, Volume 37, Issue 7, pp 1574-1575
Date: 07 May 2013

Thyroid Surgery in a District Hospital: A Vertical Program Embedded in a Rural Hospital

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The fundraising brochure distributed by Partners In Health last holiday season featured a young Rwandan woman who sought help at a PIH facility for a large tumor protruding from her cheek [1]. The organization that pioneered advanced tuberculosis and antiretroviral treatments in the austere environment of rural Haiti is now helping a number of countries build health systems that include surgical capacity. Their website features surgery as a priority program in both Haiti and Rwanda, two of the most impoverished countries in the world. How does a primary health-care organization conclude that it must develop surgical capacity? Over time, as their initial services expanded and the number of patients seeking care increased, patients with surgical conditions also began presenting with increasing regularity [2]. Instead of turning these patients away, the organization recognized that to provide equitable care to a population, surgical capacity could not be ignored.

Many facilities in resourc ...