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Global Initiative for Children’s Surgery: A Model of Global Collaboration to Advance the Surgical Care of Children

2019; Springer Science+Business Media; Volume: 43; Issue: 6 Linguagem: Inglês

10.1007/s00268-018-04887-8

1432-2323

Naomi Wright, Guy Jensen, Etienne St‐Louis, David F. Grabski, Yasmine Yousef, Neema Kaseje, Laura F. Goodman, Jamie E. Anderson, Emmanuel A. Ameh, Tahmina Banu, Stephen W. Bickler, Marilyn Butler, M. G. Cooper, Zipporah Gathuya, Patrick Kamalo, Bertille Ki, Rashmi Kumar, Vrisha Madhuri, Keith T. Oldham, Doruk Ozgediz, Dan Poenaru, John Sekabira, Lily Saldaña Gallo, Sabina Siddiqui, Benjamin Yapo, Francis Abantanga, Mohamed Abdelmalak, Nurudeen Abdulraheem, Niyi Ade‐Ajayi, Edna Adan Ismail, Adesoji Ademuyiwa, Eltayeb Ahmed, Sunday Olusegun Ajike, Olugbemi Benedict Akintububo, Felix Alakaloko, Brendan Allen, Vanda Amado, Shanthi Anbuselvan, Theophilus Teddy Kojo Anyomih, Leopold Asakpa, Gudeta Assegie, Jason Axt, Ruben Ayala, Frehun Ayele, Harshjeet Singh Bal, Rouma Bankolé, Tim Beacon, Zaitun Bokhari, Hiranya Kumar Borah, Eric Borgstein, Nick Boyd, Jason B. Brill, Britta Budde‐Schwartzman, Fred Bulamba, Bruce Bvulani, Sarah B. Cairo, Juan Francisco Campos Rodezno, Massimo Caputo, Milind Chitnis, Maija Cheung, Bruno Cigliano, Damian Clarke, Tessa Concepcion, Scott Corlew, David Cunningham, S D'Agostino, Shukri Dahir, Bailey Deal, Miliard Derbew, Sushil Dhungel, David B. Drake, Elizabeth T. Drum, Bassey E. Edem, Stella Eguma, Olumide Elebute, Beda Espineda, Samuel Espinoza, Faye M. Evans, Omolara Faboya, Jacques Fadhili Bake, Tatiana Fazecas, Mohammad Rafi Fazli, Graham Fieggen, Anthony Figaji, Jean Louis Fils, Tamara N. Fitzgerald, Randall P. Flick, G Fossi, George Galiwango, Mike Ganey, Maryam Ghavami Adel, Vafa Ghorban Sabagh, Sridhar Gibikote, Hetal Gohil, Sarah Greenberg, Russell L. Gruen, Lars Hagander, Rahimullah Hamid, Erik N. Hansen, William Harkness, Mauricio Herrera, Intisar Hisham, Andrew Hodges, Sarah Hodges, Ai‐Xuan Holterman, Andrew D. Howard, Romeo C. Ignacio, Dawn Ireland, Enas Ismail, Rebecca Jacob, Anette Jacobsen, Zahra Jaffry, Deeptiman James, Ebor Jacob James, Adiyasuren Jamiyanjav, Kathy J. Jenkins, María Dolores García Jiménez, Tarun John K Jacob, Walter A. Johnson, Anita Shirley Joselyn, Nasser Kakembo, Phyllis Kisa, Peter Kim, Krishna Kumar Govindarajan, Charlotte Kvasnovsky, Ananda Lamahewage, Monica Langer, Chris Lavy, Taiwo Lawal, C. R. Lazarus, Andrew Leather, Chelsea Lee, Basil Leodoro, Allison F. Linden, Katrine Løfberg, Jonathan Lord, Jerome Loveland, Leecarlo Millano, Pavrette Magdala, Luc Kalisya Malemo, A. Malik, John Mathai, Marcia Matias, Bothwell Mbuwayesango, Merrill McHoney, Liz McLeod, Ashish Minocha, Charles Mock, Mubarak Mohamed, Ivan Molina, Ashika Morar, Zahid Mukhtar, Mulewa Mulenga, Bhargava Mullapudi, Jack Mulu, Byambajav Munkhjargal, Arlene Muzira, Mary T. Nabukenya, Mark Newton, Jessica Ng, Karissa Nguyen, Laurence Isaaya Ntawunga, Peter Nthumba, Alp Numanoğlu, Benedict C. Nwomeh, Kristin A. Ojomo, Maryrose Osazuwa, Emmanuel Owusu Abem, Shazia Peer, Norgrove Penny, Robin T. Petroze, Vithya Priya, Ekta Rai, Lola Raji, Vinitha Ravindran, Desigen Reddy, Henry E. Rice, Yona Ringo, Amezene Robelie, Jose Roberto Baratella, David H. Rothstein, Coleen S. Sabatini, Soumitra Saha, Saurabh Saluja, Lubna Samad, Justina O. Seyi‐Olajide, B. B. Shehu, Ritesh Shrestha, David L. Sigalet, Martin Situma, Emily R. Smith, Adrienne Socci, David Spiegel, Peter Ssenyonga, Jacob T. Stephenson, Erin Stieber, Richard Stewart, Vinayak Shukla, Thomas L. Sims, Faustin Félicien Mouafo Tambo, Robert F. Tamburro, Mansi Tara, Ahmad Tariq, Reju Joseph Thomas, Leopold Torres Contreras, Stephen Ttendo, Benno Ure, Luca A. Vricella, Luis E. Mendoza Vasquez, Vijayakumar Raju, Jorge Villacis, G. Villanova, Catherine R. deVries, Amira Waheeb, Saber Waheeb, A Wandaogo, Anne Wesonga, Omolara Williams, Sigal Willner, Nyo Nyo Win, Hussein Wissanji, Paul Mwindekuma Wondoh, Garreth Wood, George Youngson, Denléwendé Sylvain Zabsonre, Luis Enrique Zea Salazar, Adiyasuren Zevee, Bistra Zheleva, Kokila Lakhoo, Diana L. Farmer,

Diversity and Career in Medicine

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.