Challenges in healthcare delivery in low- and middle-income countries

The Lancet Commission outlines a vision of universal access to safe emergency and essential surgery. Global disparities in perioperative outcomes are recognized, with resource-poor environments workforce crisis particularly challenging low- middle-income countries (LMICs) provide surgical anaesthesia care. coronavirus disease (COVID-19) pandemic placed an even greater strain on under-resourced over-stretched healthcare systems. Bridging the gap achieve is substantial undertaking requires collaboration high-income countries. partnerships abundant mutually beneficial, aiming alleviate crisis, education, training expertize raise standards care host LMICs. Clinical, leadership management experience gained low-resource settings valued by systems countries, acknowledged curriculum for ‘developing world anaesthesia’. Further challenges delivery, implementation change influence government policy, cultural traditions, expectations work ethic. During COVID-19 many were required move online. necessity providing remote support has created its own set challenges, while also novel opportunities education global health community. This article describes through reflection personal Zambia.