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Educating Mothers to Detect Signs of Congenital Pediatric Conditions in an Effort to Strengthen Pediatric Surgical Systems in LMICS

      A male child was born on 11/11/2016 in the largest pediatric government hospital in the entire state of Tamil Nadu, India. This hospital provides care for children from low socio-economic backgrounds and is a free hospital. The baby was born with esophageal atresia, tracheoesophageal fistula, respiratory failure of newborn, and septicemia of newborn. Surgery was performed on the newborn, including lung decortication, ligation esophagus, laparotomy, and duodenoduodenostomy. The patient was not kept in the NICU post operation and died 4 days later. There is a consensus that different mechanisms and causes are involved that led to this outcome and similar outcomes due to pediatric surgical conditions globally. There is extensive global literature that helps us to understand the complex and multifactorial nature of the state of global surgery. The current goals and interventions center around surgical system strengthening and capacity building. It is important to note that pediatric surgical system strengthening in LMICs will take significantly more time and a multitude of resources in comparison to general adult surgery systems, as pediatric surgery is a niche and complex field.
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