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World J Surg. 2009 Jan;33(1):1-5. doi: 10.1007/s00268-008-9799-y.

Population health metrics for surgery: effective coverage of surgical services in low-income and middle-income countries.

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1
Division of Pediatric Surgery, 555 University Avenue, Toronto, ON, Canada, M5G 1X8. dozgediz@hotmail.com

Abstract

BACKGROUND:

Access to surgical services is emerging as a crucial issue in global public health. "Effective coverage" is a health metric used to evaluate essential health services in low- and middle-income countries. It measures the fraction of potential health gained that is actually realized for a given intervention by integrating the concepts of need, use, and quality.

METHODS:

This study applies the concept of effective coverage to surgical services by considering injuries and obstetric complications as high-priority surgical conditions in low- and middle-income countries.

RESULTS:

Effective coverage for both is poor, but it is less well defined for traumatic conditions compared to obstetric conditions owing to a lack of data.

CONCLUSIONS:

More primary and secondary data are critical to measure effective coverage and to estimate the resources required to improve access to surgical services in low- and middle-income countries.

PMID:
18958518
DOI:
10.1007/s00268-008-9799-y
[Indexed for MEDLINE]
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