TY - JOUR ID - 4243 TI - Evidence-Driven Policies for Sustainably Scaling Up Surgical Task-Sharing in Malawi; Comment on “Improving Access to Surgery Through Surgical Team Mentoring – Policy Lessons From Group Model Building With Local Stakeholders in Malawi” JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Jumbam, Desmond T. AU - Kanmounye, Ulrick Sidney AU - Citron, Isabelle AU - Kamalo, Patrick AD - Department of Policy and Advocacy, Operation Smile, Virginia Beach, VA, USA AD - Royal London Hospital, London, UK AD - Department of Neurosurgery, Queen Elizabeth Central Hospital, Blantyre, Malawi Y1 - 2022 PY - 2022 VL - 11 IS - 11 SP - 2752 EP - 2754 KW - Global Surgery KW - Task-Sharing KW - Health Financing DO - 10.34172/ijhpm.2022.6979 N2 - This commentary discusses an article by Broekhuizen et al which assesses policy options for scaling up the SURG-Africa surgical team mentoring program in Malawi to increase access to surgical care. In modeling these scenarios, the authors assess the cost of scaling up surgical teams mentoring and the impacts of scaling the program on district hospitals (DHs) and central hospitals (CHs). The additional costs borne by DHs when increasing surgical volume remains a significant issue identified by the authors and could ultimately determine the success of the program. The piece indirectly advocates for an increased role for task-shifting. The Ministry of Health of Malawi will have to ensure the appropriate governance and regulatory processes are in place to maintain quality and accountability. UR - https://www.ijhpm.com/article_4243.html L1 - https://www.ijhpm.com/article_4243_36210389f05c5846a6294a22e2da1b2d.pdf ER -