The Lancet Commission on Global Surgery
2nd Meeting
Freetown, Sierra Leone
Commission Research & Projects
Outline
• Brief Overview of Supporting Work
– Research
• Quantitative
• Reviews
• Qualitative
– White Papers/Overview Papers
– Teaching Cases and Case Studies
Supporting Work
Report
Research
Teaching
Cases
White
Papers
Consultation
& Discussion
Overarching Research and White
Papers
Overarching Projects
• Humanitarian Medical Intervention and
Surgery
• Components and Importance of an Emergency
Department
• NCDs and Surgical Inclusion
• Diabetes and Surgery
• Definition of Global Surgery
• Health Systems Strengthening and Surgery
• The Role of Surgery in Achieving the Post-2015
SDGs
Overarching Projects
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Political Priorities for Surgery at a National Level
Burden of Surgical Disease & Procedure Numbers
Regional Governance of Surgical Implementation
Augmentation of Health Worker Performance
Attributes of Beneficial Industry Engagement
Social Determinants of Surgical Disease
Anesthesia, Pain Management and Critical Care
Patient Voice
Overarching Projects
• The Role of Surgery and Infectious Disease
• The Relationship Between Surgery and
Primary Care
• Public Health Measures and Surgery
• Surgical Components of Obstetric Care
• Surgery and Cancer Cure and Control
• Cost Effectiveness of Surgical Intervention
• Equipment Maintenance and Training
Working Group Research and White
Papers
Healthcare Delivery and Management
• The How Project
• Surgeon Mapping
• Management Interview Project
Workforce, Training and Education
• Numbers of Anesthetists and Surgical
Providers
• Migration of Surgical Workers
• Density of Surgical Providers (w/ Surgeon
Mapping Project)
• Training Modules for Task Shifting and Surgical
Providers
Finance and Economics
• Economic Impact of Surgical Conditions in
LMICs in 2010
• Demographic Groups Most Affected by
Surgical Conditions
• Out-of-Pocket Payment for Surgical Care in
LMICs
• User Costs and Medical Impoverishment for
Accessing Surgical Cancer Care in SE Asia
Information Management
• Inclusion of Surgery within National Health Plans
• Comparison of Operating Theatre Standards
• Three Bellwether Surgical Conditions: Analysis of
the WHO Situational Analysis Tool Data and
Multi-country Dataset Analysis
• MoH Qualitative Interview
• Global Surgery R&D Analysis
• Surgical Coding
• Literature Reviews (global surgery metrics,
POMR, checklist)
Teaching Cases
Teaching Cases
• Alternative Models of Expanding Surgical Coverage to Low-income,
Rural Populations in Rural India
• Developing a National Risk-Adjusted Surgical Outcomes Registry in
Mozambique
• Developing an Efficient Referral System for Emergency Obstetric/Surgical
Care in Bangladesh
• Development of the Human Resources for Health Program in Rwanda
• Formation of the Ghana College of Physicians and Surgeons
• Laparoscopic Training in Mongolia
• Responding to Local Need: Creation of the Edna Adan University
Hospital
• SQUAD: Surgical Quality Assurance Database in Uganda
• Surgical Systems Building in Haiti
• Innovations in Treating Hydrocephalus in Uganda
• Surgical Costing Assessment in Haiti
Case Studies
Case Studies
• Funding Flows and Research Prioritization in Uganda
• Task Sharing in Malawi
• Retention in the University of the West Indies
• COSECSA – RCSI Partnership
• Training of Anesthesia Providers in Haiti
• Laparoscopy and Telementoring Link UK – Tanzania
• Provision of Mobile Surgical Care
Patient Voice
Patient Voice Project
• Direct incorporation of de-identified quotations and stories from
patients and their caregivers regarding the process of coping with
surgical diseases
• Interviews
Recap
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Research
White Papers
Teaching Cases and Case Studies
Qualitative Data Projects  Rowan