Advertisement

World Journal of Surgery

, Volume 37, Issue 7, pp 1500–1505 | Cite as

Collaboration in Surgical Capacity Development: A Report of the Inaugural Meeting of the Strengthening Rwanda Surgery Initiative

  • Robin T. Petroze
  • Gita N. ModyEmail author
  • Edmond Ntaganda
  • J. Forrest Calland
  • Robert Riviello
  • Emile Rwamasirabo
  • Georges Ntakiyiruta
  • Patrick Kyamanywa
  • Emmanuel Kayibanda
Article

Abstract

Background

Increasing access to surgical care is among the prioritized healthcare initiatives in Rwanda and other low income countries, where only 3.5 % of surgical procedures worldwide are being performed. Partnerships among surgeons at academic medical centers, non-governmental organizations, and representatives of industry for building sustainable local surgical capacity in developing settings should be explored.

Methods

With the goal of improving collaboration and coordination among the many stakeholders in Rwandan surgery, the Rwanda Surgical Society (RSS) convened a participatory workshop of these groups in Kigali in March 2011. The meeting consisted of presentations from Rwandan surgical leaders and focused brainstorming sessions on collaborative methods for surgical capacity building.

Results

The outcome of the meeting was a set of recommendations to the Rwandan Ministry of Health (MOH) and the formation of an ad hoc team, the Strengthening Rwanda Surgery (SRS) Advising Group. The inaugural meeting of the advising group served to establish common goals, a framework for ongoing communication and collaboration, and commitment to a fully Rwandan agenda for surgical and anesthesia capacity development. The SRS Advising Group continues to meet and collaborate on training initiatives and has been integrated into the MOH plan to scale up human resources across disciplines.

Conclusions

The SRS Initiative serves as an example of the concept of early communication and international collaboration in global surgical and anesthesia capacity building partnerships.

