As with many global health challenges, the burden of untreated surgical conditions falls heaviest on individuals living in low-income and middle-income countries.
It is within this context that our work in Kongo Central Province, in the Democratic Republic of Congo (DRC) focuses on improving the quality of surgical care. Here, a high burden of road traffic collisions on the road connecting the port cities to Kinshasa, coupled with the limited ability of patients to pay for the costs associated with surgery, and limited surgical capacity in the provinces’ hospitals, mean that large numbers of patients die or suffer disability each year, from operable conditions (Lancet Commission on Global Surgery).