Financing pediatric surgery in low-, and middle-income countries

Grace Hsiung, Fizan Abdullah*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Congenital anomalies once considered fatal, are now surgically correctable conditions that now allow children to live a normal life. Pediatric surgery, traditionally thought of as a privilege of the rich, as being too expensive and impractical, and which has previously been overlooked and excluded in resource-poor settings, is now being reexamined as a cost-effective strategy to reduce the global burden of disease-particularly in low, and middle-income countries (LMICs). However, to date, global pediatric surgical financing suffers from an alarming paucity of data. To leverage valuable resources and prioritize pediatric surgical services, timely, accurate and detailed global health spending and financing for pediatric surgical care is needed to inform policy making, strategic health-sector budgeting and resource allocation. This discussions aims to characterize and highlight the evidence gaps that currently exist in global financing and funding flow for pediatric surgical care in LMICs.

Original languageEnglish (US)
Pages (from-to)10-14
Number of pages5
JournalSeminars in Pediatric Surgery
Volume25
Issue number1
DOIs
StatePublished - Feb 1 2016

Funding

Another key classification scheme in global financing relates to international health organizations, which can be divided into three broad categories: multilateral organizations, bilateral organizations, and non-governmental organizations (NGOs). Multilateral organizations receive funding from multiple sources (government as well as non-governmental sources) and is distributed to many different countries; prime examples include the World Health Organization (WHO), the World Bank, UNICEF (United Nations International Children’s Education Fund) and the United Nations Development Programme. Bilateral organizations receive funding from their home countries and in turn use that to fund aiding to developing countries, examples include USAID (United States Agency for International Development), USPHS (U.S. Public Health Service), and the Center for Disease Control (CDC). Non-governmental organizations (NGOs), is neither a part of a government nor a conventional for-profit business; they are a highly diverse group of organizations that may be funded by governments, foundations, businesses, or private persons. NGOs can be further categorized by orientation (i.e., charitable, service, participatory, and empowering) or by level of operation (i.e., community-based, city-wide, national, and international).

Keywords

  • Child health services
  • Financing pediatric surgery
  • Global child health
  • Global pediatric surgery
  • Global surgery
  • Health financing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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