The Global Initiative for Children's Surgery: Optimal Resources for Improving Care

Laura F. Goodman, Etienne St-Louis, Yasmine Yousef, Maija Cheung, Benno Ure, Doruk Ozgediz, Emmanuel Adoyi Ameh, Stephen Bickler, Dan Poenaru, Keith Oldham, Diana L Farmer, Kokila Lakhoo

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background The Lancet Commission on Global Surgery reported that 5 billion people lack access to safe, affordable surgical care. The majority of these people live in low-resource settings, where up to 50% of the population is children. The Disease Control Priorities (Debas HTP, Donkor A, Gawande DT, Jamison ME, Kruk, and Mock CN, editors. Essential Surgery. Disease Control Priorities. Third Edition, vol 1. Essential Surgery. Washington, DC: World Bank; 2015) on surgery included guidelines for the improvement of access to surgical care; however, these lack detail for children's surgery. Aims To produce guidance for low- and middle-income countries (LMICs) on the resources required for children's surgery at each level of hospital care. Methods The Global Initiative for Children's Surgery (GICS) held an inaugural meeting at the Royal College of Surgeons in London in May 2016, with 52 surgical providers from 21 countries, including 27 providers from 18 LMICs. Delegates engaged in working groups over 2 days to prioritize needs and solutions for optimizing children's surgical care; these were categorized into infrastructure, service delivery, training, and research. At a second GICS meeting in Washington in October 2016, 94 surgical care providers, half from LMICs, defined the optimal resources required at primary, secondary, tertiary, and national referral level through a series of working group engagements. Results Consensus solutions for optimizing children's surgical care included the following: Establishing standards and integrating them into national surgical plans. Each country should have at least one children's hospital. Designate, facilitate, and support regional training hubs covering all children's surgical specialties. Establish regional research support centers. An “Optimal Resources” document was produced detailing the facilities and resources required at each level of care. Conclusion The Optimal Resources document has been produced by surgical providers from LMICs who have the greatest insight into the needs and priorities in their population. The document will be refined further through online GICS Working Groups and the World Health Organization for broad application to ensure all children have timely access to safe surgical care.

Original languageEnglish (US)
JournalEuropean Journal of Pediatric Surgery
DOIs
StateAccepted/In press - Jun 6 2017

Fingerprint

Child Care
Surgical Specialties
Training Support
United Nations
Population
Referral and Consultation
Guidelines
Research
Surgeons

Keywords

  • GICS
  • global health
  • pediatric surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Goodman, L. F., St-Louis, E., Yousef, Y., Cheung, M., Ure, B., Ozgediz, D., ... Lakhoo, K. (Accepted/In press). The Global Initiative for Children's Surgery: Optimal Resources for Improving Care. European Journal of Pediatric Surgery. https://doi.org/10.1055/s-0037-1604399

The Global Initiative for Children's Surgery : Optimal Resources for Improving Care. / Goodman, Laura F.; St-Louis, Etienne; Yousef, Yasmine; Cheung, Maija; Ure, Benno; Ozgediz, Doruk; Ameh, Emmanuel Adoyi; Bickler, Stephen; Poenaru, Dan; Oldham, Keith; Farmer, Diana L; Lakhoo, Kokila.

In: European Journal of Pediatric Surgery, 06.06.2017.

Research output: Contribution to journalArticle

Goodman, LF, St-Louis, E, Yousef, Y, Cheung, M, Ure, B, Ozgediz, D, Ameh, EA, Bickler, S, Poenaru, D, Oldham, K, Farmer, DL & Lakhoo, K 2017, 'The Global Initiative for Children's Surgery: Optimal Resources for Improving Care', European Journal of Pediatric Surgery. https://doi.org/10.1055/s-0037-1604399
Goodman, Laura F. ; St-Louis, Etienne ; Yousef, Yasmine ; Cheung, Maija ; Ure, Benno ; Ozgediz, Doruk ; Ameh, Emmanuel Adoyi ; Bickler, Stephen ; Poenaru, Dan ; Oldham, Keith ; Farmer, Diana L ; Lakhoo, Kokila. / The Global Initiative for Children's Surgery : Optimal Resources for Improving Care. In: European Journal of Pediatric Surgery. 2017.
@article{4cb2f8d44f27403bb4bb2ca9c07c4b39,
title = "The Global Initiative for Children's Surgery: Optimal Resources for Improving Care",
abstract = "Background The Lancet Commission on Global Surgery reported that 5 billion people lack access to safe, affordable surgical care. The majority of these people live in low-resource settings, where up to 50{\%} of the population is children. The Disease Control Priorities (Debas HTP, Donkor A, Gawande DT, Jamison ME, Kruk, and Mock CN, editors. Essential Surgery. Disease Control Priorities. Third Edition, vol 1. Essential Surgery. Washington, DC: World Bank; 2015) on surgery included guidelines for the improvement of access to surgical care; however, these lack detail for children's surgery. Aims To produce guidance for low- and middle-income countries (LMICs) on the resources required for children's surgery at each level of hospital care. Methods The Global Initiative for Children's Surgery (GICS) held an inaugural meeting at the Royal College of Surgeons in London in May 2016, with 52 surgical providers from 21 countries, including 27 providers from 18 LMICs. Delegates engaged in working groups over 2 days to prioritize needs and solutions for optimizing children's surgical care; these were categorized into infrastructure, service delivery, training, and research. At a second GICS meeting in Washington in October 2016, 94 surgical care providers, half from LMICs, defined the optimal resources required at primary, secondary, tertiary, and national referral level through a series of working group engagements. Results Consensus solutions for optimizing children's surgical care included the following: Establishing standards and integrating them into national surgical plans. Each country should have at least one children's hospital. Designate, facilitate, and support regional training hubs covering all children's surgical specialties. Establish regional research support centers. An “Optimal Resources” document was produced detailing the facilities and resources required at each level of care. Conclusion The Optimal Resources document has been produced by surgical providers from LMICs who have the greatest insight into the needs and priorities in their population. The document will be refined further through online GICS Working Groups and the World Health Organization for broad application to ensure all children have timely access to safe surgical care.",
keywords = "GICS, global health, pediatric surgery",
author = "Goodman, {Laura F.} and Etienne St-Louis and Yasmine Yousef and Maija Cheung and Benno Ure and Doruk Ozgediz and Ameh, {Emmanuel Adoyi} and Stephen Bickler and Dan Poenaru and Keith Oldham and Farmer, {Diana L} and Kokila Lakhoo",
year = "2017",
month = "6",
day = "6",
doi = "10.1055/s-0037-1604399",
language = "English (US)",
journal = "European Journal of Pediatric Surgery",
issn = "0939-7248",
publisher = "Thieme Medical Publishers",

