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The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

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Page 1: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

The Lancet Commission on Global Surgery 2nd Meeting

Freetown, Sierra Leone

Commission Research & Projects

Page 2: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Outline

• Brief Overview of Supporting Work–Research• Quantitative• Reviews• Qualitative

– White Papers/Overview Papers– Teaching Cases and Case Studies

Page 3: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Supporting Work

Research Teaching Cases

White Papers

Consultation & Discussion

Report

Page 4: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Overarching Research and White Papers

Page 5: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Overarching Projects• Humanitarian Medical Intervention and Surgery• Components and Importance of an Emergency

Department• NCDs and Surgical Inclusion• Diabetes and Surgery• Definition of Global Surgery• Health Systems Strengthening and Surgery• The Role of Surgery in Achieving the Post-2015

SDGs

Page 6: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Overarching Projects• Political Priorities for Surgery at a National Level• Burden of Surgical Disease & Procedure Numbers• Regional Governance of Surgical Implementation• Augmentation of Health Worker Performance• Attributes of Beneficial Industry Engagement• Social Determinants of Surgical Disease• Anesthesia, Pain Management and Critical Care• Patient Voice

Page 7: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Overarching Projects

• The Role of Surgery and Infectious Disease• The Relationship Between Surgery and

Primary Care• Public Health Measures and Surgery• Surgical Components of Obstetric Care• Surgery and Cancer Cure and Control• Cost Effectiveness of Surgical Intervention• Equipment Maintenance and Training

Page 8: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Working Group Research and White Papers

Page 9: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Healthcare Delivery and Management

• The How Project

• Surgeon Mapping

• Management Interview Project

Page 10: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Workforce, Training and Education

• Numbers of Anesthetists and Surgical Providers

• Migration of Surgical Workers

• Density of Surgical Providers (w/ Surgeon Mapping Project)

• Training Modules for Task Shifting and Surgical Providers

Page 11: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Finance and Economics

• Economic Impact of Surgical Conditions in LMICs in 2010

• Demographic Groups Most Affected by Surgical Conditions

• Out-of-Pocket Payment for Surgical Care in LMICs

• User Costs and Medical Impoverishment for Accessing Surgical Cancer Care in SE Asia

Page 12: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Information Management• Inclusion of Surgery within National Health Plans• Comparison of Operating Theatre Standards• Three Bellwether Surgical Conditions: Analysis of

the WHO Situational Analysis Tool Data and Multi-country Dataset Analysis

• MoH Qualitative Interview• Global Surgery R&D Analysis• Surgical Coding• Literature Reviews (global surgery metrics, POMR,

checklist)

Page 13: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Teaching Cases

Page 14: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Teaching Cases• Alternative Models of Expanding Surgical Coverage to Low-income, Rural

Populations in Rural India• Developing a National Risk-Adjusted Surgical Outcomes Registry in

Mozambique• Developing an Efficient Referral System for Emergency Obstetric/Surgical

Care in Bangladesh• Development of the Human Resources for Health Program in Rwanda • Formation of the Ghana College of Physicians and Surgeons • Laparoscopic Training in Mongolia • Responding to Local Need: Creation of the Edna Adan University

Hospital• SQUAD: Surgical Quality Assurance Database in Uganda• Surgical Systems Building in Haiti • Innovations in Treating Hydrocephalus in Uganda • Surgical Costing Assessment in Haiti

Page 15: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Case Studies

Page 16: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Case Studies• Funding Flows and Research Prioritization in Uganda

• Task Sharing in Malawi

• Retention in the University of the West Indies

• COSECSA – RCSI Partnership

• Training of Anesthesia Providers in Haiti

• Laparoscopy and Telementoring Link UK – Tanzania

• Provision of Mobile Surgical Care

Page 17: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Patient Voice

Page 18: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Patient Voice Project• Direct incorporation of de-identified quotations and stories from

patients and their caregivers regarding the process of coping with surgical diseases

• Interviews

Page 19: The Lancet Commission on Global Surgery 2 nd Meeting Freetown, Sierra Leone Commission Research & Projects

Recap

• Research• White Papers• Teaching Cases and Case Studies• Qualitative Data Projects Rowan