Global Health Challenges: Why the Four S’s Are Not Enough
A well-known tenant of global health is the need for the four-S’s to be successful in providing care in any context; Staff, Stuff, Space and Systems. Advanced thoracoscopy is slow to gain traction in low- and middle-income countries (LMICs). To our knowledge, no pediatric advanced thoracoscopy had b...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/12/1867 |
| _version_ | 1797460908241321984 |
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| author | Nathan M. Novotny Shadi Hamouri Donna Kayal Sadi Abukhalaf Haitham Aqra Wael Amro Ahmad Shaltaf |
| author_facet | Nathan M. Novotny Shadi Hamouri Donna Kayal Sadi Abukhalaf Haitham Aqra Wael Amro Ahmad Shaltaf |
| author_sort | Nathan M. Novotny |
| collection | DOAJ |
| description | A well-known tenant of global health is the need for the four-S’s to be successful in providing care in any context; Staff, Stuff, Space and Systems. Advanced thoracoscopy is slow to gain traction in low- and middle-income countries (LMICs). To our knowledge, no pediatric advanced thoracoscopy had been attempted previously in either LMIC. Therefore, we report the challenges associated with the adoption of the first advanced thoracoscopic procedures in two LMIC hospitals by a visiting surgeon. To further identify aspects of care in promoting the introduction of advanced thoracoscopy, we added a fifth S as an additional category—Socialization. A key to accomplishing goals for the patients as a visiting surgeon, particularly when introducing an advanced procedure, is acceptance into the culture of a hospital. Despite facing significant obstacles in caring for complex thoracic pathology with heavy reliance on disposable and reusable instrumentation provided through donation and limitations in staff such as access to neonatologists and pediatric surgeons, many obstacles have been overcome. In this perspective article, we show that a “fifth S” is also integral—having local surgeons and anesthesiologists eager to learn with acceptance of the visiting surgeon’s expertise opens a path towards attempting advanced procedures in limited-resource settings. |
| first_indexed | 2024-03-09T17:11:51Z |
| format | Article |
| id | doaj.art-e18b1667742a408389ac86da6a6a26a7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T17:11:51Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-e18b1667742a408389ac86da6a6a26a72023-11-24T14:01:07ZengMDPI AGChildren2227-90672022-11-01912186710.3390/children9121867Global Health Challenges: Why the Four S’s Are Not EnoughNathan M. Novotny0Shadi Hamouri1Donna Kayal2Sadi Abukhalaf3Haitham Aqra4Wael Amro5Ahmad Shaltaf6Beaumont Children’s, Section of Pediatric Surgery, Oakland University William Beaumont School of Medicine, Royal Oak, MI 48073, USADepartment of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, Kind Abdullah University Hospital, Irbid 22110, JordanWilliam Beaumont School of Medicine, Oakland University, Rochester, MI 48309, USADepartment of Surgery, University of Illinois Metropolitan Group, Chicago, IL 60607, USASection of Pediatric Surgery and Anesthesiology, Palestine Medical Complex, Ramallah P601, PalestineSection of Pediatric Surgery and Anesthesiology, Palestine Medical Complex, Ramallah P601, PalestineSection of Pediatric Surgery and Anesthesiology, Palestine Medical Complex, Ramallah P601, PalestineA well-known tenant of global health is the need for the four-S’s to be successful in providing care in any context; Staff, Stuff, Space and Systems. Advanced thoracoscopy is slow to gain traction in low- and middle-income countries (LMICs). To our knowledge, no pediatric advanced thoracoscopy had been attempted previously in either LMIC. Therefore, we report the challenges associated with the adoption of the first advanced thoracoscopic procedures in two LMIC hospitals by a visiting surgeon. To further identify aspects of care in promoting the introduction of advanced thoracoscopy, we added a fifth S as an additional category—Socialization. A key to accomplishing goals for the patients as a visiting surgeon, particularly when introducing an advanced procedure, is acceptance into the culture of a hospital. Despite facing significant obstacles in caring for complex thoracic pathology with heavy reliance on disposable and reusable instrumentation provided through donation and limitations in staff such as access to neonatologists and pediatric surgeons, many obstacles have been overcome. In this perspective article, we show that a “fifth S” is also integral—having local surgeons and anesthesiologists eager to learn with acceptance of the visiting surgeon’s expertise opens a path towards attempting advanced procedures in limited-resource settings.https://www.mdpi.com/2227-9067/9/12/1867thoracoscopyglobal healthcomplicationsminimally invasive surgery |
| spellingShingle | Nathan M. Novotny Shadi Hamouri Donna Kayal Sadi Abukhalaf Haitham Aqra Wael Amro Ahmad Shaltaf Global Health Challenges: Why the Four S’s Are Not Enough Children thoracoscopy global health complications minimally invasive surgery |
| title | Global Health Challenges: Why the Four S’s Are Not Enough |
| title_full | Global Health Challenges: Why the Four S’s Are Not Enough |
| title_fullStr | Global Health Challenges: Why the Four S’s Are Not Enough |
| title_full_unstemmed | Global Health Challenges: Why the Four S’s Are Not Enough |
| title_short | Global Health Challenges: Why the Four S’s Are Not Enough |
| title_sort | global health challenges why the four s s are not enough |
| topic | thoracoscopy global health complications minimally invasive surgery |
| url | https://www.mdpi.com/2227-9067/9/12/1867 |
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