Year: 2016
Type: review
Abstract: The Millennium Development Goals have ended and the Sustainable Development Goals have begun, marking a shift in the global health landscape. The frame of reference has changed from a focus on 8 development priorities to an expansive set of 17 interrelated goals intended to improve the well-being of all people. In this time of change, several groups, including the Lancet Commission on Global Surgery, have brought a critical problem to the fore: 5 billion people lack access to safe, affordable surgical and anaesthesia care when needed. The magnitude of this problem and the world's new focus on strengthening health systems mandate reimagined roles for and renewed commitments from high income country actors in global surgery. To discuss the way forward, on 6 May 2015, the Commission held its North American launch event in Boston, Massachusetts. Panels of experts outlined the current state of knowledge and agreed on the roles of surgical colleges and academic medical centres; trainees and training programmes; academia; global health funders; the biomedical devices industry, and news media and advocacy organisations in building sustainable, resilient surgical systems. This paper summarises these discussions and serves as a consensus statement providing practical advice to these groups. It traces a common policy agenda between major actors and provides a roadmap for maximising benefit to surgical patients worldwide. To close the access gap by 2030, individuals and organisations must work collectively, interprofessionally and globally. High income country actors must abandon colonial narratives and work alongside low and middle income country partners to build the surgical systems of the future.
Source: BMJ Global Health
Authors: Joshua S Ng-Kamstra, Sarah L M Greenberg, Fizan Abdullah, Vanda Amado, Geoffrey A Anderson, Matchecane Cossa, Ainhoa Costas-Chavarri, Justine Davies, Haile T Debas, George S M Dyer, Sarnai Erdene, Paul E Farmer, Amber Gaumnitz, Lars Hagander, Adil Haider, Andrew J M Leather, Yihan Lin, Robert Marten, Jeffrey T Marvin, Craig D McClain, John G Meara, Mira Meheš, Charles Mock, Swagoto Mukhopadhyay, Sergelen Orgoi, Timothy Prestero, Raymond R Price, Nakul P Raykar, Johanna N Riesel, Robert Riviello, Stephen M Rudy, Saurabh Saluja, Richard Sullivan, John L Tarpley, Robert H Taylor, Louis-Franck Telemaque, Gabriel Toma, Asha Varghese, Melanie Walker, Gavin Yamey, Mark G Shrime
Institutions: Boston Children's Hospital, Harvard University, University of Toronto, Medical College of Wisconsin, Northwestern University, Lurie Children's Hospital, Eduardo Mondlane University, Maputo Central Hospital, Massachusetts General Hospital, Ministry of Health, University of California, San Francisco, University of California Global Health Institute, Brigham and Women's Hospital, Mongolian National University of Medical Sciences, Partners In Health, Lund University, King's College London, Kings Health Partners, University of Colorado Denver, Rockefeller Foundation, London School of Hygiene & Tropical Medicine, University of Washington, Harborview Injury Prevention and Research Center, University of Connecticut, UConn Health, Intermountain Healthcare, University of Utah, Beth Israel Deaconess Medical Center, Weill Cornell Medicine, Vanderbilt University, VA Tennessee Valley Healthcare System, Nashville VA Medical Center, University of British Columbia, University of Haiti, World Bank, World Bank Group, Duke University, Massachusetts Eye and Ear Infirmary
Language: English
Topic: Global Health and Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,679
OpenAlex ID: W2336768016