Establishing pediatric surgical services in emerging countries: What the first world can learn from Vanuatu

Journal of Pediatric Surgery
Basil M LeodoroKiki Maoate

Abstract

Conventional surgical aid to emerging countries often does little to build capacity or infrastructure. An evolving model in the South Pacific has been designed to promote local expertise by training local surgeons to a high standard and helping establish sustainable pediatric surgical services in those regions. This review identifies the key elements required to improve and expand local specialist pediatric surgical capacity in Vanuatu. It highlights some of the challenges that face external agencies in helping to create sufficient local infrastructure to achieve these goals and describes how the impediments can be overcome. We conducted a review of the program that provides a sustainable pediatric surgical service to the small and poor Pacific nation of Vanuatu through the involvement and support of the Pacific Island Project administered by the Royal Australasian College of Surgeons. A needs assessment must be done from the recipient's perspective and can be achieved by collaboration between an external agency and existing local surgeons. The key to a sustainable service is identifying and training high quality young indigenous doctors early and providing mentorship and support, including after their return. A sustainable and...Continue Reading

References

Feb 3, 2006·The New England Journal of Medicine·Adam J Wolfberg
Jan 12, 2010·World Journal of Surgery·David R WellingNorman M Rich
Mar 12, 2013·World Journal of Surgery·Caris E GrimesRobert H S Lane
Jan 9, 2014·Frontiers in Pediatrics·Spencer W Beasley

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Citations

Jun 15, 2016·Journal of Pediatric Surgery·Donald E MeierJason R Axt
Apr 3, 2019·Current Opinion in Pediatrics·Sarah UllrichDoruk Ozgediz
Jun 2, 2020·ANZ Journal of Surgery·David A WattersKiki Maoate
May 16, 2019·Current Opinion in Pediatrics·Sarah UllrichDoruk Ozgediz

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