Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
Global surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global populatio...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-03-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/5/3/e002118.full |
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| author | Shobhana Nagraj Godfrey Sama Philipo Zaitun M Bokhary |
| author_facet | Shobhana Nagraj Godfrey Sama Philipo Zaitun M Bokhary |
| author_sort | Shobhana Nagraj |
| collection | DOAJ |
| description | Global surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global population; however, in many LMIC settings they have poor access to surgical care due to a lack of workforce and health system infrastructure to match the need for children’s surgery. Surgical providers from high-income countries volunteer to visit LMICs and partner with the local providers to deliver surgical care and trainings to improve outcomes. However, some of these altruistic efforts fail. We aim to share our experience on developing, implementing and sustaining a partnership in global children’s surgery in Tanzania. The use of participatory methods facilitated a successful 17-yearlong partnership, ensured a non-hierarchical environment and encouraged an understanding of the context, local needs, available resources and hospital capacity, including budget constraints, when codesigning solutions. We believe that participatory approaches are feasible and valuable in developing, implementing and sustaining global partnerships for children’s surgery in LMICs. |
| format | Article |
| id | doaj-art-ff2d7ebd93f8467799bf6d9815a82b65 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-ff2d7ebd93f8467799bf6d9815a82b652024-12-11T12:35:08ZengBMJ Publishing GroupBMJ Global Health2059-79082020-03-015310.1136/bmjgh-2019-002118Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in TanzaniaShobhana Nagraj0Godfrey Sama Philipo1Zaitun M Bokhary2assistant professor of primary and community careBiostatistcs and Epidemiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of TanzaniaDepartment of Paediatirc Surgery, Muhimbili National Hospital, Dar es Salaam, Dar es Salaam, United Republic of TanzaniaGlobal surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global population; however, in many LMIC settings they have poor access to surgical care due to a lack of workforce and health system infrastructure to match the need for children’s surgery. Surgical providers from high-income countries volunteer to visit LMICs and partner with the local providers to deliver surgical care and trainings to improve outcomes. However, some of these altruistic efforts fail. We aim to share our experience on developing, implementing and sustaining a partnership in global children’s surgery in Tanzania. The use of participatory methods facilitated a successful 17-yearlong partnership, ensured a non-hierarchical environment and encouraged an understanding of the context, local needs, available resources and hospital capacity, including budget constraints, when codesigning solutions. We believe that participatory approaches are feasible and valuable in developing, implementing and sustaining global partnerships for children’s surgery in LMICs.https://gh.bmj.com/content/5/3/e002118.full |
| spellingShingle | Shobhana Nagraj Godfrey Sama Philipo Zaitun M Bokhary Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania BMJ Global Health |
| title | Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania |
| title_full | Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania |
| title_fullStr | Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania |
| title_full_unstemmed | Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania |
| title_short | Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania |
| title_sort | lessons from developing implementing and sustaining a participatory partnership for children s surgical care in tanzania |
| url | https://gh.bmj.com/content/5/3/e002118.full |
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