The national surgical, obstetric, and anesthesia plan (NSOAP): Recognition and definition of an empirically evolving global surgery systems science: Comment on “global surgery – informing national strategies for scaling up surgery in sub-saharan Africa”

Gregory L. Peck, Joseph S. Hanna

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

In 2015, the Lancet Commission on Global Surgery (LCoGS) working groups developed a National Surgical, Obstetric, and Anesthesia Plan (NSOAP) framework to guide national surgical system development globally predicated on six data points (indicators) which can assess surgical systems. Zambia as well as other sub-Saharan Africa (SSA) countries have forged ahead in designing and implementing interventions based on LCoGS indicators collected to inform NSOAP. Concurrently, the Zambian team and others have recognized the need for rigorous scientific inquiry to assess and iteratively improve upon the NSOAP process and outputs. Based on the Zambian experience, as well as that of ours in Colombia, we have identified “core principles” through convergent works which inform a scientific framework through which NSOAP can be evaluated. We propose that when contextualized, participatory action research (PAR) and dissemination and implementation science are methodologies upon which a robust framework can be developed to achieving objective and iterative NSOAP evaluation, and ultimately universal health coverage as envisioned by the World Health Organization (WHO).

Original languageEnglish (US)
Pages (from-to)1151-1154
Number of pages4
JournalInternational Journal of Health Policy and Management
Volume7
Issue number12
DOIs
StatePublished - Dec 2018

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Management, Monitoring, Policy and Law
  • Health Information Management

Keywords

  • Colombia
  • Dissemination/implementation science
  • Gsru
  • Participatory action research
  • Surgery systems science

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