# Perspectives of Community Health Physicians on Access to Neurosurgical Care in the Philippines

## TL;DR

This study explores the challenges community health physicians in the Philippines face in providing access to neurosurgical care, highlighting the need for better infrastructure and support.

## Contribution

The study provides insights into the specific logistical and systemic barriers to neurosurgical care in the Philippines through a survey of community health physicians.

## Key findings

- Physicians in the Visayas and Mindanao Islands frequently encounter neurosurgical cases, such as strokes and traumatic brain injuries.
- Logistical challenges like long referral distances and lack of diagnostic tools hinder access to neurosurgical services.
- A majority of participants reported the absence of a structured follow-up system for postoperative care.

## Abstract

Access to essential neurosurgical care in low and middle-income countries (LMICs), particularly in the Philippines, is a significant challenge, exacerbated by financial, logistical, and staffing barriers. Despite a high burden of neurological disorders, access to neurosurgical services remains limited in many areas. This cross-sectional study employed a survey targeting community health physicians across the Philippines, utilizing snowball sampling to ensure diverse representation. A structured questionnaire gathered data on the availability of neurosurgical services, referral practices, and perceived barriers to access, focusing on geographical, economic, and systemic challenges. Valid responses were collected from 63 participants, primarily public health officers. The data revealed that a significant number of physicians encounter neurosurgical cases monthly, predominantly strokes and traumatic brain injuries. Participants from the Visayas and Mindanao Islands reported more frequent consultations, occurring on a daily to weekly basis. However, logistical challenges such as long referral distances and inadequate local resources were prevalent, with many communities lacking access to essential diagnostic tools. Furthermore, a majority of participants reported the absence of a structured follow-up system for postoperative care. The findings highlight urgent barriers to accessing neurosurgical care, including financial constraints and geographical isolation. Participants emphasized the need for improved referral systems, increased local government support, and enhanced training for healthcare providers. This study underscores the critical need for comprehensive strategies to enhance access to neurosurgical services in the Philippines, focusing on infrastructural improvements, community awareness, and resource allocation to reduce morbidity associated with delayed treatment in underserved regions.