Community participation in global surgery

Veerappan, Vigneshwar Raj; Jindal, Rahul M.

doi:10.1136/bmjgh-2021-005044

Cited by 10 publications

(12 citation statements)

References 24 publications

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“…This is not just an issue that pervades medical students; healthcare professionals are also prone to this misconception [ 19 , 30 ]. In HICs, global surgery was often interpreted as surgical work in LMICs [ 19 , 31 ]. This misconception has resulted in previous reviews on global surgery led by junior researchers in HICs erroneously narrowing their focus to work conducted in LMICs, which has necessitated updates to be made to the existing body of literature [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

International Survey of Medical Students Exposure to Relevant Global Surgery (ISOMERS): A Cross‐Sectional Study

Bandyopadhyay¹,

Kanmounye²,

Madani³

et al. 2022

World j. surg.

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Background The principles of global surgery should be taught as a part of the core curriculum in medical schools. The need for medical students to be familiar with the topic is increasing in acceptance. There is, however, a paucity of data on how medical students are exposed to global surgery. This study aims to evaluate exposure of medical students to global surgery, awareness of the key messages of the Lancet Commission on Global Surgery, global surgery career aspirations and barriers to said aspirations. Methods ISOMERS was a multi-centre, online, cross-sectional survey of final year medical students globally. The questionnaire utilised a combination of Likert-scale, multiple-choice, and free text questions. Results In this study, 1593 final year medical students from 144 medical schools in 20 countries participated. The majority (n = 869/1496, 58.1%) believed global surgery to be relevant, despite 17.7% (n = 271/1535) having any exposure to global surgery. Most participants (n = 1187/1476, 80.4%) wanted additional resources on global surgery. Difficulty in providing appropriate care for patients living abroad (n = 854/1242, 68.8%) was the most common perceived barrier to a career in global surgery. Conclusions Participants believed global surgery was a relevant topic for medical students and wanted additional resources that they could access on global surgery. It is critical for medical students to become aware that global surgery is a field that aims to address inequity in surgical care not just internationally, but nationally and locally as well.

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Section: Discussionmentioning

confidence: 99%

International Survey of Medical Students Exposure to Relevant Global Surgery (ISOMERS): A Cross‐Sectional Study

Bandyopadhyay¹,

Kanmounye²,

Madani³

et al. 2022

World j. surg.

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“…Short term surgical missions and electives from organizations in high-income countries (HIC) who travel to low-middle-income countries (LMIC) have been criticized as ‘parachute’ missions and a form of colonization with no or minimal reciprocity to trainees in LMIC [ 5 , 6 ]. We suggest a two-fold solution.…”

Section: Introductionmentioning

confidence: 99%

Unconditional cash transfer to reduce the burden of unmet surgical needs

Laverty

Jindal

2022

Annals of Medicine &Amp; Surgery

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“…Yet development partners consider CE as a useful tool for the successful implementation of development projects 2 3. CE in research is a means through which research participants themselves can contribute to the study design, analysis and implementation of research findings 4 5…”

Section: Introductionmentioning

confidence: 99%

“…Despite these facts on the ground, there are immense gaps as for the conceptualisation and implementation of CE in health research 15 16. A major challenge in CE comprises lack of awareness, inadequate financial and human resources, lack of experience, low efficiency and low interest in participation 4 12…”

Section: Introductionmentioning

confidence: 99%

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Practices and challenges of community engagement in health research in Ethiopia: a qualitative study

et al. 2022

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ObjectiveThe role of the community in the research process in Ethiopia has not been documented. This study aims to explore the existing practices and challenges of community engagement in health research in Ethiopia.DesignA qualitative study with a narrative approach was conducted. Data were audio-recorded, transcribed, inductively coded and analysed thematically.SettingParticipants were recruited from members of institutional review boards, academic and research staff of Addis Ababa and Jimma universities, research institutions and key development partners.ParticipantsThirty-six participants were involved in the study. They were purposively selected on the basis of their diverse research experiences and disciplinary profiles with clinical, biomedical and public health representation.Data collectionTwenty-two key informant interviews were conducted with members of the institutional review board, community representatives in the institutional review board, community engagement officers, and research focal persons of the universities, research intuitions and key development partners. Fourteen participants who were senior PhD students or senior researchers in academic and research institutions were involved in the in-depth interviews.ResultsDespite differences of justification, all participants believed in the importance of the participating research community not only to own the research outcome but also contribute to the research planning, sharing of evidence, managing the research process and dissemination of findings. However, it was argued that lack of guidance, skills and experience on how to engage the community at different levels of the research process and limitation of resources affect community engagement in research.ConclusionAs an important component of the research process, community engagement facilitates the research process and ensures community ownership of the outcome. Nevertheless, lack of experience and limitation of resources affect operationalisation of community engagement in health research. This calls for building capacity and advocacy to consider community engagement as an integral component of the research process.

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Community participation in global surgery

Abstract: We urge direct community participation in global surgery research, but care should be taken that it is not 'tokenistic'.

Cited by 10 publications

References 24 publications

International Survey of Medical Students Exposure to Relevant Global Surgery (ISOMERS): A Cross‐Sectional Study

International Survey of Medical Students Exposure to Relevant Global Surgery (ISOMERS): A Cross‐Sectional Study

Unconditional cash transfer to reduce the burden of unmet surgical needs

Practices and challenges of community engagement in health research in Ethiopia: a qualitative study

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