Strengthening Surgery Strengthens Health Systems

A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries

S. Ariane Christie, Benedict C. Nwomeh, Sanjay Krishnaswami, George P. Yang, Ai Xuan L. Holterman, Anthony Charles, Sudha Jayaraman, Randeep S. Jawa, Jennifer L Rickard, Mamta Swaroop, Sifri C. Ziad, Georges Alain Etoundi Mballa, Martin Ekeke Monono, Alain Chichom Mefire, Catherine Juillard

Research output: Contribution to journalArticle

Abstract

Global health is transitioning toward a focus on building strong and sustainable health systems in developing countries; however, resources, funding, and agendas continue to concentrate on “vertical” (disease-based) improvements in care. Surgical care in low- and middle-income countries (LMICs) requires the development of health systems infrastructure and can be considered an indicator of overall system readiness. Improving surgical care provides a scalable gateway to strengthen health systems in multiple domains. In this position paper by the Society of University Surgeons’ Committee on Global Academic Surgery, we propose that health systems development appropriately falls within the purview of the academic surgeon. Partnerships between academic surgical institutions and societies from high-income and resource-constrained settings are needed to strengthen advocacy and funding efforts and support development of training and research in LMICs.

Original languageEnglish (US)
Pages (from-to)736-743
Number of pages8
JournalWorld Journal of Surgery
Volume43
Issue number3
DOIs
StatePublished - Mar 15 2019

Fingerprint

Health
Training Support
Developing Countries
Research
Global Health
Surgeons

Cite this

Strengthening Surgery Strengthens Health Systems : A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries. / Christie, S. Ariane; Nwomeh, Benedict C.; Krishnaswami, Sanjay; Yang, George P.; Holterman, Ai Xuan L.; Charles, Anthony; Jayaraman, Sudha; Jawa, Randeep S.; Rickard, Jennifer L; Swaroop, Mamta; Ziad, Sifri C.; Etoundi Mballa, Georges Alain; Monono, Martin Ekeke; Chichom Mefire, Alain; Juillard, Catherine.

In: World Journal of Surgery, Vol. 43, No. 3, 15.03.2019, p. 736-743.

Research output: Contribution to journalArticle

Christie, SA, Nwomeh, BC, Krishnaswami, S, Yang, GP, Holterman, AXL, Charles, A, Jayaraman, S, Jawa, RS, Rickard, JL, Swaroop, M, Ziad, SC, Etoundi Mballa, GA, Monono, ME, Chichom Mefire, A & Juillard, C 2019, 'Strengthening Surgery Strengthens Health Systems: A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries', World Journal of Surgery, vol. 43, no. 3, pp. 736-743. https://doi.org/10.1007/s00268-018-4854-9
Christie, S. Ariane ; Nwomeh, Benedict C. ; Krishnaswami, Sanjay ; Yang, George P. ; Holterman, Ai Xuan L. ; Charles, Anthony ; Jayaraman, Sudha ; Jawa, Randeep S. ; Rickard, Jennifer L ; Swaroop, Mamta ; Ziad, Sifri C. ; Etoundi Mballa, Georges Alain ; Monono, Martin Ekeke ; Chichom Mefire, Alain ; Juillard, Catherine. / Strengthening Surgery Strengthens Health Systems : A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries. In: World Journal of Surgery. 2019 ; Vol. 43, No. 3. pp. 736-743.
@article{25025354df8444189db32e4bcb3a3cf9,
title = "Strengthening Surgery Strengthens Health Systems: A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries",
abstract = "Global health is transitioning toward a focus on building strong and sustainable health systems in developing countries; however, resources, funding, and agendas continue to concentrate on “vertical” (disease-based) improvements in care. Surgical care in low- and middle-income countries (LMICs) requires the development of health systems infrastructure and can be considered an indicator of overall system readiness. Improving surgical care provides a scalable gateway to strengthen health systems in multiple domains. In this position paper by the Society of University Surgeons’ Committee on Global Academic Surgery, we propose that health systems development appropriately falls within the purview of the academic surgeon. Partnerships between academic surgical institutions and societies from high-income and resource-constrained settings are needed to strengthen advocacy and funding efforts and support development of training and research in LMICs.",
author = "Christie, {S. Ariane} and Nwomeh, {Benedict C.} and Sanjay Krishnaswami and Yang, {George P.} and Holterman, {Ai Xuan L.} and Anthony Charles and Sudha Jayaraman and Jawa, {Randeep S.} and Rickard, {Jennifer L} and Mamta Swaroop and Ziad, {Sifri C.} and {Etoundi Mballa}, {Georges Alain} and Monono, {Martin Ekeke} and {Chichom Mefire}, Alain and Catherine Juillard",
year = "2019",
month = "3",
day = "15",
doi = "10.1007/s00268-018-4854-9",
language = "English (US)",
volume = "43",
pages = "736--743",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York",
number = "3",

}

TY - JOUR

T1 - Strengthening Surgery Strengthens Health Systems

T2 - A New Paradigm and Potential Pathway for Horizontal Development in Low- and Middle-Income Countries

AU - Christie, S. Ariane

AU - Nwomeh, Benedict C.

AU - Krishnaswami, Sanjay

AU - Yang, George P.

AU - Holterman, Ai Xuan L.

AU - Charles, Anthony

AU - Jayaraman, Sudha

AU - Jawa, Randeep S.

AU - Rickard, Jennifer L

AU - Swaroop, Mamta

AU - Ziad, Sifri C.

AU - Etoundi Mballa, Georges Alain

AU - Monono, Martin Ekeke

AU - Chichom Mefire, Alain

AU - Juillard, Catherine

PY - 2019/3/15

Y1 - 2019/3/15

N2 - Global health is transitioning toward a focus on building strong and sustainable health systems in developing countries; however, resources, funding, and agendas continue to concentrate on “vertical” (disease-based) improvements in care. Surgical care in low- and middle-income countries (LMICs) requires the development of health systems infrastructure and can be considered an indicator of overall system readiness. Improving surgical care provides a scalable gateway to strengthen health systems in multiple domains. In this position paper by the Society of University Surgeons’ Committee on Global Academic Surgery, we propose that health systems development appropriately falls within the purview of the academic surgeon. Partnerships between academic surgical institutions and societies from high-income and resource-constrained settings are needed to strengthen advocacy and funding efforts and support development of training and research in LMICs.

AB - Global health is transitioning toward a focus on building strong and sustainable health systems in developing countries; however, resources, funding, and agendas continue to concentrate on “vertical” (disease-based) improvements in care. Surgical care in low- and middle-income countries (LMICs) requires the development of health systems infrastructure and can be considered an indicator of overall system readiness. Improving surgical care provides a scalable gateway to strengthen health systems in multiple domains. In this position paper by the Society of University Surgeons’ Committee on Global Academic Surgery, we propose that health systems development appropriately falls within the purview of the academic surgeon. Partnerships between academic surgical institutions and societies from high-income and resource-constrained settings are needed to strengthen advocacy and funding efforts and support development of training and research in LMICs.

UR - http://www.scopus.com/inward/record.url?scp=85056637826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056637826&partnerID=8YFLogxK

U2 - 10.1007/s00268-018-4854-9

DO - 10.1007/s00268-018-4854-9

M3 - Article

VL - 43

SP - 736

EP - 743

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 3

ER -