Winning the Global Surgery War: A Conceptual Framework

Background:. Global surgery (GS), which comprises surgery, obstetrics, and anesthesia, is a complex multidisciplinary enterprise that focuses on the provision of timely, safe, and equitable surgical care to the global population. As with any war, understating the burden of surgical disease risks fai...

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Main Author: Peter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)
Format: Article
Language:English
Published: Wolters Kluwer 2025-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006920
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author Peter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)
author_facet Peter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)
author_sort Peter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)
collection DOAJ
description Background:. Global surgery (GS), which comprises surgery, obstetrics, and anesthesia, is a complex multidisciplinary enterprise that focuses on the provision of timely, safe, and equitable surgical care to the global population. As with any war, understating the burden of surgical disease risks failure in any crafted strategy, as the measures would be substantially inadequate. Using strategies from successful large-scale interventions, the author proposes a conceptual framework for sustainable GS scale-up. Methods:. The author collated GS scale-up strategies from the literature and aligned them with the 6 core indicator metrics as the primary outcome measures. Results:. The proposed conceptual framework hangs on the successes of the Marshall Plan for Europe and the World Health Organization multimodal strategy for infection control and prevention to provide funding and intervention models, successively, for GS scale-up. Smile Train and Operation Smile strategies for strengthening surgical systems provide potential learning points for GS scalability. Collaborating with these and other surgical nongovernmental organizations and harnessing their experiences and networks promises potential for success in GS scale-up. Conclusions:. The proposed conceptual framework provides potential sustainable GS scale-up, using a nonprescriptive “bundled” intervention approach, permitting individual countries to progress at their own pace, while allowing for transparent sharing of learned experiences.
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spelling doaj-art-323afed139b14bfa8e8d92a3f56dd3e22025-08-20T03:55:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e692010.1097/GOX.0000000000006920202507000-00005Winning the Global Surgery War: A Conceptual FrameworkPeter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)0From the * Department of Plastic Surgery, AIC Kijabe Hospital, Kijabe, KenyaBackground:. Global surgery (GS), which comprises surgery, obstetrics, and anesthesia, is a complex multidisciplinary enterprise that focuses on the provision of timely, safe, and equitable surgical care to the global population. As with any war, understating the burden of surgical disease risks failure in any crafted strategy, as the measures would be substantially inadequate. Using strategies from successful large-scale interventions, the author proposes a conceptual framework for sustainable GS scale-up. Methods:. The author collated GS scale-up strategies from the literature and aligned them with the 6 core indicator metrics as the primary outcome measures. Results:. The proposed conceptual framework hangs on the successes of the Marshall Plan for Europe and the World Health Organization multimodal strategy for infection control and prevention to provide funding and intervention models, successively, for GS scale-up. Smile Train and Operation Smile strategies for strengthening surgical systems provide potential learning points for GS scalability. Collaborating with these and other surgical nongovernmental organizations and harnessing their experiences and networks promises potential for success in GS scale-up. Conclusions:. The proposed conceptual framework provides potential sustainable GS scale-up, using a nonprescriptive “bundled” intervention approach, permitting individual countries to progress at their own pace, while allowing for transparent sharing of learned experiences.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006920
spellingShingle Peter M. Nthumba, MBChB, MMed(Surg), MSc(Epid)
Winning the Global Surgery War: A Conceptual Framework
Plastic and Reconstructive Surgery, Global Open
title Winning the Global Surgery War: A Conceptual Framework
title_full Winning the Global Surgery War: A Conceptual Framework
title_fullStr Winning the Global Surgery War: A Conceptual Framework
title_full_unstemmed Winning the Global Surgery War: A Conceptual Framework
title_short Winning the Global Surgery War: A Conceptual Framework
title_sort winning the global surgery war a conceptual framework
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006920
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