AUTHOR(S)
Sergio Huerta

ABSTRACT
Health care in low- to middle-income countries (LMICs) is different from high-income countries (HICs). For instance, the management of acute appendicitis in Northern Guatemala is different from hospitals in the US. Physical exam, spinal anesthesia, and an open appendectomy are common practices at a major referral hospital in El Peten Guatemala. In the US, computed tomography, general anesthesia, and a laparoscopic appendectomy are more common. Additionally, an antibiotic-first strategy is not currently accepted in hospitals in Guatemala. Similarly, the gold-standard operation for biliary colic in US hospitals is a laparoscopic cholecystectomy, whereas in Northern Guatemala, the most common approach is via an open approach. Current medical literature primarily focuses on HICs. Understanding common practices and barriers to adoption of HICs’ strategies begins by having a conversation of health care practices in LMICs. Providing a cost-effective platform for LMICs to publish papers that directly relate to their patient population is pivotal in this discussion. The main goal of Aid Via Action Global Health Journal will be to provide an avenue to publish manuscripts in LMICs with an initial focus in Central America.

DOI
https://doi.org/10.5281/zenodo.7618857

  • 1. Worldometer. Central America Population. Accessed January, 22, 2023. https://www.worldometers.info/worldpopulation/central-america-population/

    2. HVO. Health Volunteer Overseas. Accessed 12/18/2022, 2022.

    3. Hati. The World Bank. Published October 15, 2019. Accessed February 16, 2020. https://www.worldbank.org/en/country/haiti/overview.

    4. The World Factbook: Haiti. Central Intelligence Agency. Accessed February 16, 2020. https://www.cia.gov/library/publications/theworldfactbook/geos/print_ha.html.

    5. Haiti. Health in the Americas 2017. . Accessed Accessed February 16, 2020., https://www.paho.org/salud-en-las-americas2017/?p=4110.

    6. Imran JB, Ochoa-Hernandez A, Herrejon J, Madni TD, Clark AT, Huerta S. Surgical approach to gallbladder disease in rural Guatemala. J Surg Res. Oct 2017;218:329-333.

    7. Imran JB, Ochoa-Hernandez A, Herrejon J, et al. Barriers to adoption of laparoscopic cholecystectomy in a county hospital in Guatemala. Surg Endosc. Dec 2019;33(12):4128-4132.

    8. Alejo G, Ruiz M, Hernandez-Ochoa A, Ortiz C, Huerta S. Differences in treatment strategies in the management of acute appendicitis in a county hospital in Guatemala and an academic teaching institution in the United States. Trop Doct. Apr 2021;51(2):158-162.

    9. Huerta S, Tran N, Ruiz M, Ochoa-Hernandez A, OrtizVargas C, Phung T. General anesthesia versus regional anesthesia for the management of appendicitis in a county hospital in Northern Guatemala. Chirugia. 2023; In Press

    10. Timmerman C, Hernandez AO, Ortiz C, Huertas VL, Lopez R, Huerta S. Current View on the Nonoperative Management of Acute Appendicitis in a County Hospital in Guatemala. J Surg Res. May 2019;237:108-109.

    11. Ochoa-Hernandez A, Timmerman C, Ortiz C, Huertas VL, Huerta S. Emergent groin hernia repair at a County Hospital in Guatemala: patient-related issues vs. health care system limitations. Hernia. Jun 2020;24(3):625632.

    12. Argo M, Timmerman C, Ochoa-Hernandez A, Ortiz C, Lopez-Huertas V, Huerta S. Current status of local anesthesia for inguinal hernia repair in developing countries and in the United States. Hernia. Jun 2019;23(3):621-622.

    13. Huerta S. Diagnosis and Management of Acute Appendicitis. JAMA. Mar 22 2022;327(12):1183-1184.

Health Care in Central America

2023, Volume 1, Issue 1