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Optimal Resources for Children’s Surgical Care: Executive Summary

  • Global Initiative for Children’s Surgery
Surgery in Low and Middle Income Countries

Key Messages

  • Surgical care has an incontrovertible, crosscutting role in achieving child health.

  • Children develop different surgical diseases compared to adults, present unique anesthetic challenges, and have special perioperative needs.

  • The Optimal Resources for Children’s Surgery document provides a strategy for integrating surgical care for children into National Surgical, Obstetric and Anesthesia Plans.

  • There is an important opportunity to prevent death and reduce disability in children by scaling up surgical care in low- and middle-income countries.

Executive Summary

There is growing recognition that safe surgery and anesthesia should be an essential component of universal health care in low- and middle-income countries (LMICs). Landmark studies in 2015, by the Disease Control Priorities Project (DCP3) and Lancet Commission on Global Surgery (LCoGS), were important in defining the scale and scope of the surgical burden worldwide, priority surgical interventions, and economic...

Notes

Acknowledgements

Global Initiative for Children’s Surgery Collaborating Author List: David Grabski, Emmanuel Ameh, Doruk Ozgediz, Keith Oldham, Francis A. Abantanga, Mohamed Abdelmalak, Nurudeen Abdulraheem, Niyi Ade-Ajayi, Edna Adan Ismail, Adesoji Ademuyiwa, Eltayeb Ahmed, Sunday Ajike, Olugbemi Benedict Akintububo, Felix Alakaloko, Brendan Allen, Vanda Amado, Shanthi Anbuselvan, Jamie Anderson, Theophilus Teddy Kojo Anyomih, Leopold Asakpa, Gudeta Assegie, Jason Axt, Ruben Ayala, Frehun Ayele, Harshjeet Singh Bal, Rouma Bankole, Tahmina Banu, Tim Beacon, Zaitun Bokhari, Hiranya Kumar Borah, Eric Borgstein, Nick Boyd, Jason Brill, Britta Budde-Schwartzman, Fred Bulamba, Marilyn Butler, Bruce Bvulani, Sarah Cairo, Juan Francisco Campos Rodezno, Massimo Caputo, Milind Chitnis, Maija Cheung, Bruno Cigliano, Damian Clarke, Michael Cooper, Tessa Concepcion, Scott Corlew, David Cunningham, Sergio D’Agostino, Shukri Dahir, Bailey Deal, Miliard Derbew, Sushil Dhungel, David Drake, Elizabeth Drum, Bassey Edem, Stella Eguma, Olumide Elebute, Beda R. Espineda, Samuel Espinoza, Faye Evans, Omolara Faboya, Jacques Fadhili Bake, Tatiana Fazecas, Mohammad Rafi Fazli, Graham Fieggen, Anthony Figaji, Jean Louis Fils, Tamara Fitzgerald, Randall Flick, Gacelle Fossi, George Galiwango, Lily Saldaña Gallo, Mike Ganey, Zipporah Gathuya, Maryam Ghavami Adel, Vafa Ghorban Sabagh, Sridhar Gibikote, Hetal Gohil, Laura Goodman, Sarah Greenberg, Russell Gruen, Lars Hagander, Rahimullah Hamid, Erik Hansen, William Harkness, Mauricio Herrera, Intisar Hisham, Andrew Hodges, Sarah Hodges, Ai Xuan Holterman, Andrew Howard, Romeo Ignacio, Dawn Ireland, Enas Ismail, Rebecca Jacob, Anette Jacobsen, Zahra Jaffry, Deeptiman James, Ebor Jacob James, Adiyasuren Jamiyanjav, Kathy Jenkins, Guy Jensen, Maria Jimenez, Tarun John K Jacob, Walter Johnson, Anita Joselyn, Nasser Kakembo, Patrick Kamalo, Neema Kaseje, Bertille Ki, Phyllis Kisa, Peter Kim, Krishna Kumar, Rashmi Kumar, Charlotte Kvasnovsky, Ananda Lamahewage, Monica Langer, Christopher Lavy, Taiwo Lawal, Colin Lazarus, Andrew Leather, Chelsea Lee, Basil Leodoro, Allison Linden, Katrine Lofberg, Jonathan Lord, Jerome Loveland, Leecarlo Millano Lumban Gaol, Vrisha Madhuri, Pavrette Magdala, Luc Kalisya Malemo, Aeesha 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 Nabukenya, Mark Newton, Jessica Ng, Karissa Nguyen, Laurence Isaaya Ntawunga, Peter M. Nthumba, Alp Numanoglu, Benedict Nwomeh, Kristin Ojomo, Maryrose Osazuwa, Emmanuel Owusu Abem, Shazia Peer, Norgrove Penny, Dan Poenaru, Robin Petroze, Vithya Priya, Ekta Rai, Lola Raji, Vinitha Paul Ravindran, Desigen Reddy, Henry Rice, Yona Ringo, Amezene Robelie, Jose Roberto Baratella, David Rothstein, Coleen Sabatini, Soumitra Saha, Saurabh Saluja, Lubna Samad, John Sekabira, Justina Seyi-Olajide, Bello B. Shehu, Sabina Siddiqui, Ritesh Shrestha, David Sigalet, Martin Situma, Emily Smith, Adrienne Socci, David Spiegel, Peter Ssenyonga, Jacob Stephenson, Richard Stewart, Erin Stieber, Etienne St-Louis, Vinayak Shukla, Thomas Sims, Faustin Felicien Mouafo Tambo, Robert Tamburro, Mansi Tara, Ahmad Tariq, Reju Thomas, Leopold Torres Contreras, Stephen Ttendo, Benno Ure, Luca Vricella, Luis Vasquez, Vijayakumar Raju, Jorge Villacis, Gustavo Villanova, Catherine deVries, Amira Waheeb, Saber Waheeb, Albert Wandaogo, Anne Wesonga, Omolara Williams, Sigal Willner, Nyo Nyo Win, Hussein Wissanji, Paul Mwindekuma Wondoh, Garreth Wood, Naomi Wright, Benjamin Yapo, George Youngson, Yasmine Yousef, Denléwendé Sylvain Zabsonre, Luis Enrique Zea Salazar, Adiyasuren Zevee, Bistra Zheleva, Kokila Lakhoo, Diana Farmer, Stephen Bickler.

