The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Prioritisation of Surgery in the National Health Strategic Plans of Africa: A Systematic Review
Open accessAbstract
INTRODUCTION: Disease amenable to surgical intervention accounts for 11-15 % of world disability and there is increasing interest in surgery as a global public health issue. National Health Strategic Plans (NHSPs) reflect countries' long-term health priorities, plans and targets. These plans were analysed to assess the prioritisation of surgery as a public health issue in Africa. METHODS: NHSPs of 43 independent Sub-Saharan African countries available in the public domain in March 2014 in French or English were searched electronically for key terms: surg*, ortho*, trauma, cancer, appendic*, laparotomy, HIV, tuberculosis, malaria. They were then searched manually for disease prevalence, targets, and human resources. RESULTS: 19 % of NHSPs had no mention of surgery or surgical conditions. 63 % had five or less mentions of surgery. HIV and malaria had 3772 mentions across all the policies, compared to surgery with only 376 mentions. Trauma had 239 mentions, while the common surgical conditions of appendicitis, laparotomy and hernia had no mentions at all. Over 95 % of NHSPs specifically mentioned the prevalence of HIV, tuberculosis, malaria, infant mortality and maternal mortality. Whereas, the most commonly mentioned surgical condition for which a prevalence was given was trauma, in only 47 % of policies. All NHSPs had plans and measurable targets for the reduction of HIV and tuberculosis. Of the total 4064 health targets, only 2 % were related to surgical conditions or surgical care. 33 % of policies had no surgical targets. DISCUSSION: NHSPs are the best available measure of health service and planning priorities. It is clear from our findings that surgery is poorly represented and that surgical conditions and surgical treatment are not widely recognised as a public health priority. Greater prioritisation of surgery in national health strategic policies is required to build resilient surgical systems.
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“(1) NSOAP development itself improves visibility and accountability around the SOA system, an otherwise neglected area of the health system.6”
From Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania (2019) · cites this paper as [6]
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“Despite these advantages, a 2015 study of national health plans of sub Saharan Africa noted 63% of plans had less than five mentions of surgery and 33% had no relevant targets.6”
From Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania (2019) · cites this paper as [6]
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Murray, C. J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61689-4 · Cited by 8,888
Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
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Self-citationAn estimation of the global volume of surgery: a modelling strategy based on available data
Weiser, T. G., Regenbogen, S. E., Thompson, K. D., Haynes, A. B., Lipsitz, S. R., Berry, W. R., & Gawande, A. A. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60878-8 · Cited by 2,511
Health systems financing and the path to universal coverage
Evans, D. B., & Etienne, C. (2010) · Bulletin of the World Health Organization · doi:10.2471/blt.10.078741 · Cited by 1,279
Global access to surgical care: a modelling study
Alkire, B. C., Raykar, N. P., Shrime, M. G., Weiser, T. G., Bickler, S. W., Rose, J. A., Nutt, C. T., Greenberg, S. L. M., Kotagal, M., Riesel, J. N., et al. (2015) · The Lancet Global Health · doi:10.1016/s2214-109x(15)70115-4 · Cited by 673
Global burden of surgical disease: an estimation from the provider perspective
Shrime, M. G., Bickler, S. W., Alkire, B. C., & Mock, C. (2015) · The Lancet Global Health · doi:10.1016/s2214-109x(14)70384-5 · Cited by 499
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Universal health coverage: the post-2015 development agenda
Vega, J. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60062-8 · Cited by 145
Dare, A. J., Bleicher, J. M., Lee, K. C., Elobu, E., Kamara, T. B., Liko, O., Luboga, S. A., Danlop, A., Kune, G., Hagander, L. E., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)60849-2 · Cited by 19
Research works printed but not linked: 1
- Debas HT, 2006, Surgery
Cited by
Truché, P., Shoman, H., Reddy, C. L., Jumbam, D. T., Ashby, J., Mazhiqi, A., Wurdeman, T., Ameh, E. A., Smith, M., Lugazia, E., et al. (2020) · Globalization and Health · doi:10.1186/s12992-019-0531-5 · Cited by 330
Citron, I., Jumbam, D., Dahm, J., Mukhopadhyay, S., Nyberger, K., Iverson, K., Akoko, L., Lugazia, E., D"Mello, B., Maongezi, S., et al. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2018-001282 · Cited by 68
Self-citationSonderman, K. A., Citron, I., & Meara, J. G. (2018) · JAMA Surgery · doi:10.1001/jamasurg.2018.2440 · Cited by 43
Self-citation
Metadata
- Authors
- Citron, I., Chokotho, L., & Lavy, C.
- Affiliations
- University of Oxford (GB)
- Beit Cure International Hospital Blantyre Malawi
- Corresponding author
- Citron, Isabelle
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2015-12-28
- Volume
- 40
- Issue
- 4
- Pages
- 779-783
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- PMC
- PMC4767853
- OpenAlex
- W2211772526
- Cited by
- 47
- References
- 9
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 5 · 2023: 4 · 2022: 1 · 2021: 9 · 2020: 5 · 2019: 8 · 2018: 7 · 2015: 1
- FWCI
- 0.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- World Journal of Surgery (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- University of Oxford
- Department for International Development
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Keywords
- surgical care, surgical conditions, health policy, sub-Saharan Africa, trauma (physical injury), appendicitis, HIV, malaria, tuberculosis, surgical targets
- MeSH terms
- Africa, Health Planning, Health Policy, Health Priorities, Health Services, Humans, Public Health, General Surgery
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- Citron, I., Chokotho, L., & Lavy, C. (2016). Prioritisation of Surgery in the National Health Strategic Plans of Africa: A Systematic Review. World Journal of Surgery. https://doi.org/10.1007/s00268-015-3333-9
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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