Addressing Supply Chain Management Issues in Cost-effective Maternal and Pediatric Global Surgery: A Call to Action.

Autor:	Navarro SM; Department of Surgery, Baylor College of Medicine, Houston, TX, USA.; Said Business School, University of Oxford, Oxford, UK.; Global Surgery Student Alliance (GSSA), Boston, MA, USA., Sibiya A; Said Business School, University of Oxford, Oxford, UK., Nourian MM; Global Surgery Student Alliance (GSSA), Boston, MA, USA.; Department of Anesthesia, Vanderbilt School of Medicine, Nashville, TN, USA., Stewart KA; Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis, MN, USA., Ottesen TD; Global Surgery Student Alliance (GSSA), Boston, MA, USA.; Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA., Price RR; Center for Global Surgery, University of Utah, Salt Lake City, UT, USA.
Jazyk:	angličtina
Zdroj:	International journal of MCH and AIDS [Int J MCH AIDS] 2020; Vol. 9 (1), pp. 77-80. Date of Electronic Publication: 2019 Dec 30.
DOI:	10.21106/ijma.295
Abstrakt:	Persistent global disparities in maternal and neonatal outcomes exist, in part, due to a lack of access to safe surgery. This commentary examines the relative need for increased focus on access to safe maternal and pediatric surgery globally, starting with a focus on cost-effective surgeries. There is a need to understand context-specific surgeries for regions, including understanding regional versus tertiary development. Most important is a need to understand the crucial role of supply chain management (SCM) in developing better access to maternal and pediatric surgery in limited resource settings. We evaluate the role of SCM in global surgery and global health, and the current landscape of inefficiency. We outline specific findings and takeaways from recent solutions developed in pediatric and maternal surgery to address SCM inefficiencies. We then examine the applicability to other settings and look at the future. Our goal is to summarize the challenges that exist today in a global setting to provide better access to maternal and pediatric surgery and outline solutions relying on structural, SCM-related framework. Competing Interests: Competing Interests: The authors declare that they have no competing interest. (Copyright © 2020 Navarro et al.)
Databáze:	MEDLINE
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