Ending Neglected Surgical Diseases (NSDs): Definitions, Strategies, and Goals for the Next Decade

被引:8
|
作者
Henry, Jaymie A. [1 ,2 ,3 ]
Volk, Angela S. [4 ]
Kariuki, Sicily K. [5 ]
Murungi, Kiraitu [6 ]
Firmalo, Trina [7 ]
Masha, Ruth Laibon [8 ]
Henry, Orion [9 ]
Arimi, Peter [10 ]
Mwai, Patrick [2 ]
Waiguru, Estella [5 ]
Mwiti, Evans [11 ]
Okoro, Dan [12 ]
Langat, Angella [13 ]
Mugambi, Cosmas [5 ]
Anastasi, Erin [14 ]
Slinger, Gillian [15 ]
Lavy, Chris [16 ,17 ]
Owen, Rosalind [17 ]
Stieber, Erin [18 ]
Suntay, Marc Lester [19 ]
Haddad, Danny [20 ]
Lane, Robert [21 ]
Buenaventura, Joel [22 ]
Parsan, Neil [23 ]
Abdulla, Fizan [24 ]
Nebeker, Michael [25 ]
Nebeker, Lismore [25 ]
Mock, Charles [26 ]
Hollier, Larry [4 ]
Jani, Pankaj [27 ]
机构
[1] Global Alliance Surg Obstet Trauma & Anesthesia C, Chicago, IL 60611 USA
[2] Int Collaborat Essential Surg ICES, Boca Raton, FL 33487 USA
[3] Florida Atlantic Univ FAU, Dept Surg, Boca Raton, FL USA
[4] Texas Childrens Hosp, Baylor Coll Med, Div Plast Surg, Houston, TX 77030 USA
[5] Minist Hlth Kenya, Nairobi, Kenya
[6] Cty Govt Meru Cty, Meru, Meru County, Kenya
[7] Prov Govt Odiongan, Odiongan, Philippines
[8] Joint United Nations Programme HIV AIDS UNAIDS, Geneva, Switzerland
[9] Finders Keepers Technol LLC, Boca Raton, FL USA
[10] Univ Nairobi, Coll Hlth Sci, Nairobi, Kenya
[11] Mt Kenya Univ MKU, Thika, Kenya
[12] United Nations Populat Fund UNFPA, Nairobi, Kenya
[13] Kenya First Ladies Off, Beyond Zero Secretariat, Nairobi, Kenya
[14] United Nations Populat Fund UNFPA, Campaign End Fistula, New York, NY USA
[15] Int Federat Gynecol & Obstet FIGO, Vancouver, BC, Canada
[16] Univ Oxford, Oxford, England
[17] Global Clubfoot Initiat GCI, London, England
[18] Smile Train Int, New York, NY USA
[19] World Surg Fdn WSF Philippines, Manila, Philippines
[20] Orbis Int, New York, NY USA
[21] Int Federat Surg Colleges IFSC, London, England
[22] Child Family Hlth Int Philippines, Manila, Philippines
[23] Govt Trinidad & Tobago, Port Of Spain, Trinidad Tobago
[24] Northwestern Univ, Lurie Childrens Hosp, Chicago, IL 60611 USA
[25] Mobile Surg Int, Oaxaca, Oaxaca, Mexico
[26] Univ Washington, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA
[27] Coll Surg East Cent & Southern Africa COSECSA, Arusha, Tanzania
关键词
Neglected Surgical Diseases; NSD; Neglected Surgical Conditions; Untreated Surgical Conditions; Essential Surgery; Global Surgery; COST-EFFECTIVENESS; GLOBAL SURGERY; HEALTH;
D O I
10.34172/ijhpm.2020.140
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
While there has been overall progress in addressing the lack of access to surgical care worldwide, untreated surgical conditions in developing countries remain an underprioritized issue. Significant backlogs of advanced surgical disease called neglected surgical diseases (NSDs) result from massive disparities in access to quality surgical care. We aim to discuss a framework for a public health rights-based initiative designed to prevent and eliminate the backlog of NSDs in developing countries. We defined NSDs and set forth six criteria that focused on the applicability and practicality of implementing a program designed to eradicate the backlog of six target NSDs from the list of 44 Disease Control Priorities 3rd edition (DCP3) surgical interventions. The human rights-based approach (HRBA) was used to clarify NSDs role within global health. Literature reviews were conducted to ascertain the global disease burden, estimated global backlog, average cost per treatment, disability-adjusted life-years (DALYs) averted from the treatment, return on investment, and potential gain and economic impact of the NSDs identified. Six index NSDs were identified, including neglected cleft lips and palate, clubfoot, cataracts, hernias and hydroceles, injuries, and obstetric fistula. Global definitions were proposed as a starting point towards the prevention and elimination of the backlog of NSDs. Defining a subset of neglected surgical conditions that illustrates society's role and responsibility in addressing them provides a framework through the HRBA lens for its eventual eradication.
引用
收藏
页码:1608 / 1615
页数:8
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