Capacity Building During Short-Term Surgical Outreach Trips: A Review of What Guidelines Exist

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Capacity Building During Short-Term Surgical Outreach Trips: A Review of What Guidelines Exist


JournalWorld Journal of Surgery
Article typeJournal research article – Clinical research
Publication date – Oct – 2022
Authors – Chelsea Leversedge, Meghan McCullough, Luis Miguel Castro Appiani, Mùng Phan Đình, Robin N. Kamal, Lauren M. Shapiro
Keywordsguidelines, Low-and Middle-Income Countries (LMIC), surgical outreach trips, World Health Organization (WHO)
Open access – Yes
SpecialityHealth policy, Surgical education
World region Global

Language – English
Submitted to the One Surgery Index on October 29, 2022 at 9:50 pm
Abstract:

Introduction
While short-term surgical outreach trips improve access to care in low- and middle-income countries (LMIC), there is rising concern about their long-term impact. In response, many organizations seek to incorporate capacity building programs into their outreach efforts to help strengthen local health systems. Although leading organizations, like the World Health Organization (WHO), advocate for this approach, uniform guidelines are absent.

Methods
We performed a systematic review, using search terms pertaining to capacity building guidelines during short-term surgical outreach trips. We extracted information on authorship, guideline development methodology, and guidelines relating to capacity building. were classified according to the Global-QUEST framework, which outlines seven domains of capacity building on surgical outreach trips. Guideline development methodology frequencies and domain classifications frequencies were calculated; subsequently, guidelines were aggregated to develop a core guideline for each domain.

Results
A total of 35 studies were included. Over 200 individual guidelines were extracted, spanning all seven framework domains. Guidelines were most frequently classified into Coordination and Community Impact domains and least frequently into the Finance domain. Less than half (46%) of studies collaborated with local communities to design the guidelines. Instead, guidelines were predominantly developed through author trip experience.

Conclusion
As short-term surgical trips increase, further work is needed to standardize guidelines, create actionable steps, and promote collaborations in order to promote accountability during short-term surgical outreach trips.

OSI Number – 21795

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