Collaborating members are listed in the Acknowledgments.
Correspondence to: Naomi Wright
King’s Centre for Global Health and Health Partnerships, School for Population Health and Environmental Sciences, King’s College London, Denmark Hill Campus, Suite 2.13, Weston Education Centre, Cutcombe Road, London, SE5 9RJ, UK, e-mail: email@example.com
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Recommendations by the Lancet Commission on Global Surgery regarding surgical care in low- and middle-income countries (LMICs) require development to address the needs of children. The Global Initiative for Children’s Surgery (GICS) was founded in 2016 to identify solutions to problems in children’s surgery by utilizing the expertise of practitioners from around the world. This report details this unique process and underlying principles.
Three global meetings convened providers of surgical services for children. Through working group meetings, participants reviewed the status of global children’s surgery to develop priorities and identify necessary resources for implementation. Working groups were formed under LMIC leadership to address specific priorities. By creating networking opportunities, GICS has promoted the development of LMIC-LMIC and HIC-LMIC partnerships.
GICS members identified priorities for children’s surgical care within four pillars: infrastructure, service delivery, training and research. Guidelines for provision of care at every healthcare level based on these pillars were created. Seventeen subspecialty, LMIC chaired working groups developed the Optimal Resources for Children’s Surgery (OReCS) document. The guidelines are stratified by subspecialty and level of health care: primary health center, first-, second- and third-level hospitals, and the national children’s hospital. The OReCS document delineates the personnel, equipment, facilities, procedures, training, research and quality improvement components at all levels of care.
Worldwide collaboration with leadership by providers from LMICs holds the promise of improving children’s surgical care. GICS will continue to evolve in order to achieve the vision of safe, affordable, timely surgical care for all children.
UNICEF (2012) Committing to child survival: a promise renewed-progress report. United Nations Children’s Fund. http://files.unicef.org/publications/files/APR_2014_web_15Sept14.pdf. Accessed 14 Mar 2018
United Nations (2015) Transforming our world: the 2030 agenda for sustainable development. https://sustainabledevelopment.un.org/post2015/transformingourworld. Accessed 14 Mar 2018
Sitkin NA, Farmer DL (2016) Congenital anomalies in the context of global surgery. Semin Pediatr Surg 25(1):15–18 CrossRef
Wright NJ, Anderson JE, Ozgediz D et al (2018) Addressing paediatric surgical care on World Birth Defects Day. Lancet. https://doi.org/10.1016/s0140-6736(18)30501-4
Mock CN, Donkor P, Gawande A et al (2015) Essential surgery: key messages from disease control priorities, 3rd edition. Lancet (London, England) 385(9983):2209–2219 CrossRef
Gosselin RA, Spiegel DA, Coughlin R et al (2009) Injuries: the neglected burden in developing countries. Bull World Health Organ 87(4):246–246a CrossRef
Butler EK, Tran TM, Fuller AT et al (2016) Quantifying the paediatric surgical need in Uganda: results of a nationwide cross-sectional, household survey. Pediatr Surg Int 32(11):1075–1085 CrossRef
Meara JG, Leather AJ, Hagander L et al (2015) Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386(9993):569–624 CrossRef
Mhando S, Lyamuya S, Lakhoo K (2006) Challenges in developing paediatric surgery in Sub-Saharan Africa. Pediatr Surg Int 22(5):425–427 CrossRef
Hedges JP, Mock CN, Cherian MN (2010) The political economy of emergency and essential surgery in global health. World J Surg 34(9):2003–2006 CrossRef
World Health Assembly 68.15 (2015) Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage. http://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_R15-en.pdf?ua=1
Institute for Health Metrics and Evaluation (2017) GBD results tool. http://ghdx.healthdata.org/gbd-results-tool. Accessed 2 Feb 2017
Institute for Health Metrics and Evaluation (2016) GBD compare data visualization. http://vizhub.healthdata.org/gbd-compare. Accessed 29 Mar 2017
Shawar YR, Shiffman J, Spiegel DA (2015) Generation of political priority for global surgery: a qualitative policy analysis. Lancet Glob Health 3(8):e487–e495 CrossRef
Gutnik LA, Dielman J, Dare AJ et al (2015) Funding flows to global surgery: an analysis of contributions from the USA. Lancet 385(Supplement 2):S51 CrossRef
Bickler S, Rode H (2002) Surgical services for children in developing countries. Bull World Health Organ 80(10):829–835
Bickler SW, Telfer ML, Sanno-Duanda B (2003) Need for paediatric surgery care in an urban area of The Gambia. Trop Dr 33(2):91–94
Global Initiative for Children’s Surgery (GICS). http://www.globalchildrenssurgery.org. Accessed 14 Mar 2018
Charlton JL (1998) Nothing about us without us. University of California Press, Berkeley CrossRef
Farmer DL (2018) Audacious goals—2.0 the Global Initiative for Children’s Surgery. J Pediatr Surg. https://doi.org/10.1016/j.jpedsurg.2017.10.007
Krishnaswami S, Nwomeh BC, Ameh EA (2016) The paediatric surgery workforce in low- and middle-income countries: problems and priorities. Semin Pediatr Surg 25(1):32–42 CrossRef
Toobaie A, Emil S, Ozgediz D et al (2017) Paediatric surgical capacity in Africa: current status and future needs. J Pediatr Surg 52(5):843–848 CrossRef
KidsOR. https://www.kidsor.org. Accessed 14 Mar 2018
Goodman LF, St-Louis E, Yousef Y et al (2017) The Global Initiative for Children’s Surgery: optimal resources for improving care. Eur J Paediatr Surg 28(1):51–59 CrossRef
Oldham KT (2014) Optimal resources for children’s surgical care. J Pediatr Surg 49(5):667–677 CrossRef
PaedSurg Africa Research Collaboration (2017) Children’s surgery in Sub-Saharan Africa (PaedSurg Africa). https://clinicaltrials.gov/ct2/show/NCT03185637. Accessed 14 Mar 2018
Global PaedSurg Research Collaboration (2018). www.globalpaedsurg.org. Accessed 14 Mar 2018
International Clearinghouse for Birth Defects. Surveillance and Research. http://www.icbdsr.org. Accessed 14 Mar 2018
Jenetzky E, van Rooij IA, Aminoff D et al (2015) The challenges of the European anorectal malformations-net registry. Eur J Paediatr Surg 25(06):481–487 CrossRef
Surgeons Overseas Assessment of Surgical Need (2017) https://www.surgeonsoverseas.org/projects/nigeria/. Accessed 10 Nov 2017
- Global Initiative for Children’s Surgery: A Model of Global Collaboration to Advance the Surgical Care of Children
Global Initiative for Children’s Surgery
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