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Increasing Access to Surgical Services in Sub-Saharan Africa: Priorities for National and International Agencies Recommended by the Bellagio Essential Surgery Group

  • Sam Luboga,

    Affiliation: Makerere University, Kampala, Uganda

    X
  • Sarah B. Macfarlane mail,

    Macfarlane@globalhealth.ucsf.edu

    Affiliation: University of California, San Francisco, San Francisco, California, United States of America

    X
  • Johan von Schreeb,

    Affiliation: Karolinska Institutet, Stockholm, Sweden

    X
  • Margaret E. Kruk,

    Affiliation: University of Michigan, Ann Arbor, Michigan, United States of America

    X
  • Meena N. Cherian,

    Affiliation: World Health Organization, Geneva, Switzerland

    X
  • Staffan Bergström,

    Affiliation: Karolinska Institutet, Stockholm, Sweden

    X
  • Paul B. M. Bossyns,

    Affiliation: Belgian Technical Cooperation, Brussels, Belgium

    X
  • Ernest Denerville,

    Affiliation: Institute of Tropical Medicine of Antwerp, Antwerp, Belgium

    X
  • Delanyo Dovlo,

    Affiliation: World Health Organization, Geneva, Switzerland

    X
  • Moses Galukande,

    Affiliation: Makerere University, Kampala, Uganda

    X
  • Renee Y. Hsia,

    Affiliation: University of California, San Francisco, San Francisco, California, United States of America

    X
  • Sudha P. Jayaraman,

    Affiliation: University of California, San Francisco, San Francisco, California, United States of America

    X
  • Lindsey A. Lubbock,

    Affiliation: University of California, San Francisco, San Francisco, California, United States of America

    X
  • Charles Mock,

    Affiliation: University of Michigan, Ann Arbor, Michigan, United States of America

    X
  • Doruk Ozgediz,

    Affiliation: University of Toronto, Toronto, Canada

    X
  • Patrick Sekimpi,

    Affiliation: Makerere University, Kampala, Uganda

    X
  • Andreas Wladis,

    Affiliation: Karolinska Institutet, Stockholm, Sweden

    X
  • Ahmed Zakariah,

    Affiliation: National Ambulance Services, Accra, Ghana

    X
  • Naméoua Babadi Dade,

    Affiliation: Centre Hospitalier Régional, Dosso, Niger

    X
  • Peter Donkor,

    Affiliation: Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

    X
  • Jane Kabutu Gatumbu,

    Affiliation: Kenyan Society of Anesthesia, Nairobi, Kenya

    X
  • Patrick Hoekman,

    Affiliation: Belgian Technical Cooperation, Niamey, Niger

    X
  • Carel B. IJsselmuiden,

    Affiliation: Council on Health Research for Development (COHRED), Geneva, Switzerland

    X
  • Dean T. Jamison,

    Affiliation: University of Washington, Seattle, Washington, United States of America

    X
  • Nasreen Jessani,

    Affiliation: International Development Research Centre, Nairobi, Kenya

    X
  • Peter Jiskoot,

    Affiliation: Clinical Officer Training, Limbe, Malawi

    X
  • Ignatius Kakande,

    Affiliation: National University of Rwanda, Butare, Rwanda

    X
  • Jacqueline R. Mabweijano,

    Affiliation: Mulago National Referral Hospital, Kampala, Uganda

    X
  • Naboth Mbembati,

    Affiliation: Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

    X
  • Colin McCord,

    Affiliation: Columbia University, New York, New York, United States of America

    X
  • Cephas Mijumbi,

    Affiliation: Makerere University, Kampala, Uganda

    X
  • Helder de Miranda,

    Affiliation: Catholic University, School of Medicine, Beira, Mozambique

    X
  • Charles A. Mkony,

    Affiliation: Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

    X
  • Pascoal Mocumbi,

    Affiliation: World Health Organization, Brazzaville, Republic of Congo

    X
  • Jean Bosco Ndihokubwayo,

    Affiliation: World Health Organization, Brazzaville, Republic of Congo

    X
  • Pierre Ngueumachi,

    Affiliation: Medical School of Universite des Montagnes, Douala, Cameroon

    X
  • Gebreamlak Ogbaselassie,

    Affiliation: Ministry of Health and United Nations Population Fund, Asmara, Eritrea

