Abstract
Funding priorities in Africa typically favour infectious diseases, and surgery and perioperative care have been neglected, even though essential surgical care at district hospitals is more cost effective than some other highly prioritised interventions, such as antiretroviral therapy for HIV.1 Recent focus on the workforce needed for male circumcision to prevent HIV transmission is an exception.2 Injuries create the greatest surgical burden, followed by cancers, congenital anomalies, and complications of childbirth.
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