Global Surgery Pro–Con Debate: A Pathway to Bilateral Academic Success or the Bold New Face of Colonialism?

Scheiner, Alyssa; Rickard, Jennifer; Nwomeh, Benedict C.; Jawa, Randeep S.; Ginzburg, Enrique; Fitzgerald, Tamara N.; Charles, Anthony; Bekele, Abebe

doi:10.1016/j.jss.2020.01.032

Cited by 34 publications

(39 citation statements)

References 31 publications

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“…Same‐income level stakeholder contributions can provide a region with a greater depth of partnership involvement and facilitate new LMIC partnership actors' entry. In particular, LMIC‐LMIC partnerships might better model the provision of equitable ophthalmic care in low‐resource settings 28,29 . Additionally, HIC‐based coordinating agencies can provide LMIC‐LMIC partnerships with technical support and financial investment.…”

Section: Discussionmentioning

confidence: 99%

Characterising transnational ophthalmic surgical partnerships by engagement and training

Olivieri

Tabin

et al. 2021

Clinical Exper Ophthalmology

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Background Transnational ophthalmic partnerships exist between high‐income countries (HICs) and low‐ and middle‐income countries (LMICs) in varying capacities. We analyzed partnership stakeholders to better understand and address disparities in ophthalmic surgical care. Methods An international Web search was conducted to identify surgeons, foundations or organisations participating in ophthalmic delivery and/or capacity building from 2010 to 2019. Partnerships were defined through clinical activities, education and training and/or research support. Descriptive data on current ophthalmic partnerships were collected from published reports, literature reviews and information on stakeholder webpages. Partnerships were classified by the extent of engagement and training: grade I ‘engagement’ represented documented partnerships of at least 1 year and grade I ‘training’ limited or poorly defined skills transfer programmes, while grade III ‘engagement’ represented partnerships with well‐documented fiscal investment and/or research productivity and grade III ‘training’ established training programmes. Data were analysed using descriptive statistics and geospatially depicted on Tableau (Mountain View, CA) and ArcMap software (Redlands, CA). Results In total, 209 unique HIC‐LMIC partnerships encompassing 92 unique countries were described. The most common HIC partners were from North America (123; 59%), followed by Europe (75; 36%). The most common LMIC partners were from Africa (102; 49%), followed by Asia‐Pacific (54; 26%) and Latin America (44; 21%). Additionally, partnerships most frequently provided services in cataract (48%), glaucoma (25%) and diabetic retinopathy (25%). The most common ‘engagement’ classifications were grade I (36%) or II (40%); the most common ‘training’ classifications were grade I (61%) or II (23%). Conclusion Transnational ophthalmic partnerships exist with varying degrees of both engagement and training. Partnerships are stronger in research collaboration and direct services, and weaker in LMIC‐directed training programmes.

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Section: Discussionmentioning

confidence: 99%

Characterising transnational ophthalmic surgical partnerships by engagement and training

Olivieri

Tabin

et al. 2021

Clinical Exper Ophthalmology

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“…Before undertaking a program to develop pediatric cardiac services there must be an agreement between all stakeholders regarding what level of development is desired by the local team. Autonomy of choice by the local team is imperative, one should not approach this as we know what is best for you and your country, this is a form of neo-colonialism and is to be avoided [6]. You may be experts in pediatric cardiac care, but they are certainly the experts in the subtleties of politics and economics of their countries.…”

Section: Direction and Leadershipmentioning

confidence: 99%

Ethical Considerations for Global Pediatric Cardiac Surgical Assistance Programs

Novick¹

2021

Bioethics in Medicine and Society

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Global health initiatives have expanded over the last 25 years and are no longer based solely on improving public health issues like clean water and childhood vaccination programs. Global healthcare assistance has grown into programs that provide specialty services and education today. Cardiovascular diseases are causing more deaths today in low and middle-income countries today as infectious diseases cease to be the number one cause of mortality in many of these countries. Growth in cardiovascular assistance has been substantial during the last 25 years and especially in the area of pediatric cardiac care. We discuss the ethical issues that can be found when visitors assist countries with different cultural values. The success of program development depends on navigating the ethical issues such that all stakeholders are satisfied with the project and the end result. The foundation of program development should be based upon medical ethics that are sensitive to cultural differences so that a capable sustainable program is developed upon completion.

