RT Journal Article
SR Electronic
T1 Global Surgery 2030: a roadmap for high income country actors
JF BMJ Global Health
FD BMJ Publishing Group Ltd
SP e000011
DO 10.1136/bmjgh-2015-000011
VO 1
IS 1
A1 Joshua S Ng-Kamstra
A1 Sarah L M Greenberg
A1 Fizan Abdullah
A1 Vanda Amado
A1 Geoffrey A Anderson
A1 Matchecane Cossa
A1 Ainhoa Costas-Chavarri
A1 Justine Davies
A1 Haile T Debas
A1 George S M Dyer
A1 Sarnai Erdene
A1 Paul E Farmer
A1 Amber Gaumnitz
A1 Lars Hagander
A1 Adil Haider
A1 Andrew J M Leather
A1 Yihan Lin
A1 Robert Marten
A1 Jeffrey T Marvin
A1 Craig D McClain
A1 John G Meara
A1 Mira Meheš
A1 Charles Mock
A1 Swagoto Mukhopadhyay
A1 Sergelen Orgoi
A1 Timothy Prestero
A1 Raymond R Price
A1 Nakul P Raykar
A1 Johanna N Riesel
A1 Robert Riviello
A1 Stephen M Rudy
A1 Saurabh Saluja
A1 Richard Sullivan
A1 John L Tarpley
A1 Robert H Taylor
A1 Louis-Franck Telemaque
A1 Gabriel Toma
A1 Asha Varghese
A1 Melanie Walker
A1 Gavin Yamey
A1 Mark G Shrime
YR 2016
UL http://gh.bmj.com/content/1/1/e000011.abstract
AB The Millennium Development Goals have ended and the Sustainable Development Goals have begun, marking a shift in the global health landscape. The frame of reference has changed from a focus on 8 development priorities to an expansive set of 17 interrelated goals intended to improve the well-being of all people. In this time of change, several groups, including the Lancet Commission on Global Surgery, have brought a critical problem to the fore: 5 billion people lack access to safe, affordable surgical and anaesthesia care when needed. The magnitude of this problem and the world's new focus on strengthening health systems mandate reimagined roles for and renewed commitments from high income country actors in global surgery. To discuss the way forward, on 6 May 2015, the Commission held its North American launch event in Boston, Massachusetts. Panels of experts outlined the current state of knowledge and agreed on the roles of surgical colleges and academic medical centres; trainees and training programmes; academia; global health funders; the biomedical devices industry, and news media and advocacy organisations in building sustainable, resilient surgical systems. This paper summarises these discussions and serves as a consensus statement providing practical advice to these groups. It traces a common policy agenda between major actors and provides a roadmap for maximising benefit to surgical patients worldwide. To close the access gap by 2030, individuals and organisations must work collectively, interprofessionally and globally. High income country actors must abandon colonial narratives and work alongside low and middle income country partners to build the surgical systems of the future.