Ending Neglected Surgical Diseases (NSDs): Definitions, Strategies, and Goals for the Next Decade
نویسندگان
1 International Collaboration for Essential Surgery (ICES), Boca Raton, FL, USA
2 Baylor College of Medicine Division of Plastic Surgery, Texas Children’s Hospital, Houston, TX, USA
3 County Government of Meru County, Meru County, Kenya
4 Provincial Government of Odiongan, Odiongan, Philippines
5 International Collaboration for Essential Surgery (ICES), Boca Raton, FL, USA
6 Mount Kenya University (MKU), Thika, Kenya
7 Beyond Zero Secretariat, Kenya First Ladies’ Office, Nairobi, Kenya
8 Ministry of Health Kenya, Nairobi, Kenya
9 United Nations Population Fund (UNFPA), Campaign to End Fistula, New York City, NY, USA
10 Global Clubfoot Initiative (GCI), London, UK
11 Smile Train International, New York City, NY, USA
12 World Surgical Foundation (WSF) Philippines, Manila, Philippines
13 Government of Trinidad and Tobago, Port of Spain, Trinidad and Tobago
14 Mobile Surgery International, Oaxaca, Mexico
15 The Global Alliance for Surgical, Obstetric, Trauma, and Anesthesia Care (G4 Alliance), Chicago, IL, USA
16 Department of Surgery, Florida Atlantic University (FAU), Boca Raton, FL, USA
17 Ministry of Health Kenya, Nairobi, Kenya
18 Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland
19 Finders Keepers Technologies LLC, Boca Raton, FL, USA
20 University of Nairobi College of Health Sciences, Nairobi, Kenya
21 Ministry of Health Kenya, Nairobi, Kenya
22 United Nations Population Fund (UNFPA), Nairobi, Kenya
23 International Federation of Gynecology and Obstetrics (FIGO), Vancouver, BC, Canada
24 University of Oxford, Oxford, UK
25 Global Clubfoot Initiative (GCI), London, UK
26 Orbis International, New York City, NY, USA
27 International Federation of Surgical Colleges (IFSC), London, UK
28 Child Family Health International Philippines, Manila, Philippines
29 Northwestern University Lurie Children’s Hospital, Chicago, IL, USA
30 Mobile Surgery International, Oaxaca, Mexico
doi
10.34172/ijhpm.2020.140چکیده
While there has been overall progress in addressing the lack of access to surgical care worldwide, untreated surgical conditions in developing countries remain an underprioritized issue. Significant backlogs of advanced surgical disease called neglected surgical diseases (NSDs) result from massive disparities in access to quality surgical care. We aim to discuss a framework for a public health rights-based initiative designed to prevent and eliminate the backlog of NSDs in developing countries. We defined NSDs and set forth six criteria that focused on the applicability and practicality of implementing a program designed to eradicate the backlog of six target NSDs from the list of 44 Disease Control Priorities 3rd edition (DCP3) surgical interventions. The human rights-based approach (HRBA) was used to clarify NSDs role within global health. Literature reviews were conducted to ascertain the global disease burden, estimated global backlog, average cost per treatment, disability-adjusted life-years (DALYs) averted from the treatment, return on investment, and potential gain and economic impact of the NSDs identified. Six index NSDs were identified, including neglected cleft lips and palate, clubfoot, cataracts, hernias and hydroceles, injuries, and obstetric fistula. Global definitions were proposed as a starting point towards the prevention and elimination of the backlog of NSDs. Defining a subset of neglected surgical conditions that illustrates society’s role and responsibility in addressing them provides a framework through the HRBA lens for its eventual eradication.
