2023-09-28 14:46:10 +00:00
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abstract: 'Despite the high population of children, increasing surgical disease
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burden and shortage of pediatric surgeons, as well as limited
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infrastructure, children''s surgical care in low-and middle-income
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countries (LMICs) has been neglected for decades. This has contributed
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to unacceptably high morbidity and mortality, long term disabilities and
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economic loss to families. The work of the global initiative for
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children''s surgery (GICS) has raised the profile and visibility of
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children''s surgery in the global health space. This has been achieved a
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philosophy of inclusiveness, LMIC participation, focus on LMIC needs and
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high income country (HIC) support, and driven by implementation to
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change on the ground situations. Children''s operating rooms are being
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installed to strengthen infrastructure and children''s surgery is being
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gradually included in national surgical plans to provide the policy
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framework to support children''s surgical care. In Nigeria, pediatric
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surgery workforce has increased from 35 in 2003 to 127 in 2002, but the
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density remains low at 0.14 per 100,000 population <15 years. Education
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and training have been strengthened with the publication of a pediatric
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surgery textbook for Africa and creation of a Pan Africa pediatric
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surgery e-learning platform. However, financing children''s surgery in
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LMICs remains a barrier as many families are at risk of catastrophic
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healthcare expenditure. The success of these efforts provides
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encouraging examples of what can be collectively achieve by appropriate
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and mutually beneficial global north-south collaborations. Pediatric
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surgeons need to commit their time, knowledge and skills, as well as
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experience and voices to strengthen children''s surgery globally to
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impact more lives, for the overall good of more.(c) 2023 Elsevier Inc.
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All rights reserved.'
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affiliation: 'Ameh, EA (Corresponding Author), Natl Hosp, Dept Surg, Div Pediat Surg,
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POB 187, Garki 900001, Abuja, Nigeria.
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Ameh, Emmanuel A., Natl Hosp, Dept Surg, Div Pediat Surg, POB 187, Garki 900001,
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Abuja, Nigeria.'
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author: Ameh, Emmanuel A.
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author-email: eaameh@yahoo.co.uk
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author_list:
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- family: Ameh
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given: Emmanuel A.
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da: '2023-09-28'
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doi: 10.1016/j.jpedsurg.2023.02.006
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earlyaccessdate: MAY 2023
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eissn: 1531-5037
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files: []
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issn: 0022-3468
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journal: JOURNAL OF PEDIATRIC SURGERY
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keywords: Children; Surgery; Workforce; Infrastructure; Global health; Progress
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language: English
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month: JUN
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number: '6'
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number-of-cited-references: '24'
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pages: 1039-1047
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papis_id: 63e94573d74bf59475984708d84be3c5
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ref: Ameh2023realigningglobal
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times-cited: '0'
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title: 'Realigning Global Health Realities Towards Children''s Surgery: Progress and
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Possibilities'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001001781700001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '58'
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web-of-science-categories: Pediatrics; Surgery
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year: '2023'
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