Author Contributions

Writing, editing and formatting of the manuscript were performed by DG, EA, DO, KO and SB. Editing of the manuscript, critical mentorship and guidance, as well as development of the GICS organization was accomplished by EA, TB, SB, MB, MC, ZG, PK, BK, RK, VM, KO, DO, DP, JS, LSG, SS, BY, KL and DF. Creation of the content, themes, projects and conclusions of the manuscript was undertaken by the membership of the Global Initiative for Children’s Surgery in its entirety.

Funding

The activities of the Global Initiative for Children’s Surgery have been funded with support from the Archie Foundation, American Pediatric Surgery Association, American Society of Anesthesiologists, Association of Anaesthetists of Great Britain and Ireland, the British Association of Paediatric Surgeons, American College of Surgeons, Canadian Anesthesiologists’ Society, Canadian Association of Paediatric Surgeons, Children’s Hospital of Wisconsin, Family and Friends, Heart to Heart, International Society for Pediatric Neurosurgery, KidsOR, Mending Kids, Operation Smile, Orbis, Pacific Association of Pediatric Surgeons, Pediatric Orthopedic Society of North America, Royal College of Surgeons of England, Shriner’s Hospital for Children of Northern California, Smile Train, Society for Pediatric Anaesthesia, Surgery for Children ONLUS, Wonder Work, World Federation of Associations of Pediatric Surgeons, Yantalo Foundation. This research was also supported by grant number R25TW011216 from the Fogarty International Center, National Institutes of Health (NIH). The program is supported by the U.S. Department of State's Office of the U.S Global AIDS Coordinator and Health Diplomacy.

Compliance with ethical standards

Conflict of interest

All authors have no conflicts of interest to declare.

Supplementary material

268_2018_4888_MOESM1_ESM.pdf (1.3 mb)
Optimal Resources for Children’s Surgical Care: I. Guidelines for Different Levels of Care (PDF 1320 kb)
268_2018_4888_MOESM2_ESM.pdf (1 mb)
Optimal Resources for Children’s Surgical Care: II. Supplies Equipment and Infrastructure (PDF 1029 kb)

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Copyright information

© Société Internationale de Chirurgie 2019

Authors and Affiliations

  • Global Initiative for Children’s Surgery
    • 1
  1. 1.Division of Pediatric SurgeryRady Children’s Hospital—University of California San DiegoSan DiegoUSA

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