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World J Surg. 2010 Nov;34(11):2511-7. doi: 10.1007/s00268-010-0585-2.

Key aspects of health policy development to improve surgical services in Uganda.

Author information

1
Department of Surgery, Faculty of Medicine, Makerere University, Kampala, Uganda.

Abstract

Recently, surgical services have been gaining greater attention as an integral part of public health in low-income countries due to the significant volume and burden of surgical conditions, growing evidence of the cost-effectiveness of surgical intervention, and global disparities in surgical care. Nonetheless, there has been limited discussion of the key aspects of health policy related to surgical services in low-income countries. Uganda, like other low-income sub-Saharan African countries, bears a heavy burden of surgical conditions with low surgical output in health facilities and significant unmet need for surgical care. To address this lack of adequate surgical services in Uganda, a diverse group of local stakeholders met in Kampala, Uganda, in May 2008 to develop a roadmap of key policy actions that would improve surgical services at the national level. The group identified a list of health policy priorities to improve surgical services in Uganda. The priorities were classified into three areas: (1) human resources, (2) health systems, and (3) research and advocacy. This article is a critical discussion of these health policy priorities with references to recent literature. This was the first such multidisciplinary meeting in Uganda with a focus on surgical services and its output may have relevance to health policy development in other low-income countries planning to improve delivery of surgical services.

PMID:
20730430
PMCID:
PMC2949567
DOI:
10.1007/s00268-010-0585-2
[Indexed for MEDLINE]
Free PMC Article

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