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Neocolonialism: should it concern surgeons?

Rennie Qin1,2, Desmond T Jumbam3, Nobhojit Roy4,5

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Summary
This summary is machine-generated.

Global surgery must address inequities and neocolonial practices. Equitable approaches require bottom-up planning and inclusive training to meet surgical needs in low- and middle-income countries (LMICs).

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Area of Science:

  • Global Health
  • Surgical Care Delivery
  • Health Equity

Background:

  • Global surgery aims to address the burden of surgical care, especially in low- and middle-income countries (LMICs).
  • Persistent inequitable practices in global health echo colonial and tropical medicine eras.
  • Neocolonialism in global surgery is a growing concern among researchers and practitioners from LMICs.

Purpose of the Study:

  • Introduce the concept of neocolonialism within global surgery.
  • Propose equitable and inclusive strategies for global surgery initiatives.
  • Critique existing models of surgical care delivery and training.

Main Methods:

  • Conceptual analysis of neocolonialism in global surgery.
  • Review of challenges associated with short-term surgical missions and training programs.
  • Examination of historical and current models of surgical education and policy development.

Main Results:

  • Short-term surgical missions often lack sustainability and adequate follow-up.
  • Surgical training models may not align with the disease burden in LMICs and perpetuate Global North dominance.
  • Global North control over national surgical plans (NSPs) hinders equitable development.

Conclusions:

  • Global surgery must actively dismantle neocolonial structures and promote equity.
  • Surgical training and education need reform to be contextually relevant and scalable.
  • National surgical plan development requires a bottom-up approach with broad stakeholder engagement for effective implementation.