ArticleWorld journal of surgery2019
Unifying Children's Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines: Challenges and Solutions from Uganda.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 35 citations in OpenAlex.
- Article
- Global Initiative for Children's Surgery (GICS): a decade in review.World journal of pediatric surgery · 2025Review
- Pediatric Surgery Collaboration in Uganda, the Benefits of Long Term Partnerships at Regional Referral Hospitals.Research square · 2024Article
- Pediatric Emergency Surgery Course in Uganda: Long-Term Follow-Up and Insights From Further Dissemination.The Journal of surgical research · 2024Article
- The Pediatric Emergency Surgery Course: Impact on Provider Practice in Rural Uganda.Journal of pediatric surgery · 2024Article
- The Evolving Landscape of Global Surgery: A Qualitative Study of North American Surgeons' Perspectives on Faith-Based and Academic Initiatives.Journal of religion and health · 2022Article
- Training low-middle-income (LMIC) pediatric surgeons in a high-income country (HIC) program.Pediatric surgery international · 2022Article
- Short-Term Management Outcomes of Supracondylar Fractures of the Humerus and Their Associated Factors in Children Managed at Mulago National Referral Hospital.Orthopedic research and reviews · 2022Article
- Surgical procedures for children in the public healthcare sector: a nationwide, facility-based study in Uganda.BMJ open · 2021Article
- Lessons from developing, implementing and sustaining a participatory partnership for children's surgical care in Tanzania.BMJ global health · 2020Review
- Epidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda.Pediatric surgery international · 2019Article
- Investing in all of Our Children: Global Pediatric Surgery for the Twenty-First Century.World journal of surgery · 2019Article
- A comparative study of L4-L5-S1 and L5-S1 vertebral fusion in high-grade L5-S1 spondylolisthesis.Journal of craniovertebral junction & spineArticle
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Authors and funding
40 authors at 20 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a significant unmet need for children's surgical care in low- and middle-income countries (LMICs). Multidisciplinary collaboration is required to advance the surgical and anesthesia care of children's surgical conditions such as congenital conditions, cancer and injuries. Nonetheless, there are limited examples of this process from LMICs. We describe the development and 3-year outcomes following a 2015 stakeholders' meeting in Uganda to catalyze multidisciplinary and multi-institutional collaboration.
methodsThe stakeholders' meeting was a daylong conference held in Kampala with local, regional and international collaborators in attendance. Multiple clinical specialties including surgical subspecialists, pediatric anesthesia, perioperative nursing, pediatric oncology and neonatology were represented. Key thematic areas including infrastructure, training and workforce retention, service delivery, and research and advocacy were addressed, and short-term objectives were agreed upon. We reported the 3-year outcomes following the meeting by thematic area.
resultsThe Pediatric Surgical Foundation was developed following the meeting to formalize coordination between institutions. Through international collaborations, operating room capacity has increased. A pediatric general surgery fellowship has expanded at Mulago and Mbarara hospitals supplemented by an international fellowship in multiple disciplines. Coordinated outreach camps have continued to assist with training and service delivery in rural regional hospitals.
conclusionCollaborations between disciplines, both within LMICs and with international partners, are required to advance children's surgery. The unification of stakeholders across clinical disciplines and institutional partnerships can facilitate increased children's surgical capacity. Such a process may prove useful in other LMICs with a wide range of children's surgery stakeholders.
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