Overview
My academic interest is global pediatric surgery. There are millions of children worldwide who do not have access to safe surgery for congenital anomalies and acquired conditions. As a result, many children in low-middle income countries live with chronic disability or die before they can access surgical care. In many cultures, congenital problems may also lead to social isolation or catastrophic health expenditure for families.
Many countries in sub-Saharan Africa have just a handful of qualified surgeons. For example, in Uganda, the country where I have most frequently worked, there are 4 general pediatric surgeons for a country of 39 million people. This would be the equivalent of 32 pediatric surgeons serving the entire United States. There are neighboring countries with no pediatric surgeons.
My work focuses on surgical capacity building - empowering and working with local surgeons in low-middle income countries to increase numbers of surgical providers, improve quality and increase surgical support services such as intensive care and anesthesia services. I have several ongoing projects regarding the burden of surgical disease for patients and their families in low-middle income countries, surgical training and capacity building.
Many countries in sub-Saharan Africa have just a handful of qualified surgeons. For example, in Uganda, the country where I have most frequently worked, there are 4 general pediatric surgeons for a country of 39 million people. This would be the equivalent of 32 pediatric surgeons serving the entire United States. There are neighboring countries with no pediatric surgeons.
My work focuses on surgical capacity building - empowering and working with local surgeons in low-middle income countries to increase numbers of surgical providers, improve quality and increase surgical support services such as intensive care and anesthesia services. I have several ongoing projects regarding the burden of surgical disease for patients and their families in low-middle income countries, surgical training and capacity building.
Current Duke Appointments & Affiliations
Associate Professor of Surgery
·
2021 - Present
Surgery, Pediatric General Surgery,
Surgery
Associate Research Professor of Global Health
·
2020 - Present
Duke Global Health Institute,
University Institutes and Centers
Recent Scholarly Works
A socioecological model of skilled birth attendant perspectives on gastroschisis in southwest Uganda.
Journal article Surgery · July 2026 BACKGROUND: Gastroschisis, a congenital abdominal wall defect, is increasingly reported in sub-Saharan Africa, yet survival remains poor in low-income and middle-income countries, such as Uganda. Barriers to care extend beyond clinical limitations, with so ... Full text Link to item CiteExpanding Global Laparoscopic Training: Validity Testing of a Ugandan-Manufactured Box Trainer.
Journal article J Surg Educ · June 3, 2026 INTRODUCTION: Laparoscopic training is needed in Africa. KeyTrainer (KT) is a low-cost laparoscopic box trainer, manufactured in Uganda, with laparoscopic tasks adapted for the African context. We report on the construct validity of KT by testing with Ugan ... Full text Link to item CiteA survey of Ugandan skilled birth attendants regarding beliefs and management of gastroschisis
Journal article BMJ Global Health · March 1, 2026 Introduction: Gastroschisis mortality is disproportionately high in Africa due in part to delayed presentation and limited surgical capacity. Skilled birth attendants (SBAs) are often the first to encounter these babies and can be an important part of thei ... Full text CiteRecent Grants
KeyScope: The Key to Sustainable Cancer Diagnosis and Treatment in Uganda
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2022 - 2027Saving Intestines at Birth: Mobilizing Midwives & Low-Cost Silos to Improve Gastroschisis Mortality in Uganda
ResearchPrincipal Investigator · Awarded by Association for Academic Surgery · 2024 - 2026KeySuite Manufacturing, Testing, Regulatory Approval, and Business Development Model in Uganda
ResearchPrincipal Investigator · Awarded by Makerere University College of Health Sciences · 2023 - 2025View All Grants
Education
Boston University, School of Medicine ·
2004
M.D.
Boston University ·
2004
Ph.D.
Boston University ·
1997
B.S.