Global Neurosurgery in the Context of Global Public Health Practice–A Literature Review of Case Studies

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY
2021 SUMMARY

OSI STATISTICS

Open access articles:
1592
Annotations added:
3
Countries represented:
117
No. of contributors:
15
Bookmarks made:
26

Global Neurosurgery in the Context of Global Public Health Practice–A Literature Review of Case Studies


JournalWorld Neurosurgery
Article typeJournal research article – Literature review
Publication date – Jun – 2022
Authors – Vigneshwar Raj Veerappan, Phabinly James Gabriel, Nathan A. Shlobin, Katya Marks, Setthasorn Z.Y. Ooi, Camilla G. Aukrust, Edward Ham, Hodan Abdi, Ahmed Negida, Kee B. Park, Abdessamad El Ouahab
KeywordsGlobal Health, global surgery, health policy, Neurosurgery, public Health, surgery
Open access – Yes
SpecialityNeurosurgery
World region Global

Language – English
Submitted to the One Surgery Index on July 6, 2022 at 4:33 am
Abstract:

Neurosurgical conditions are a substantial contributor to surgical burden worldwide, with low- and middle-income countries carrying a disproportionately large part. Policy initiatives such as the National Surgical, Obstetrics and Anesthesia Plans and Comprehensive Policy Recommendations for the Management of Spina Bifida and Hydrocephalus in Low-and-Middle-Income countries have highlighted the need for an intersectoral approach, not just at the hospital level but on a large scale encompassing national public health strategies. This article aims to show through case studies how addressing this surgical burden is not limited to the clinical context but extends to public health strategies as well.

For example, vitamin B12 and folic acid are micronutrients that, if not at adequate levels, can result in debilitating neurosurgical conditions. In Ethiopia, through coalesced efforts between neurosurgeons and policy makers, the government has made strides in implementing food fortification programs at a national level to address the neurosurgical burden. Traumatic brain injuries (TBIs) are another neurosurgical burden that unevenly affects LMICs. Countries such as Colombia and India have shown the importance of legislation and enforcement, coupled with robust data collection and auditing systems; strong academic advocacy of neurosurgeons can drastically reduce TBIs.

Despite the importance of public health efforts in addressing neurosurgical conditions, there is a lack of neurosurgeon involvement in public health and lack of integration of neurosurgical burden in national health planning systems. It is imperative that neurosurgeons advocate for and are included in aspects of public health policy. Neurosurgery does not stop within the bounds of the hospital, and neither should the role of a neurosurgeons

OSI Number – 21657

Public annotations on this article:
No public annotations yet