Barriers to the Delivery of Orthopedic Care
Inadequate access to surgical care results in considerable morbidity and mortality, especially for marginalized segments in low- and middle-income countries (LMICs). Surgery has traditionally been neglected as a public health strategy due to the perception that it is costly and resource-intensive and benefits few within a population, but has received greater attention as a public health intervention in LMICs over the past few years, leading to a number of publications and a resolution at the 68th World Health Assembly titled “Strengthening Emergency and Essential Surgical Care and Anaesthesia as a Component of Universal Health Coverage” (2015) . There are numerous barriers to the delivery of surgical services in LMICs, most falling within the general domains of social/cultural, financial, and structural. Services must be physically accessible, available, afforbable, and acceptable.
- 2.Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN, editors. Essential surgery: disease control priorities, vol. 1. 3rd ed. Washington, D.C.: The International Bank for Reconstruction and Development/The World Bank; 2015.(Open Access).Google Scholar
- 5.World Health Organization (2005) Global initiative for emergency and essential surgical care. Available at: http://www.who.int/surgery/globalinititiative/en/. Accessed 12 Apr 2018.
- 6.Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage. Available at http://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_R15-en.pdf. Accessed 4/10/18.