Vanda Amado1, Deborah B Martins2, Abraar Karan2, Brittni Johnson2, Shant Shekherdimian2, Lee T Miller2, Atanasio Taela1, Daniel A DeUgarte3. 1. Hospital Central de Maputo; Universidade Eduardo Mondlane Faculdade de Medicina, Avenida Eduardo Mondlane, Maputo, Mozambique. 2. David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA. 3. David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA. Electronic address: ddeugarte@mednet.ucla.edu.
Abstract
BACKGROUND/ PURPOSE: There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique. METHODS: A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized. RESULTS: The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration. CONCLUSION: This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings. LEVEL OF EVIDENCE: Level IV.
BACKGROUND/ PURPOSE: There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique. METHODS: A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized. RESULTS: The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration. CONCLUSION: This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings. LEVEL OF EVIDENCE: Level IV.
Authors: Lohfa B Chirdan; Emmanuel A Ameh; Francis A Abantanga; Daniel Sidler; Essam A Elhalaby Journal: J Pediatr Surg Date: 2010-03 Impact factor: 2.545
Authors: Abraar Karan; Vanda Amado; Pio Vitorino; David Kulber; Atanasio Taela; Daniel A DeUgarte Journal: Pediatr Surg Int Date: 2015-08-18 Impact factor: 1.827
Authors: Zachary D C Burke; James B Chen; Celson Conceicao; Risa M Hoffman; Lee T Miller; Atanasio Taela; Daniel A DeUgarte Journal: Transfusion Date: 2013-05-21 Impact factor: 3.157
Authors: Kenneth Sherr; Antonio Mussa; Baltazar Chilundo; Sarah Gimbel; James Pfeiffer; Amy Hagopian; Stephen Gloyd Journal: PLoS One Date: 2012-04-27 Impact factor: 3.240