Meena Nathan Cherian

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A system to improve the management of emergencies during pregnancy, childbirth, infancy and childhood in a region of The Gambia (Brikama) with a population of approximately 250,000 has been developed.This was accomplished through formal partnership between the Gambian Ministry of Health, the World Health Organisation, Maternal Childhealth Advocacy(More)
OBJECTIVE The primary objective was to evaluate the capacity of first-referral health facilities in Tanzania to perform basic surgical procedures. The intent was to assist in planning strategies for universal access to life-saving and disability-preventing surgical services. DESIGN Cross-sectional survey. SETTING First-referral health facilities in the(More)
BACKGROUND Parenteral administration of narcotics has been the mainstay for postoperative pain relief in patients undergoing lumbar laminectomy. However, this may lead to respiratory depression and nausea, which may be hazardous in these patients. METHODS We evaluated the efficacy of wound infiltration with bupivacaine in 45 consecutive patients(More)
OBJECTIVE To assess capacity to provide essential surgical services including emergency, obstetric and anaesthesia care in Papua New Guinea (PNG) in order to support planning for relevant post-2015 sustainable development goals for PNG. DESIGN Cross-sectional survey. SETTING Hospitals and health facilities in PNG. PARTICIPANTS 21 facilities including(More)
BACKGROUND The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). METHODS Data on the availability of(More)
OBJECTIVE To assess life-saving and disability-preventing surgical services (including emergency, trauma, obstetrics, anaesthesia) of health facilities in Somalia and to assist in the planning of strategies for strengthening surgical care systems. DESIGN Cross-sectional survey. SETTING Health facilities in all 3 administrative zones of Somalia;(More)
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