, in that it transcends national borders. The underlying premise is an attempt to achieve equity in health care for all of the world's people. Of course, the present state is far from this ideal, with huge inequalities existing, from the extremes of no health care access for some versus wasteful over-investigation and over-treatment for others.The global health stage has been dominated by communicable diseases, such as human immunodeficiency virus infection, malaria and tuberculosis, and the issues of maternal and child health. As a result, ENT and head and neck disorders have received little attention, despite being major public health concerns.According to the World Health Organization, 'The conditions that affect the largest number of individuals at any given moment are not dramatic, and are thus easily overlooked and underestimated'. 1 Deafness is the world's commonest disability and has profound effects. Worldwide, most severely deaf children fail to develop normal speech and language. Deaf adults have difficulty finding employment, and the elderly deaf are often socially isolated. Deafness due to chronic otitis media, ototoxic drugs and excessive noise exposure is increasing. In developed countries, age-related sensorineural deafness is increasingly prevalent, in line with increasing life expectancy.Head and neck cancer is a major problem in poorer countries where tobacco and alcohol consumption is on the increase. Disease often presents at a late stage, and there are economic barriers to diagnosis and treatment.The Journal of Laryngology & Otology has always had an international outlook and continues to be aimed at the ENT community as a whole. In this issue 2-5 and those following, we have invited selected authors to present their experience of developing ENT services in poorer countries. In addition, the JLO Digital Archive provides a readily available resource for ENT practitioners worldwide, enabling access to a huge database of articles relevant to the global health agenda and its ENT perspective. Some of these articles provide accounts of contemporary management of conditions seen more commonly in poorer countries. 6,7 Others present innovative ways of managing common conditions. 8,9 Finally, there are accounts of the unique health problems encountered in hostile environments. 10 The JLO Digital Archive is a rich resource which we hope many of our readers will find informative and fascinating. JOHANNES J FAGAN NICHOLAS STAFFORD Guest Editors ROBIN YOUNGSSenior Editor

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