Ten Global Surgical Care Statements for Children: examining our commitment to the future
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Vivian W L Tsang1, Lerly H Luo2,3, Phyllis Kisa4
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. vivianwltsang@alumni.ubc.ca.
Insights
Global pediatric surgical disparities are a crisis, with many children lacking essential surgical care. Ten commitment statements from global organizations advocate for recognizing childhood surgical disease as a priority and improving access to safe care.
Area of Science:
- Global Health
- Pediatric Surgery
- Surgical Care Access
Background:
- Childhood surgical conditions cause one-third of pediatric deaths globally.
- Nine out of ten children in low- and middle-income countries lack basic surgical care.
- Limited access to essential pediatric surgery constitutes a global health crisis.
Purpose of the Study:
- To review ten commitment statements from global pediatric surgical organizations.
- To identify overarching principles addressing gaps in global pediatric surgical care.
- To advocate for childhood surgical disease as a global health priority.
Main Methods:
- Literature review to substantiate commitment statements.
- Analysis of ten ratified commitment statements from pediatric surgical organizations.
- Examination of principles aimed at improving global surgical care for children.
Main Results:
- Commitment statements recognize childhood surgical disease as a global health priority.
- Advocacy for accessible, safe surgical and anesthetic care for children.
- Calls for capacity building in education, data, workforce, research, and collaborations.
Conclusions:
- Hope for widespread approval of guiding principles for pediatric surgical care.
- Statements serve as a call to action for resources and funding.
- Mitigating global pediatric surgical disparities requires continued advocacy and investment.
Background:
The lack of access to essential surgery for many of our world's children is a global health crisis. A third of all deaths in the pediatric population are due to surgical conditions. In low- and middle-income countries, an average of nine in ten children lack access to basic surgical care.
Methods:
This review examines ten commitment statements ratified by numerous global pediatric surgical organizations aimed at addressing existing gaps in global surgical care for children. They are substantiated by a review of literature and represent over-arching principles.
Results:
They prompt the recognition of childhood surgical disease as a global health priority and advocate for availability to safe surgical and anesthetic care. Calls to action highlight the importance of capacity building in the areas of education, data gathering, workforce, research, and international collaborations.
Discussion:
Eventually, there is the hope for widespread approval of the guiding principles they represent and that the statements themselves, as encapsulations of these beliefs, may act as a continued call for advocacy and action for the necessary work, resources, and funding to mitigate global pediatric surgical disparities.
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