Publications by authors named "Andy J M Leather"

Article Synopsis
  • The study looks at why some people have died from injuries that could have been prevented in Northern Malawi.
  • They found that many of these deaths had delays in getting help, with different reasons for each delay.
  • A large number of potentially avoidable deaths were linked to issues like not knowing how to get care, problems in communication, and lack of resources in hospitals.
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Article Synopsis
  • Trauma is a significant cause of life years lost for young people globally, with trauma laparotomy being the most common surgical procedure for abdominal injuries.
  • The GOAL-Trauma study aims to gather comprehensive data on patient demographics, injury types, and clinical management associated with trauma laparotomy, tracking outcomes for 30 days post-surgery.
  • By analyzing this data, the study seeks to highlight variations in trauma care and outcomes, ultimately improving global trauma management standards.
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Objectives: To measure the financial burden associated with accessing surgical care in Sierra Leone.

Design: A cross-sectional survey conducted with patients at the time of discharge from tertiary-level care. This captured demographics, yearly household expenditure, direct medical, direct non-medical and indirect costs for surgical care, and summary household assets.

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Background: The unmet burden of surgical care is high in low-income and middle-income countries. The Lancet Commission on Global Surgery (LCoGS) proposed six indicators to guide the development of national plans for improving and monitoring access to essential surgical care. This study aimed to characterise the Somaliland surgical health system according to the LCoGS indicators and provide recommendations for next-step interventions.

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Objective: Injury burden is highest in low-income and middle-income countries. To reduce avoidable deaths, it is necessary to identify health system deficiencies preventing timely, quality care. We developed criteria to use verbal autopsy (VA) data to identify avoidable deaths and associated health system deficiencies.

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Objectives: The Lancet Commission on Global Surgery estimated that low/middle-income countries will lose an estimated cumulative loss of US$12.3 trillion from gross domestic product (GDP) due to the unmet burden of surgical disease. However, no country-specific data currently exist.

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