title: State of surgery in tropical Africa: a review.
abstract: This is a review of recently published literature on surgery in tropical Africa. It presents the current state of surgical need and surgical practice on the continent. We discuss the enormous burden of surgical pathology (as far as it is known) and the access to and acceptability of surgery. We also describe the available facilities in terms of equipment and manpower. The study looked at the effects of the human immunodeficiency virus, the role of traditional healers, anesthesia, and the economics of surgery. Medical training and research are discussed, as are medical migration out of Africa and the concept of task shifting, where surgical procedures are performed by others when surgeons are not available. It closes with recommendations for involvement and action in this area of great global need.
authors.affiliation: Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford University, Windmill Road, Oxford, OX3 7LD, UK. christopher.lavy@ndorms.ox.ac.uk
authors.forename: Chris
authors.initials: C
authors.lastname: Lavy
authors.forename: Kathryn
authors.initials: K
authors.lastname: Sauven
authors.forename: Nyengo
authors.initials: N
authors.lastname: Mkandawire
authors.forename: Meena
authors.initials: M
authors.lastname: Charian
authors.forename: Richard
authors.initials: R
authors.lastname: Gosselin
authors.forename: Jean Bosco
authors.initials: JB
authors.lastname: Ndihokubwayo
authors.forename: Eldryd
authors.initials: E
authors.lastname: Parry
mesh_terms: D000349:Africa; D013502:General Surgery / Q000193:education; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D012106:Research; D013514:Surgical Procedures, Operative / Q000193:education / Q000706:statistics & numerical data*; D000078329:Workforce