Congress on Health in Africa, İstanbul, Türkiye, 20 - 21 Temmuz 2017, ss.59
İstanbul Medeniyet University,Faculty of Medicine, Department of General Surgery, Turkey
Africa accounts for 24% of the global disease burden but only 3% of the global health workforce. WHO recommends one general surgeon per 13.250 individuals while this number is
one surgeon per 400.000 population in some African coutries. According to the 2012 data
of WHO; the need for surgical interventions accounts for 4664 per 100.000 individuals.
However, this is less then 100 per 100000 in Sub-Saharan Africa (SSA).
Almost over one quarter of a million woman died from complications of childbirth, and
most of these deaths could have been prevented by providing basic obstetric surgical care
for women. According to the estimation of WHO; low- and middle-income countries have
90% of all road traffic deaths and Africa’s road trauma burden, which is the highest in the
world, and is expected to increase by the year 2020. The same facts and trends may also
be attributed to war surgery as well. The overall disease burden associated with surgical
conditions in SSA is estimated at 38 DALYS (disability adjusted life years) lost per 1.000
Surgically treatable conditions account for a significant proportion of the disease burden
in resource-limited settings, but are underestimated due to lack of trained staff or equipments. Significant perioperative morbidity and mortality in these settings are preventable.
An analysis between the diseases defined as concerns of public health and surgical conditions will be presented in this study. Surgically treatable diseases should be acknowleged
as a public health issue and this awareness may significantly reduce mortality