Journal article
Examining nonmilitary and nongovernmental humanitarian surgical capacity and response in armed conflicts: A scoping review of the recent literature
Surgery, v 176(3), pp 748-756
01 Sep 2024
PMID: 38955644
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Armed conflicts pose a burden on health care services. We sought to assess the surgical capacity and responses of nonmilitary and nongovernmental humanitarian responders in armed conflicts through proxy indicators to identify strategies to address surgical needs. Methods: We searched 6 databases for articles/studies from January 1, 2013, to March 10, 2023. We included articles detailing the surgical capacity of nonmilitary, nongovernmental organizations operating in armed conflicts. We defined surgical capacity through indicators including the type and number of surgical procedures; number of operating rooms, surgical beds, surgeons, anesthesiologists, and surgical equipment; and type of anesthesia employed. Results: We screened 2,187 abstracts and 279 full texts and included 30 articles/studies. Our sample covered 23 countries and 17 surgical specialties. Most publications focused on surgical capacity assessment (63.3%, 19/30) and surgical and clinical outcomes (63.3%,19/30). Most articles/studies reported surgical capacity indicators at the hospital (56.7%,17/30) and multinational (26.7%, 8/30) levels. The number (86.7%, 26/30) and type (76.7%, 23/30) of surgical procedures performed were the most commonly reported. More than one half of the articles (53.3%, 16/30) described strategies to meet surgical needs in armed conflicts. Most strategies addressed information management (68.8%, 11/16), health workforce (62.5%, 10/16), and service delivery (62.5%, 10/16). Conclusion: This review collated common approaches for strengthening health care services in armed conflicts. Several articles emphasized strategies for improving information management, service delivery, and workforce capacity. Hence, we call for standardization of response protocols and multilevel collaborations to maintain or even scale up surgical capacity in armed conflicts. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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Details
- Title
- Examining nonmilitary and nongovernmental humanitarian surgical capacity and response in armed conflicts: A scoping review of the recent literature
- Creators
- Mayte Bryce-Alberti (Corresponding Author) - Rutgers, The State University of New JerseyMichelle Bosche - Harvard UniversityRyan Benavente - Harvard UniversityAulina Chowdhury - Boston Children's HospitalLili B. Steel - Cornell UniversityKiana Winslow - Harvard UniversityPaul A. Bain - Harvard UniversityThalia Le - Drexel UniversityRadzi Hamzah - Harvard UniversitySaba Ilkhani - Brigham and Women's HospitalMalerie Pratt - Brigham and Women's HospitalMadeleine Carroll - Yale UniversityLeticia Nunes Campos - Universidade de PernambucoGeoffrey A. Anderson - Brigham and Women's Hospital
- Publication Details
- Surgery, v 176(3), pp 748-756
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- Fundacao Estudar (LNC) Fundacao Maria Emilia Pedreira Freire de Carvalho (LNC)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001298131300001
- Scopus ID
- 2-s2.0-85197226431
- Other Identifier
- 991022202119704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Surgery