Doruk Ozgediz, Stephen Kijjambu, Moses Galukande, Gerald Dubowitz, Jackie Mabweijano, Cephas Mijumbi, Meena Cherian, Sam Kaggwa, Sam Luboga
The Lancet, 2008
"Funding priorities in Africa typically favour infectious diseases, and surgery and perioperative care have been neglected, even though essential surgical care at district hospitals is more cost eff ective than some other highly prioritised interventions, such as antiretroviral therapy for HIV. Recent focus on the workforce needed for male circumcision to prevent HIV transmission is an exception. Injuries create the greatest surgical burden, followed by cancers, congenital anomalies, and complications of childbirth. Few surgical procedures are done in Africa compared with the numbers in high-income countries, but precise information on the exact unmet need is lacking.4 Although workforce limitations contribute to this shortfall, detailed estimates of surgical and anaesthesia staff for the continent and individual countries are unavailable or outdated."