1. A representation of the inter-relationships between actors in global surgery.
A representation of the inter-relationships between actors in global surgery. In this model, the public and civil society are the ultimate arbiters of universal access to surgery and anaesthesia as a policy priority. The media and surgical advocates provide this group with both data on the state of surgical care worldwide, and quality human interest reporting on the impact this has on individuals. Motivated by the double bottom line of health equity and the potential for expanded markets, the biomedical devices industry can help to solve technological and infrastructural problems related to the delivery of surgical care. This model posits the role of high income country (HIC) surgical actors (colleges, academic medical centres and universities, clinicians, trainees and training programmes) as being partners to their counterparts in low-and-middle income countries (LMICs). Funders can seek strategic opportunities to contribute to the development of surgical infrastructure, training programmes and, more broadly, health systems. Academia in all countries can provide evidence on optimal solutions to care delivery challenges and also help monitor progress towards universal access to safe, affordable surgical and anaesthesia care when needed by 2030.
Joshua S Ng-Kamstra et al. BMJ Glob Health 2016;1:e000011
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