Global general pediatric surgery partnership: The UCLA-Mozambique experience

J Pediatr Surg. 2017 Sep;52(9):1528-1533. doi: 10.1016/j.jpedsurg.2016.12.026. Epub 2017 Jan 5.


Background/purpose: There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique.

Methods: A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized.

Results: The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration.

Conclusion: This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings.

Level of evidence: Level IV.

Keywords: Academic; Mozambique; Partnership; Pediatric; Surgery.

MeSH terms

  • Child
  • Child Welfare / statistics & numerical data*
  • General Surgery / education
  • General Surgery / standards*
  • Humans
  • International Cooperation*
  • Mozambique
  • Pediatrics / standards*
  • Poverty
  • Quality of Health Care
  • Referral and Consultation / statistics & numerical data
  • Retrospective Studies
  • United States