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Global surgery leap: a working prototype for the architecture we must build

Year: 2026
Type: editorial
Abstract: In her January 2026 Viewpoint in The Lancet, Dr Sania Nishtar, CEO of Gavi, advocated for a structural transformation of the current global health architecture, which she called the Global Health Leap.1 In it, she proposed four priorities (merger at the last mile, global public goods, large-scale country impact and fragile contexts) and four principles (country-centricity, national self-reliance, focused mandates and finite institutional lifespans).1 The Leap offers an opportunity to address existing high-priority challenges in surgical care delivery across low- and middle-income countries, including financing, indicator-tracking, noncommunicable disease (NCD) management, fragile-context care and constrained local ownership.
DOI: 10.1136/bmjgh-2026-025655
Authors: John G Meara, Nardeen B Dawood, Kee B Park, Walter D Johnson, Emmanuel Makasa, Salome Maswime
Institutions: Boston Children's Hospital, Harvard University, New York University, Loma Linda University, Ministry of Health, University of the Witwatersrand, University Teaching Hospital, University of Cape Town
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,679
OpenAlex ID: W7223330828
Cites: 6
Cited by:
Related to: 10