Surgery
- Timely Access to Essential Surgery, Surgical Workforce, and Surgical Volume: Global Surgery Indicators in Mexico
Our analysis of the 2020 national census data shows that while the majority of the Mexican population has timely access to essential surgery services, policy changes are needed to facilitate more equitable access to these services across the entire population.
- Development of a Modular and Equitable Surgical Simulator
Current trends in surgical simulation favor high-fidelity, costly models that are often limited to high-income academic centers. The GlobalSurgBox overcomes many of the barriers to routine implementation and use of surgical simulators in low-income countries by circumventing the often prohibitive financial, time, and personnel investments required of current simulation prototypes.
- A Narrative Review of Kenya’s Surgical Capacity Using the Lancet Commission on Global Surgery’s Indicator Framework
Limited progress has been made on the expansion of access to surgical care in Kenya as assessed with the Lancet Commission on Global Surgery’s indicator framework, underscoring the need for a national surgery, obstetrics, and anesthesia plan.
- The Development and Inclusion of Questions on Surgery in the 2018 Zambia Demographic and Health Survey
Data from household surveys serve as the backbone to sustainable development planning. For the first time, questions on surgery have been included in a nationwide Demographic and Health Survey, showing that it is feasible to integrate these questions into a large-scale survey.
- Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda
The Non-Technical Skills for Surgeons (NOTSS) framework is a taxonomy of cognitive and social skills that foster expertise and medical knowledge in the operating room. This framework can be used as a method to improve the quality of surgical care in global efforts to improve access to affordable surgery.
- Implementation of GeneXpert for TB Testing in Low- and Middle-Income Countries: A Systematic Review
This review highlights a commonality of implementation barriers across geographically dispersed GeneXpert interventions for TB testing. This indicates the importance of using implementation frameworks to report findings that can improve public health outcomes across low- and middle-income countries.
- Top 10 Resources in Global Surgery
This resource list could serve to orient those interested in global surgery and could be supplemented with resources advocating for global surgery from clinical, population health, or policy perspectives.
- Breaking Specialty Silos: Improving Global Child Health Through Essential Surgical Care
Children’s health care providers and children’s surgery providers can partner to improve children’s health by developing the surgical workforce, focusing on “best buy” surgeries, integrating children’s surgery into national plans, streamlining data collection and research, and leveraging financing.
- National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
Developing a national surgical, obstetric, and anesthesia plan is an important first step for countries to strengthen their surgical systems and improve surgical care. Barriers to successful implementation of these plans include data collection, scalability, and financing, yet surgical system strengthening efforts are gaining momentum in achieving universal access to emergency and essential surgical care.
- A Resource Planning Analysis of District Hospital Surgical Services in the Democratic Republic of the Congo
District hospitals in the DRC, on average, could not provide 21% of lifesaving surgical interventions due to deficiencies in basic infrastructure and essential surgical equipment and supplies. Surgery's important health impact and proportionally low service delivery budget argue for greater emphasis on surgical interventions, including for obstetric care.