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“…The number of unique publications for each foundational research question are provided in parentheses. For Foundational Research Question One, for example, one original research publication (Bayisenge et al, 2020 ) addressed both Foundational Research Questions One and Two, and one review publication (Scheiner et al, 2020 ) addressed Foundational Research Questions One, Two, and Five.…”

Section: Introductionmentioning

confidence: 99%

“…Characteristics of Individuals: Other Personal Attributes What clinical practices are key to eradicating global health inequities? •Protocols and checklists must be culturally sensitive, contextually tailored, and followed •All healthcare providers must be valued for their contribution •Access to adequate resources is essential *Scheiner et al ( 2020 ), *Bayisenge et al ( 2020 ), *Ndayambaje et al ( 2020 ), Solomon et al ( 2020 ), *Nduwayezu et al ( 2020 ), Hines et al ( 2020a ), Odland et al ( 2020 ), Rosa et al ( 2020 ), *Leckning et al ( 2020 ), Griffiths and Carey ( 2020 ) I. Intervention characteristics: Adaptability; complexity; design quality and packaging; cost III.…”

Section: Introductionmentioning

confidence: 99%

“…Characteristics of individuals: Self-efficacy; individual identification with organization V. Process: Reflecting and evaluating What policy changes are required globally to promote the eradication of global health inequities? •Policy review and reform is required by governments and academic institutions •Policies can influence research impact on healthcare delivery •Policy directives strongly influence the development of an appropriately skilled workforce •Policy support is essential for any global health inequity innovation or initiative to succeed *Scheiner et al ( 2020 ), Carey and Hobabagabo ( 2020 ), Wilson et al ( 2020 ), Carey ( 2020a ), Carey ( 2020b ), Binagwaho and Yohannes Waka ( 2020 ), Carey and Gullifer ( 2020c ), Rosa et al ( 2020a ), McNatt ( 2020 ), Obaje et al ( 2020 ), Gullifer et al ( 2020 ), Carey and Binagwaho ( 2020b ) I. Intervention characteristics: Intervention source; evidence strength and quality; II.…”

Section: Introductionmentioning

confidence: 99%

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Solving the Puzzle of Global Health Inequity: Completing the Picture Piece by Piece by Piece

Carey

2021

Glob Implement Res Appl

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Achieving health equity is an ongoing priority for the global community. Understanding, supporting, and addressing the challenges that face health workers is a critical component of the solution to this problem. The University of Global Health Equity (UGHE) in Rwanda has established the Institute of Global Health Equity Research (IGHER) to contribute to the generation of new knowledge through high-quality research and research training that seeks to improve our understanding of the important issues that influence the distribution of health and healthcare globally. With an unrelenting emphasis on increased impact by prioritizing implementation research, IGHER is particularly interested in amassing a compendium of important research lessons to increase the likelihood that effective implementation strategies will be employed to enhance healthcare service provision. IGHER organizes research according to five foundational research questions, which address different elements that are pivotal to a comprehensive approach to appreciating the nuanced realities of effective healthcare service provision. UGHE outputs for 2020 indicate that: appropriate resourcing of healthcare services is critical for the eradication of global health inequities; policy reform is required for many healthcare innovations and initiatives to be implemented adequately; and high-quality research that is applicable to different contexts is essential for eradicating global health inequities. Furthermore, reimagining healthcare delivery will benefit from an intentional, ongoing, bidirectional influence between evidence-based pedagogy (methods and practices of teaching, education, and instruction) and supporting research activity such that education and instruction inform the research conducted and research findings are fed back to the classroom to help improve education and instruction. As IGHER continues to grow, the valuable insights afforded by high-impact implementation research will increase. These insights will help to inform the development and use of evidence-based implementation strategies for the adoption, scaling, and sustainability of equitable, effective, and efficient health services globally.

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Global Surgery Pro–Con Debate: A Pathway to Bilateral Academic Success or the Bold New Face of Colonialism?

Cited by 34 publications

References 31 publications

Characterising transnational ophthalmic surgical partnerships by engagement and training

Characterising transnational ophthalmic surgical partnerships by engagement and training

Ethical Considerations for Global Pediatric Cardiac Surgical Assistance Programs

Solving the Puzzle of Global Health Inequity: Completing the Picture Piece by Piece by Piece

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