title: Global general pediatric surgery partnership: The UCLA-Mozambique experience.
abstract: OBJECTIVE
  There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique.
  
  
  METHODS
  A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized.
  
  
  RESULTS
  The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration.
  
  
  CONCLUSIONS
  This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings.
  
  
  METHODS
  Level IV.
authors.affiliation: Hospital Central de Maputo; Universidade Eduardo Mondlane Faculdade de Medicina, Avenida Eduardo Mondlane, Maputo, Mozambique.
authors.forename: Vanda
authors.initials: V
authors.lastname: Amado
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
authors.forename: Deborah B
authors.initials: DB
authors.lastname: Martins
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
authors.forename: Abraar
authors.initials: A
authors.lastname: Karan
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
authors.forename: Brittni
authors.initials: B
authors.lastname: Johnson
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
authors.forename: Shant
authors.initials: S
authors.lastname: Shekherdimian
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA.
authors.forename: Lee T
authors.initials: LT
authors.lastname: Miller
authors.affiliation: Hospital Central de Maputo; Universidade Eduardo Mondlane Faculdade de Medicina, Avenida Eduardo Mondlane, Maputo, Mozambique.
authors.forename: Atanasio
authors.initials: A
authors.lastname: Taela
authors.affiliation: David Geffen School of Medicine at UCLA, Box 709818; 10833 Le Conte Avenue, Los Angeles, CA 90095-7098, USA. Electronic address: ddeugarte@mednet.ucla.edu.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: DeUgarte
mesh_terms: D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data*; D013502:General Surgery / Q000193:education / Q000592:standards*; D006801:Humans; D007391:International Cooperation; D009073:Mozambique; D010372:Pediatrics / Q000592:standards*; D011203:Poverty; D011787:Quality of Health Care; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014481:United States
keywords: Academic; Mozambique; Partnership; Pediatric; Surgery