Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania

Global surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global populatio...

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Main Authors: Philipo, GS, Nagraj, S, Bokhary, ZM, Lakhoo, K
Format: Journal article
Language:English
Published: BMJ 2020
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author Philipo, GS
Nagraj, S
Bokhary, ZM
Lakhoo, K
author_facet Philipo, GS
Nagraj, S
Bokhary, ZM
Lakhoo, K
author_sort Philipo, GS
collection OXFORD
description Global surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global population; however, in many LMIC settings they have poor access to surgical care due to a lack of workforce and health system infrastructure to match the need for children’s surgery. Surgical providers from high-income countries volunteer to visit LMICs and partner with the local providers to deliver surgical care and trainings to improve outcomes. However, some of these altruistic efforts fail. We aim to share our experience on developing, implementing and sustaining a partnership in global children’s surgery in Tanzania. The use of participatory methods facilitated a successful 17-yearlong partnership, ensured a non-hierarchical environment and encouraged an understanding of the context, local needs, available resources and hospital capacity, including budget constraints, when codesigning solutions. We believe that participatory approaches are feasible and valuable in developing, implementing and sustaining global partnerships for children’s surgery in LMICs.
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spelling oxford-uuid:d96cc3b9-b9ad-4f8d-8130-a865186633b72022-03-27T08:55:49ZLessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in TanzaniaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d96cc3b9-b9ad-4f8d-8130-a865186633b7EnglishSymplectic ElementsBMJ2020Philipo, GSNagraj, SBokhary, ZMLakhoo, KGlobal surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global population; however, in many LMIC settings they have poor access to surgical care due to a lack of workforce and health system infrastructure to match the need for children’s surgery. Surgical providers from high-income countries volunteer to visit LMICs and partner with the local providers to deliver surgical care and trainings to improve outcomes. However, some of these altruistic efforts fail. We aim to share our experience on developing, implementing and sustaining a partnership in global children’s surgery in Tanzania. The use of participatory methods facilitated a successful 17-yearlong partnership, ensured a non-hierarchical environment and encouraged an understanding of the context, local needs, available resources and hospital capacity, including budget constraints, when codesigning solutions. We believe that participatory approaches are feasible and valuable in developing, implementing and sustaining global partnerships for children’s surgery in LMICs.
spellingShingle Philipo, GS
Nagraj, S
Bokhary, ZM
Lakhoo, K
Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title_full Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title_fullStr Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title_full_unstemmed Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title_short Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
title_sort lessons from developing implementing and sustaining a participatory partnership for children s surgical care in tanzania
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