ArticleInternational health2024
Community health workers to reduce unmet surgical needs in an urban slum in India: an implementation study.
Article in International health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Capacity building through workforce training and community engagement for Surgical, Obstetric, Trauma, and Anaesthesia (SOTA) care: Case studies from South Asia.Dialogues in health · 2026Review
- Use of photovoice in health systems research: methodological considerations and experiences from Uganda.Health research policy and systems · 2025Review
- Data Innovation, Program Implementation, and Community Action (DIPICA) Observatory for Surgical, Anesthesia, and Obstetric (SAO) Care in India.BMC proceedings · 2025Article
- Decolonizing global health: a scoping review.BMC health services research · 2025Article
- Reimagining the role of community health workers in SAARC countries.Annals of medicine and surgery (2012) · 2024Review
- Challenges to Achieving Surgical Equity in Slums.International journal of public health · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundThe Surgical Accredited & Trained Healthcare Initiative (SATHI) project demonstrates how community healthcare workers (CHWs) with merely 8 y of formal schooling and training for a short period can reduce unmet surgical needs.
methodsA pilot study was carried out in the slums of a metropolitan city in India to know the effectiveness of a SATHI in reducing the burden of unmet surgical needs. In total, 12 730 people from 3000 households were included in the study for a duration of 6 months.
resultsWe found 10% surgical needs (n=293) out of which 57% had unmet surgical needs. Out of total surgical needs, about half of the needs were cataract and abdominal, followed by extremities and chest conditions. SATHIs were able to convert 99 patients (60%) from unmet to met needs, who underwent surgery/treatment. The conversion from unmet to met among all surgery needs was highest for abdominal conditions (29%) followed by cataracts (17%).
conclusionsSATHIs with short training can reduce the burden of unmet surgical needs. SATHIs were able to convert a significant proportion of unmet to met needs by trust building, facilitating access to healthcare and ensuring post-operative adherence. Scaling up could help in the achievement of equitable healthcare across India.
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