The neglect of the global surgical workforce: experience and evidence from Uganda.

摘要: Africa’s health workforce crisis has recently been emphasized by major international organizations. As a part of this discussion, it become apparent that the required to deliver surgical services significantly neglected. This paper reviews some reasons for relative neglect and emphasizes its importance systems public health. We report first comprehensive analysis in Uganda, identify challenges development, evaluate current programs addressing these challenges. was performed through literature review, existing policies improve access, pilot retrospective studies output nine rural hospitals. Uganda shortage personnel comparison higher income countries, but precise gap is unknown. The most significant development include recruitment, training, retention, infrastructure service delivery. Curricular innovations, collaborations, research capacity are initiatives underway overcome Several maldistribution urban areas. These camps, specialist outreach, decentralization services. Each advantage improving access care, sustainability an issue all programs. Initial results from hospitals show similar previous lags far behind estimates higher-income countries. Task-shifting non-physician one possible future alternative. experience representative other low-income countries may provide valuable lessons. Greater attention must be paid critical aspect global human resources