An estimated 4.8 to 5.8 million global deaths are attributable annually to injuries, with 90% occurring in low- and middle-income countries like Bolivia. Traumatic injuries include road traffic incidents, falls, burns, poisonings, drownings, and violence (assault, self-inflicted, or acts of war). General elements of a comprehensive trauma system should address these injuries through prevention, pre-hospital care, definitive hospital care, rehabilitation, process improvement, and patient safety initiatives. Effective trauma systems lead to improved patient survival, with up to a 20% decrease in mortality and improved functional outcomes.

The Bolivian Trauma Initiative has five main activities:

The above initiatives will facilitate the creation of evidence-based policy and interventions for injury prevention and trauma care quality improvements, in an effort to reduce injury morbidity and mortality within the Bolivian population.

In-Country Directors

NTSI is fortunate to be able to work with two highly-experienced Bolivian surgeons:

Jorge Esteban Foianini, MD, FACS in Santa Cruz

José Luis Gallardo Barrientos, MD, FACS in Potosi

Project Partners

La Paz


Santa Cruz

Course Materials