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Global Health: Science and Practice
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Global Health: Science and Practice

Dedicated to what works in global health programs

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Surgery

  • Open Access
    A Cosmopolitan Argument for Temporary “Diagonal” Short-Term Surgical Missions as a Component of Surgical Systems Strengthening
    Gabriella Yael Hyman, Rashi Jhunjhunwala and Douglas W. Hanto
    Global Health: Science and Practice October 2024, 12(5):e2400046; https://doi.org/10.9745/GHSP-D-24-00046

    We propose an argument for “diagonal” short-term surgical missions as a stop-gap component of global surgical systems strengthening based upon the political justice theory of moral cosmopolitanism

  • Open Access
    Surgical System Efficiency and Operative Productivity in Public and Private Health Facilities in Ethiopia: A Cross-Sectional Evaluation
    Manuel Kassaye Sibhatu, Edlawit Mesfin Getachew, Dawit Yifru Bete, Senedu Bekele Gebreegziabher, Tsegaye Hailu Kumsa, Mulatu Birru Shagre, Kassa Haile Merga, Desalegn Bekele Taye, Hassen Mohammed Bashir, Mikiyas Teferri Yicheneku, Wuletaw Chanie Zewude, Akililu Alemu Ashuro, Tigistu Adamu Ashengo and Berhane Redae Meshesha
    Global Health: Science and Practice February 2024, 12(1):e2200277; https://doi.org/10.9745/GHSP-D-22-00277

    The surgical system in Ethiopia in both public and private health facilities was inefficient, requiring immediate action to improve timely access to safe surgical care.

  • Open Access
    A Financing Strategy to Expand Surgical Health Care
    Desmond T. Jumbam, Che L. Reddy, John G. Meara, Emmanuel M. Makasa and Rifat Atun
    Global Health: Science and Practice June 2023, 11(3):e2100295; https://doi.org/10.9745/GHSP-D-21-00295

    The authors propose a strategy to guide the financing of surgical health care services as part of national health care policies in LMICs.

  • Open Access
    Timely Access to Essential Surgery, Surgical Workforce, and Surgical Volume: Global Surgery Indicators in Mexico
    Rafael H. Pérez-Soto, Alicia Maybi Trolle-Silva, Gabriela Alejandra Buerba-Romero Valdés, Germán Esteban Sánchez-Morales, David Velázquez-Fernández, Antonio Ramos-De la Medina and Miguel F. Herrera
    Global Health: Science and Practice February 2023, 11(1):e2100745; https://doi.org/10.9745/GHSP-D-21-00745

    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.

  • Open Access
    Development of a Modular and Equitable Surgical Simulator
    Yihan Lin, Jason J. Han, John J. Kelly, Anna K. Gergen and Emily Downs
    Global Health: Science and Practice June 2022, 10(3):e2100744; https://doi.org/10.9745/GHSP-D-21-00744

    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.

  • Open Access
    A Narrative Review of Kenya’s Surgical Capacity Using the Lancet Commission on Global Surgery’s Indicator Framework
    Hugh Shirley and Richard Wamai
    Global Health: Science and Practice February 2022, 10(1):e2100500; https://doi.org/10.9745/GHSP-D-21-00500

    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.

  • Open Access
    The Development and Inclusion of Questions on Surgery in the 2018 Zambia Demographic and Health Survey
    Sabrina Juran, Sanna Moren, Vatshalan Santhirapala, Lina Roa, Emmanuel Makasa, Justine Davies, Jose Miguel Guzman, Lars Hagander, Hampus Holmer, Mark G. Shrime, Thomas G. Weiser, John G. Meara, Stefanie J. Klug and David Ljungman
    Global Health: Science and Practice December 2021, 9(4):905-914; https://doi.org/10.9745/GHSP-D-20-00619

    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.

  • Open Access
    Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda
    Daniel Josef Lindegger, Egide Abahuje, Kenneth Ruzindana, Elizabeth Mwachiro, Gilbert Rutayisire Karonkano, Wendy Williams, George Ntakiyiruta, Robert Riviello, Steven Yule and Simon Paterson-Brown
    Global Health: Science and Practice September 2021, 9(3):481-486; https://doi.org/10.9745/GHSP-D-21-00042

    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.

  • Open Access
    Implementation of GeneXpert for TB Testing in Low- and Middle-Income Countries: A Systematic Review
    Scott Brown, Justine E. Leavy and Jonine Jancey
    Global Health: Science and Practice September 2021, 9(3):698-710; https://doi.org/10.9745/GHSP-D-21-00121

    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.

  • Open Access
    Top 10 Resources in Global Surgery
    Alliance Niyikuri, Emily R. Smith, Dominique Vervoort, Mark G. Shrime, Stav Brown, Alexander W. Peters, Gavin Yamey and Emmanuel Makasa
    Global Health: Science and Practice September 2020, 8(3):606-611; https://doi.org/10.9745/GHSP-D-20-00050

    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.

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