An Urgent Need for a Common Framework for the Articulation, Design and Reporting of Surgical System Strengthening Interventions; Comment on “Improving Access to Surgery Through Surgical Team Mentoring – Policy Lessons From Group Model Building With Local Stakeholders in Malawi”

Document Type : Commentary

Author

1 Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA

2 Rutgers Global Health Institute, Rutgers University, New Brunswick, NJ, USA

Abstract

Nearly 60% of the world’s inhabitants lack access to timely, safe, and ffordable emergency and essential surgical, anesthetic, and obstetric (SAO) services when needed. Although acknowledged as an important step in resolving this disparity, situation analysis informed development of national surgical, obstetric and anesthesia plans (NSOAPs) has not been performed widely. There are even fewer published examples of NSOAP driven SAO system vulnerability resolving policy interventions, potentially hindering broader acceptance and drafting. Thus, there is urgent need for alignment of academic global surgery activities through a common framework for SAO strengthening intervention articulation, design and reporting which can be informed by the Malawian experience and others. This is a logical next step in the evolution of surgical system science as we move towards the articulation of actionable inequity resolving interventions through stakeholder engagement embedded in a plan-do-study-act (PDSA) model for iterative refinement of strengthening policies.

Keywords


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Articles in Press, Corrected Proof
Available Online from 10 April 2022
  • Receive Date: 07 December 2021
  • Revise Date: 07 April 2022
  • Accept Date: 09 April 2022
  • First Publish Date: 10 April 2022