Early access to diagnosis and care is essential improve rates of survival from childhood cancer, particularly in low-income middle-income countries (LMICs). Composite indices are increasingly used compare country performance many health fields. We aimed develop a composite vulnerability index risk mortality associated with delays for cancer LMICs, the scores across countries.

The burden of congenital gastrointestinal (GI) anomalies is poorly understood. aim this systematic review to assess the global prevalence anomalies. We conducted a population-level birth gastroschisis, omphalocele, intestinal atresia, esophageal diaphragmatic hernia, Hirschsprung’s disease, and anorectal malformation. identified 103 studies from high middle-income countries. Gastroschisis was most reported condition. Studies geographic heterogeneity in malformation prevalence. disease have...

Objective . Birth prevalence estimates for major congenital gastrointestinal anomalies are sparse. This paper serves as an in-depth, a priori systematic review protocol our identifying and assessing studies reporting population-level birth anomalies. Methods We will use the Condition, Context, Population framework include of gastroschisis, omphalocele, intestinal esophageal atresia, Hirschsprung’s disease, diaphragmatic hernia, anorectal malformation in infants. assess bias using Joanna...

Neonatal deaths now account for more than two-thirds of all in the first year life and about half children under-five years. Sub-Saharan Africa accounts up to 41% total burden neonatal worldwide. Our study aims describe causes mortality evaluate predictors timing death at Tamale Teaching Hospital (TTH), Ghana. This retrospective was conducted TTH located Northern All neonates who died Intensive Care Unit (NICU) from 2013 2017 were included data obtained admission discharge books records....

Objective This study evaluates the priority given to surgical care for children within national health policies, strategies and plans (NHPSPs). Participants setting We reviewed NHPSPs available in WHO’s Country Planning Cycle Database. Countries with languages different from English, Spanish, French or Chinese were excluded. A total of 124 countries met inclusion criteria. Primary secondary outcome measures searched child-specific surgery-specific terms NHPSPs’ missions, goals using three...

Background: The coronavirus disease (COVID-19) has spread worldwide with an increasing number of patients, including pregnant women and neonates. This study aims to evaluate morbidity mortality in the COVID-19 era compared preceding year Neonatal Intensive Care Unit (NICU) at Tamale Teaching Hospital, Ghana. Methods: is a cross-sectional carried out on neonates admitted NICU between March 1st August 31st, 2019 (pre-COVID-19 era) 2020 (COVID-19 era). Multivariate logistic regression was...

The World Health Organization (WHO) recently launched the Global Initiative for Childhood Cancer (GICC), with goal of attaining at least 60% cancer survival children worldwide by year 2030. This study aims to describe global patterns childhood in 2019 help guide progress GICC target goal. In this ecological, cross-sectional study, we used 5-year net (2015-2019) data from a prior micro-modeling 197 countries and territories. Descriptive statistics were analyze overall each six tracer...

Background The unmet burden of surgical care is high in low-income and middle-income countries. Lancet Commission on Global Surgery (LCoGS) proposed six indicators to guide the development national plans for improving monitoring access essential care. This study aimed characterise Somaliland health system according LCoGS provide recommendations next-step interventions. Methods In this cross-sectional nationwide study, WHO’s Surgical Assessment Tool–Hospital Walkthrough geographical mapping...

Background The global burden of disease in children is large and disproportionally affects low-income middle-income countries (LMICs). Geospatial analysis offers powerful tools to quantify visualise disparities surgical care LMICs. Our study aims analyse the geographical distribution paediatric conditions evaluate access Somaliland. Methods Using Surgeons OverSeas Assessment Surgical Need survey a combined from WHO’s (WHO) Tool—Hospital Walkthrough Global Initiative for Children’s Surgery...

Objectives An estimated 1.7 billion children around the world do not have access to safe, affordable and timely surgical care, with financing through out-of-pocket (OOP) expenses being one of main barriers care. Our study modelled impact reducing OOP costs related care for in Somaliland on risk catastrophic expenditures impoverishment. Design setting This cross-sectional nationwide economic evaluation several different approaches reduction paediatric Somaliland. Participants outcome measures...

PURPOSE Over 400,000 children are diagnosed with cancer around the world each year, over 80% of these residing in low- and middle-income countries. This study aims to summarize epidemiology care patterns newly childhood patients Northern Tanzania. METHODS Data from all adolescents (age 0-19 years) cancers were collected Kilimanjaro Cancer Registry located at Christian Medical Centre. Descriptive inferential analyses used compare demographic clinical characteristics participants time, stage,...

ABSTRACT Background Pediatric cancer is a significant and growing burden in low- middle-income countries. The objective of this project was to describe the factors influencing access pediatric care Northern Tanzania using Three Delays Model. Methods This cross-sectional qualitative study conducted between June September 2023 at Kilimanjaro Christian Medical Centre (KCMC). Parents caregivers children obtaining KCMC were approached for participation in-depth interviews (IDIs) demographic...

Pediatric cancer is a significant and growing burden in low- middle-income countries. The objective of this project was to describe the factors influencing access pediatric care Northern Tanzania using Three Delays Model. This cross-sectional qualitative study conducted between June August 2023 at Kilimanjaro Christian Medical Centre (KCMC). Using purposive sampling methods, caregivers children obtaining KCMC were approached for participation in-depth interviews (IDIs) demographic survey....

Sub-Saharan Africa experiences a disproportionate amount of pediatric surgical disease, with 80% children lacking access to timely, affordable, and safe care. This study aims characterize the burden disease outcomes conditions at Connaught Hospital, main referral hospital in Sierra Leone.

Over 1.7 billion children lack access to surgical care, mostly in low- and middle-income countries (LMICs), with substantial risks of catastrophic health expenditures (CHE) impoverishment. Increasing interest reducing out-of-pocket (OOP) as a tool reduce the rate poverty is growing. However, impact OOP on CHE remains poorly understood. The purpose this study was estimate global for pediatric care risk within between countries. Our goal 149 by modeling under various scale-up scenarios using...

Abstract Introduction The SARS-CoV-2 (COVID-19) pandemic has strained healthcare systems and presented unique challenges for children requiring cancer care, particularly in low- middle-income countries. This study aimed to assess the impact of COVID-19 on access care adolescents Northern Tanzania. Methods In this cross-sectional study, we assessed demographic clinical characteristics 547 pediatric adolescent patients (ages 0–19 years old) between 2016 2022 using population-based Kilimanjaro...

Background Perinatal mortality remains a global challenge. This challenge may be worsened by the negative effects of COVID-19 pandemic on maternal and child health. Objectives Examine impact perinatal care outcomes in Tamale Teaching Hospital northern Ghana. Methods A hospital-based retrospective study was conducted Hospital. We compared antenatal attendance, total deliveries, cesarean sections, before (March 1, 2019 to February 28, 2020) during 2020 2021). Interrupted time series analyses...

The burden of pediatric surgical conditions in Somaliland is high and the anesthesia capacity across country remains poorly understood. international standards developed by World Health Organization Federation Societies Anaesthesiologists (WHO-WFSA) serve as a guideline to assess provision anesthetic care. This study aims describe for children progress towards reaching WHO-WFSA standards. In this cross-sectional study, infrastructure workforce data, well clinical demographic data were...

Childhood neurosurgical conditions such as hydrocephalus and spina bifida represent a significant burden of death disability worldwide, particularly in low middle-income countries. However, there are limited data on the disease prevalence delays care for pediatric very low-resource settings. This study aims to characterize access Somaliland.