Lessons From Developing, Implementing and Sustaining a Participatory Partnership for Children’s Surgical Care in Tanzania
Journal – BMJ Global Health
Publication date – Mar – 2020
Authors – Godfrey Sama Philipo , Shobhana Nagraj , Zaitun M Bokhary , Kokila Lakhoo
Keywords – child health; health policy; paediatrics; surgery.
Open access – Yes
Speciality – Paediatric surgery
World region Eastern Africa, Global
Language – English
Submitted to the One Surgery Index on May 20, 2020 at 6:21 am
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.
OSI Number – 20377
PMID – 32206345