An Assessment of Surgical and Anesthesia Staff at 10 Government Hospitals in Sierra Leone

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Abstract
Provision of surgical and anesthesia care in resource-poor countries is increasingly recognized as a vital, yet under-researched, component of international health care.1-3 The poorest 33% of the world’s population receive only 3.5% of all global surgical procedures, indicating great inequalities in access to adequate anesthesia and surgical care.4 Surgery typically has been viewed as an expensive health measure; however, work by Gosselin and colleagues5 has challenged this premise. They suggest that surgical care can contribute to reducing the burden of disease as cost-effectively as immunization campaigns in low-income countries. Thus, improving surgical care warrants further research and global attention.5,6

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