Keywords

Anesthesia Provider Ongoing Communication Inaugural Meeting Anesthesia Capacity Health System Strengthen Effort 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    McQueen KA, Ozgediz D, Riviello R et al (2010) Essential surgery: integral to the right to health. Health Hum Rights 12:137–152PubMedGoogle Scholar
  2. 2.
    The PLoS Medicine Editors (2008) A crucial role for surgery in reaching the UN Millennium Development Goals. PLoS Med 5:e182Google Scholar
  3. 3.
    Mathers CD, Loncar D (2006) Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3:e442PubMedCrossRefGoogle Scholar
  4. 4.
    Weiser TG, Regenbogen SE, Thompson KD et al (2008) An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 372:139–144PubMedCrossRefGoogle Scholar
  5. 5.
    Ozgediz D, Kijjambu S, Galukande M et al (2008) Africa’s neglected surgical workforce crisis. Lancet 371:627–628PubMedCrossRefGoogle Scholar
  6. 6.
    Schmid B, Thomas E, Olivier J et al. (2008) The contribution of religious entities to health in sub-Saharan Africa. Study commissioned by the Bill & Melinda Gates Foundation. Rondebosch/Cape Town: African Religious Health Assets Programme (ARHAP)Google Scholar
  7. 7.
    McQueen KA, Hyder JA, Taira BR et al (2010) The provision of surgical care by international organizations in developing countries: a preliminary report. World J Surg 34:397–402. doi: 10.1007/s00268-009-0181-5 PubMedCrossRefGoogle Scholar
  8. 8.
    Chu K, Rosseel P, Trelles M et al (2009) Surgeons without borders: a brief history of surgery at Médecins Sans Frontières. World J Surg 34:411–414. doi: 10.1007/s00268-009-0187-z CrossRefGoogle Scholar
  9. 9.
    Casey KM (2007) The global impact of surgical volunteerism. Surg Clin North Am 87:949–960, ixGoogle Scholar
  10. 10.
    Qureshi JS, Samuel J, Lee C et al (2011) Surgery and global public health: the UNC-Malawi surgical initiative as a model for sustainable collaboration. World J Surg 35:17–21. doi: 10.1007/s00268-010-0836-2 PubMedCrossRefGoogle Scholar
  11. 11.
    Schecter WP, Farmer D (2006) Surgery and global health: a mandate for training, research, and service—a faculty perspective from the UCSF. Bull Am Coll Surg 91:36–38PubMedGoogle Scholar
  12. 12.
    Riviello R, Ozgediz D, Hsia RY et al (2010) Role of collaborative academic partnerships in surgical training, education, and provision. World J Surg 34:459–465. doi: 10.1007/s00268-009-0360-4 PubMedCrossRefGoogle Scholar
  13. 13.
    Ministry of Health (2012) National Institute of Statistics of Rwanda. Kigali. http://statistics.gov.rw/
  14. 14.
    Rwanda Human Resources for Health (2012) Rwanda Ministry of Health, Kigali, Rwanda. http://hrhconsortium.moh.gov.rw/
  15. 15.
    Ministry of Health Annual Report 2009–2010 (2010) Rwandan Ministery of Health, Kigali, RwandaGoogle Scholar
  16. 16.
    Notrica MR, Evans FM, Knowlton LM et al (2011) Rwandan surgical and anesthesia infrastructure: a survey of district hospitals. World J Surg 35:1770–1780. doi: 10.1007/s00268-011-1125-4 PubMedCrossRefGoogle Scholar
  17. 17.
    Petroze R, Nzayisenga A, Rusanganwa V et al (2011) A comprehensive national analysis of emergency and essential surgical capacity in Rwanda. Br J Surg 99:436–443CrossRefGoogle Scholar
  18. 18.
    Health Indicators (2009) Republic of Rwanda Ministry of Health, Kigali, RwandaGoogle Scholar
  19. 19.
    Logie DE, Rowson M, Ndagije F (2008) Innovations in Rwanda’s health system: looking to the future. Lancet 372:256–261PubMedCrossRefGoogle Scholar
  20. 20.
    Farmer PE, Kim JY (2008) Surgery and global health: a view from beyond the OR. World J Surg 32:533–536. doi: 10.1007/s00268-008-9525-9 PubMedCrossRefGoogle Scholar
  21. 21.
    Buse K, Harmer AM (2007) Seven habits of highly effective global public-private health partnerships: practice and potential. Soc Sci Med 64:259–271PubMedCrossRefGoogle Scholar
  22. 22.
    Editorial (2004) Tropical medicine: a brittle tool of the new imperialism. Lancet 363:1087Google Scholar
  23. 23.
    Ozgediz D, Wang J, Jayaraman S et al. (2008) Surgical training and global health: initial results of a 5-year partnership with a surgical training program in a low-income country. Arch Surg 143:860–865; discussion 865Google Scholar
  24. 24.
    Klaristenfeld DD, Chupp M, Cioffi WG et al (2008) An international volunteer program for general surgery residents at Brown Medical School: the Tenwek Hospital Africa experience. J Am Coll Surg 207:125–128PubMedCrossRefGoogle Scholar
  25. 25.
    Luboga S, Macfarlane SB, von Schreeb J et al (2009) Increasing access to surgical services in sub-Saharan Africa: priorities for national and international agencies recommended by the Bellagio Essential Surgery Group. PLoS Med 6:e1000200PubMedCrossRefGoogle Scholar
  26. 26.
    Luboga S, Galukande M, Mabweijano J et al (2010) Key aspects of health policy development to improve surgical services in Uganda. World J Surg 34:2511–2517. doi: 10.1007/s00268-010-0585-2 PubMedCrossRefGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Robin T. Petroze
    • 1
  • Gita N. Mody
    • 2
    Email author
  • Edmond Ntaganda
    • 3
  • J. Forrest Calland
    • 1
  • Robert Riviello
    • 2
  • Emile Rwamasirabo
    • 4
  • Georges Ntakiyiruta
    • 3
  • Patrick Kyamanywa
    • 5
  • Emmanuel Kayibanda
    • 6
  1. 1.Department of SurgeryUniversity of Virginia School of MedicineCharlottesvilleUSA
  2. 2.Department of SurgeryBrigham and Women’s HospitalBostonUSA
  3. 3.Department of SurgeryNational University of RwandaButareRwanda
  4. 4.Department of UrologyKing Faisal HospitalKigaliRwanda
  5. 5.Faculty of MedicineNational University of RwandaButareRwanda
  6. 6.Department of SurgeryKing Faisal HospitalKigaliRwanda

Personalised recommendations