From short-term surgical missions towards sustainable partnerships. A survey among members of visiting teams

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From short-term surgical missions towards sustainable partnerships. A survey among members of visiting teams


JournalInternational Journal of Surgery Open
Article typeJournal research article – Clinical research
Publication date – Dec – 2020
Authors – M. Botman, T.C.C. Hendriks, A.J. Keetelaar, F.T.C. Smit, C.B. Terwee, M. Hamer, E.Nuwass, M.E.H. Jaspers, H.A.H. Winters, S. Corlew
KeywordsCapacity building, global surgery, Medical missions, short-term surgical missions, sustainability, training
Open access – Yes
SpecialityOther, Surgical Education
World region Global

Language – English
Submitted to the One Surgery Index on December 26, 2020 at 4:03 pm
Abstract:

Introduction
An estimated five billion people lack access to safe surgical care across the globe. Traditionally, providing short-term surgical missions has been the main strategy for health professionals from high-income countries to support surgical care in low- and middle-income countries. However, traditional missions have come under criticism because evidence of their sustainable value is lacking, along with any robust documentation and application of recommendations by participants of ongoing surgical missions. Using survey data collection and analysis, this study aims to provide a framework on how to improve the use of visiting surgical teams to strengthen surgical services in resource-poor settings.

Method
An online survey was conducted among members of foreign teams to collect data on five specific areas: basic characteristics of the mission, main activities. follow-up and reporting, the local registration process and collaboration with local actors. The survey included 58 respondents from 13 countries, and representing 20 organizations.

Results
During surgical missions, training activities were considered most impactful, and reporting on outcome/s, along with long-term follow-up were strongly recommended. According to almost all participants (94 percent), the focus should be on establishing collaborative practices with local actors, and encourage strategic, long-term changes under their leadership.

Conclusion
Building sustainable partnerships within local healthcare systems is the way forward for foreign surgical parties that aim to improve surgical care in low- and- middle income countries. When foreign help is offered, local stakeholders should be in the lead.

OSI Number – 20817

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