}

TY - JOUR

T1 - The Global Initiative for Children's Surgery

T2 - Optimal Resources for Improving Care

AU - Goodman, Laura F.

AU - St-Louis, Etienne

AU - Yousef, Yasmine

AU - Cheung, Maija

AU - Ure, Benno

AU - Ozgediz, Doruk

AU - Ameh, Emmanuel Adoyi

AU - Bickler, Stephen

AU - Poenaru, Dan

AU - Oldham, Keith

AU - Farmer, Diana L

AU - Lakhoo, Kokila

PY - 2017/6/6

Y1 - 2017/6/6

N2 - Background The Lancet Commission on Global Surgery reported that 5 billion people lack access to safe, affordable surgical care. The majority of these people live in low-resource settings, where up to 50% of the population is children. The Disease Control Priorities (Debas HTP, Donkor A, Gawande DT, Jamison ME, Kruk, and Mock CN, editors. Essential Surgery. Disease Control Priorities. Third Edition, vol 1. Essential Surgery. Washington, DC: World Bank; 2015) on surgery included guidelines for the improvement of access to surgical care; however, these lack detail for children's surgery. Aims To produce guidance for low- and middle-income countries (LMICs) on the resources required for children's surgery at each level of hospital care. Methods The Global Initiative for Children's Surgery (GICS) held an inaugural meeting at the Royal College of Surgeons in London in May 2016, with 52 surgical providers from 21 countries, including 27 providers from 18 LMICs. Delegates engaged in working groups over 2 days to prioritize needs and solutions for optimizing children's surgical care; these were categorized into infrastructure, service delivery, training, and research. At a second GICS meeting in Washington in October 2016, 94 surgical care providers, half from LMICs, defined the optimal resources required at primary, secondary, tertiary, and national referral level through a series of working group engagements. Results Consensus solutions for optimizing children's surgical care included the following: Establishing standards and integrating them into national surgical plans. Each country should have at least one children's hospital. Designate, facilitate, and support regional training hubs covering all children's surgical specialties. Establish regional research support centers. An “Optimal Resources” document was produced detailing the facilities and resources required at each level of care. Conclusion The Optimal Resources document has been produced by surgical providers from LMICs who have the greatest insight into the needs and priorities in their population. The document will be refined further through online GICS Working Groups and the World Health Organization for broad application to ensure all children have timely access to safe surgical care.

AB - Background The Lancet Commission on Global Surgery reported that 5 billion people lack access to safe, affordable surgical care. The majority of these people live in low-resource settings, where up to 50% of the population is children. The Disease Control Priorities (Debas HTP, Donkor A, Gawande DT, Jamison ME, Kruk, and Mock CN, editors. Essential Surgery. Disease Control Priorities. Third Edition, vol 1. Essential Surgery. Washington, DC: World Bank; 2015) on surgery included guidelines for the improvement of access to surgical care; however, these lack detail for children's surgery. Aims To produce guidance for low- and middle-income countries (LMICs) on the resources required for children's surgery at each level of hospital care. Methods The Global Initiative for Children's Surgery (GICS) held an inaugural meeting at the Royal College of Surgeons in London in May 2016, with 52 surgical providers from 21 countries, including 27 providers from 18 LMICs. Delegates engaged in working groups over 2 days to prioritize needs and solutions for optimizing children's surgical care; these were categorized into infrastructure, service delivery, training, and research. At a second GICS meeting in Washington in October 2016, 94 surgical care providers, half from LMICs, defined the optimal resources required at primary, secondary, tertiary, and national referral level through a series of working group engagements. Results Consensus solutions for optimizing children's surgical care included the following: Establishing standards and integrating them into national surgical plans. Each country should have at least one children's hospital. Designate, facilitate, and support regional training hubs covering all children's surgical specialties. Establish regional research support centers. An “Optimal Resources” document was produced detailing the facilities and resources required at each level of care. Conclusion The Optimal Resources document has been produced by surgical providers from LMICs who have the greatest insight into the needs and priorities in their population. The document will be refined further through online GICS Working Groups and the World Health Organization for broad application to ensure all children have timely access to safe surgical care.

KW - GICS

KW - global health

KW - pediatric surgery

UR - http://www.scopus.com/inward/record.url?scp=85028018764&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028018764&partnerID=8YFLogxK

U2 - 10.1055/s-0037-1604399

DO - 10.1055/s-0037-1604399

M3 - Article

C2 - 28806850

AN - SCOPUS:85028018764

JO - European Journal of Pediatric Surgery

JF - European Journal of Pediatric Surgery

SN - 0939-7248

ER -