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In 2005, the Ministry of Health in association with the Faculty of Medicine of Niamey decided to launch surgery at the district hospital (DH) level as part of the health strategy for the country. Surgical procedures were provided by general practitioners who received 12 months of training in basic surgery. Whereas the initiative was launched nationwide, we(More)
We appreciate the response to our article from Dr. Emmanual Monjok and heartily concur that especially in limitedresource settings, it is neither practical nor helpful to the communities that seek care to follow models that have been developed in other contexts with a different set of available resources. We have devised this program in Niger with the idea(More)
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