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Strengthening Surgery Strengthens Health Systems: A New Paradigm and Potential Pathway for Horizontal Development in
S Ariane Christie1, Benedict C Nwomeh2, Sanjay Krishnaswami3
1UCSF Center for Global Surgical Studies, Zuckerberg San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Ward 3A, San Francisco, CA, 94110, USA.
World Journal of Surgery
|November 17, 2018
Summary
Academic surgeons can lead global health systems development by strengthening surgical care in low- and middle-income countries (LMICs). Partnerships are crucial for advocacy, funding, and research to build sustainable health infrastructure.
Area of Science:
- Global Health
- Health Systems Strengthening
- Academic Surgery
Background:
- Global health initiatives increasingly focus on sustainable health systems, yet funding often prioritizes disease-specific (vertical) programs.
- Surgical care in low- and middle-income countries (LMICs) is underdeveloped and serves as a critical indicator of overall health system capacity.
- Strengthening surgical services offers a scalable approach to improving multiple facets of health systems.
Purpose of the Study:
- To advocate for academic surgeons' role in global health systems development.
- To propose a framework for academic surgical institutions to engage in health systems strengthening in LMICs.
- To highlight the need for international partnerships to advance surgical care in resource-constrained settings.
Main Methods:
- Position paper outlining the role of academic surgeons in global health.
- Analysis of current global health funding and agenda priorities.
- Proposal for collaborative models between high-income and LMIC institutions.
Main Results:
- Surgical care improvement is a viable entry point for comprehensive health systems strengthening.
- Academic surgeons possess the expertise to lead health systems development initiatives.
- Collaborative partnerships are essential for effective advocacy, funding, and capacity building.
Conclusions:
- Academic surgeons should actively engage in global health systems development.
- Strengthening surgical care in LMICs is a strategic pathway to building resilient health systems.
- International collaboration between academic surgical institutions is vital for sustainable progress.
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