Surgery and the first 8000 days of life: a review

作者：Justina O. Seyi‐Olajide, Abdelbasit E. Ali, William Francis Powell, Lubna Samad, Tahmina Banu, Abdelhafeez H. Abdelhafeez, Salome Maswime, Alizeh Abbas, Adesoji Ademuyiwa, Emmanuel A. Ameh, Simone de Campos Vieira Abib, Tasmiah Tahera Aziz, Stephen W. Bickler, Donald A. P. Bundy, Tanvir Kabir Chowdhury, Maria Alejandra Echeto, Faye M. Evans, Zipporah Gathuya, Rebecca Gray, Sarah Hodges, Dean T. Jamison, Greg Klazura, Kokila Lakhoo, Benjamin Martin, John G. Meara, Mary T. Nabukenya, Mark Newton, Doruk Ozgediz, Ekta Rai, Godfrey Sama Philipo, Alicia G. Sykes, Ava Yap · 发表于：International Health · 年份：2024 · DOI：10.1093/inthealth/ihae078 · 被引用次数：6 · 研究领域：Global Health and Surgery、Climate Change and Health Impacts、Global Health Workforce Issues

The first 8000 days of life, from birth to adulthood, encompasses critical phases that shape a child's health and development. While global health efforts have focused on the first 1000 days, the next 7000 days (ages 2-21) are equally vital, especially concerning the unmet burden of surgical conditions in low- and middle-income countries (LMICs). Approximately 1.7 billion children globally lack access to essential surgical care, with LMICs accounting for 85% of these unmet needs. Common surgical conditions, including congenital anomalies, injuries, infections, and pediatric cancers, often go untreated, contributing to significant mortality and disability. Despite the substantial need, LMICs face severe workforce and infrastructure shortages, with most pediatric surgical conditions requiring specialized skills, equipment, and tailored healthcare systems. Economic analyses have shown that pediatric surgical interventions are cost-effective, with substantial societal benefits. Expanding surgical care for children in LMICs demands investments in workforce training, infrastructure, and health systems integration, complemented by innovative funding and equitable global partnerships. Prioritizing surgical care within national health policies and scaling up children's surgery through initiatives like the Optimal Resources for Children's Surgical Care can improve health outcomes, align with Sustainable Development Goals, and foster equity in global health. Addressing the surgical care...