Global Surgery 2030: a roadmap for high income country actors
Open Access
- 6 April 2016
- journal article
- review article
- Published by BMJ in BMJ Global Health
- Vol. 1 (1), e000011
- https://doi.org/10.1136/bmjgh-2015-000011
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.Keywords
This publication has 65 references indexed in Scilit:
- Training for health services and systems research in Sub-Saharan Africa - a case study at four East and Southern African UniversitiesHuman Resources for Health, 2013
- Three phases of the Pacific Islands Project (1995–2010)Anz Journal of Surgery, 2012
- Analyzing Media Coverage of the Global Fund Diseases Compared with Lower Funded Diseases (Childhood Pneumonia, Diarrhea and Measles)PLOS ONE, 2011
- Health risks encountered by Dutch medical students during an elective in the tropics and the quality and comprehensiveness of pre-and post-travel careBMC Medical Education, 2010
- Global Health Education: a cross-sectional study among German medical students to identify needs, deficits and potential benefits (Part 1 of 2: Mobility patterns & educational needs and demands)BMC Medical Education, 2010
- Role of Collaborative Academic Partnerships in Surgical Training, Education, and ProvisionWorld Journal of Surgery, 2010
- Pulse oximetry for perioperative monitoringPublished by Wiley ,2009
- Analysis of the mass media coverage of the Gates Foundation Grand Challenges in Global Health initiativeJournal of Medical Ethics, 2009
- Medicine in the Popular Press: The Influence of the Media on Perceptions of DiseasePLOS ONE, 2008
- Neglected Diseases in the News: A Content Analysis of Recent International Media Coverage Focussing on Leishmaniasis and TrypanosomiasisPLoS Neglected Tropical Diseases, 2008