    X
  • Evariste Lodi Okitombahe,

    Affiliation: Belgium Technical Cooperation, Dakar, Senegal

    X
  • Cheikh Tidiane Toure,

    Affiliation: Université Cheickh Anta Diop, Dakar, Senegal

    X
  • Fernando Vaz,

    Affiliation: Higher Institute of Health Sciences, Maputo, Mozambique

    X
  • Charlotte M. Zikusooka,

    Affiliation: HealthNet, Kampala, Uganda

    X
  • Haile T. Debas,

    Affiliation: University of California, San Francisco, San Francisco, California, United States of America

    X
  • for the Bellagio Essential Surgery Group (BESG)
  • Published: December 22, 2009
  • DOI: 10.1371/journal.pmed.1000200

About the Authors

Sam Luboga, Moses Galukande, Patrick Sekimpi, Cephas Mijumbi
Makerere University, Kampala, Uganda
Sarah B. Macfarlane, Renee Y. Hsia, Sudha P. Jayaraman, Lindsey A. Lubbock, Haile T. Debas
University of California, San Francisco, San Francisco, California, United States of America
Johan von Schreeb, Staffan Bergström, Andreas Wladis
Karolinska Institutet, Stockholm, Sweden
Margaret E. Kruk, Charles Mock
University of Michigan, Ann Arbor, Michigan, United States of America
Meena N. Cherian, Delanyo Dovlo
World Health Organization, Geneva, Switzerland
Paul B. M. Bossyns
Belgian Technical Cooperation, Brussels, Belgium
Ernest Denerville
Institute of Tropical Medicine of Antwerp, Antwerp, Belgium
Doruk Ozgediz
University of Toronto, Toronto, Canada
Ahmed Zakariah
National Ambulance Services, Accra, Ghana
Naméoua Babadi Dade
Centre Hospitalier Régional, Dosso, Niger
Peter Donkor
Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Jane Kabutu Gatumbu
Kenyan Society of Anesthesia, Nairobi, Kenya
Patrick Hoekman
Belgian Technical Cooperation, Niamey, Niger
Carel B. IJsselmuiden
Council on Health Research for Development (COHRED), Geneva, Switzerland
Dean T. Jamison
University of Washington, Seattle, Washington, United States of America
Nasreen Jessani
International Development Research Centre, Nairobi, Kenya
Peter Jiskoot
Clinical Officer Training, Limbe, Malawi
Ignatius Kakande
National University of Rwanda, Butare, Rwanda
Jacqueline R. Mabweijano
Mulago National Referral Hospital, Kampala, Uganda
Naboth Mbembati, Charles A. Mkony
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Colin McCord
Columbia University, New York, New York, United States of America
Helder de Miranda
Catholic University, School of Medicine, Beira, Mozambique
Pascoal Mocumbi, Jean Bosco Ndihokubwayo
World Health Organization, Brazzaville, Republic of Congo
Pierre Ngueumachi
Medical School of Universite des Montagnes, Douala, Cameroon
Gebreamlak Ogbaselassie
Ministry of Health and United Nations Population Fund, Asmara, Eritrea
Evariste Lodi Okitombahe
Belgium Technical Cooperation, Dakar, Senegal
Cheikh Tidiane Toure
Université Cheickh Anta Diop, Dakar, Senegal
Fernando Vaz
Higher Institute of Health Sciences, Maputo, Mozambique
Charlotte M. Zikusooka
HealthNet, Kampala, Uganda

Corresponding Author

Email: Macfarlane@globalhealth.ucsf.edu

Competing Interests

Several of the authors are staff members of the World Health Organization. They and the other authors are responsible for the views expressed in this publication and they do not necessarily represent the decisions or policies of the World Health Organization.

Author Contributions

ICMJE criteria for authorship read and met: SL SBM JvS MEK MNC SB PBB ED DD MG RYH SJ LAL C Mock DO PS AW AZ NBD PD JKG PH CI DTJ NJ PJ IK JRM NM C McCord C Mijumbi HdM CAM PM JBN PN GO ELO CTT FV CMZ HTD. Wrote the first draft of the paper: SBM MEK RYH SJ AW. Contributed to the writing of the paper: SL SBM JvS MEK MNC SB PBB ED DD MG RYH SJ LAL C Mock DO PS AW AZ NBD PD JKG PH CI DTJ NJ PJ IK JRM NM C McCord C Mijumbi HdM CAM PM JBN PN GO ELO CTT FV CMZ HTD. Convened the meeting in Kampala that discussed the evidence that is included in the paper: SL. Contributions to this paper were coordinated by SBM. Helped coordinate authorship and revisions by authors and edited the manuscript: LAL Instrumental in the creation of the Bellagio Essential Surgery Group; played a leading role in the organization, planning its meetings, and contributing to its writings: HTD.