Table 2.
Ten committees appointed to define priorities to carry the GIEESC agenda forward
| Committee | Objectives | Action items |
|---|---|---|
| Organizational planning | Define GIEESC organizational structure, governance, monitoring | Develop terms of reference |
| Present and review draft terms of reference to established committees within 6 months | ||
| Each chairperson reports to the organizational planning committee | ||
| Report to WHO EESC annually | ||
| Coordinate GIEESC committees’ activities and report to the biennial WHO GIEESC meeting (2013) | ||
| Finance and resource mobilization | Ensure ongoing financial viability of GIEESC | Fund-raising to meet the $300,000 USD annual goal necessary to support the WHO GIEESC Secretariat |
| Identify and develop other sources of revenue to support GIEESC activities globally | ||
| Organize physician dues and contributions, with the committee to set voluntary contribution levels; develop a mechanism for collecting contributions | ||
| Engage academic institutions to leverage GIEESC serving as a clearing house for research and volunteer activities such as Health Volunteers Overseas | ||
| Leverage with other campaigns and identification of synergies (e.g., Decade of Road Safety) | ||
| Engage foundations and institutions with a consistent outreach and marketing effort with a potential consortium of manufacturers | ||
| Work with other committees for strategic planning and required budgets for program building | ||
| Education and training | Promote educational and training activities of GIEESC | Update WHO IMEESC toolkit and WHO manual SCDH in compliance with WHO guideline review |
| Adaptation of WHO tools to meet local needs (e.g., translations, develop primary surgical care packages) | ||
| Standard training curriculum and training course based on the WHO IMEESC toolkit to be developed and adapted to meet LMICs’ needs | ||
| Burden of surgical diseases | Generate evidence from GIEESC community to quantify the burden of surgical diseases | Facilitate existing burden of surgical disease assessment with EESC global database and research activities of GIEESC members (efficacy/effectiveness, potential complications of treatment, cost-effective analyses) |
| Develop synergy with disease control priorities for developing countries network | ||
| Surgical mission and partnerships | Coordinate global surgical activities and partnerships of WHO GIEESC members | Update online directory/database in WHO GIEESC MedNet |
| Support requests from WHO country offices, MoH, and health facilities in LMICs | ||
| Develop database of WHO GIEESC members’ activities to identify synergies and maximize utilization of organizational resources (catalog GIEESC member activities, track needs of LMICs, prepare calendar of active and future projects) | ||
| EESC as part of health systems strengthening | Promote integration of EESC services into primary health care and health systems | Develop set of indicators for surgical care within the WHO health systems framework |
| Increase collaborative activities with relevant WHO departments | ||
| Survey LMICs’ health plans on the integration of surgical care into primary health systems | ||
| Anesthesia and health systems strengthening | Promote and generate evidence for anesthesia services as part of the primary health care package | Advocate for anesthesia as an essential component of EESC |
| Promote locally driven assistance in anesthesia education | ||
| Develop minimum WHO anesthesia guidelines | ||
| Incorporate minimum requirements for physical resources utlizing IMEESC toolkit | ||
| Update anesthetics in the WHO essential medicines list | ||
| Incorporate WHO standards including into education and training activities | ||
| Pilot local anesthesia education initiatives in five LMICs | ||
| Support appropriate training for providers | ||
| Research and publications | Identify research priorities Promote generation of scientific evidence and publications | Establish a coordinating body |
| Develop guidelines for accessing WHO EESC global database | ||
| Develop a section of the website to list current and future research projects | ||
| Prioritize areas of research | ||
| Update situational analysis tool | ||
| Technology and technology transfer | Support technology and technology transfer needs in LMICs | Monitor technology development through MedNet |
| Develop a strategy for continued assessment and enhancement of GIEESC web presence | ||
| Support technology transfer activities to enhance global surgical education, training, and research | ||
| Advocate for educational outreach regarding existence of new technologies | ||
| Create database/searchable website on technology linked with MedNet and the main GIEESC website | ||
| Advocate for low-cost pricing for technologies | ||
| Appropriate training of any introduced new technologies | ||
| Summarize studies and trials on the ground on transfer of new technologies | ||
| Support technology transfer for training/education initiatives | ||
| Develop an online clearing house of available online curricula (content), courses for anesthesia and surgical care (district level) | ||
| Develop curriculum/course provided free or at low cost for LMICs (e.g., of existing WHO IMEESC toolkit) | ||
| Promote translation of tools into local languages | ||
| Develop partnerships with training institutions and hospitals for transfer of technologies (e.g., telemedicine) | ||
| Advocacy | Advocate for the importance of delivery of emergency and essential surgical care (EESC) locally, nationally, and internationally | Define objectives (EESC, disaster management) |
| Raise public awareness of preventative and curative aspects of surgical care | ||
| Identify partners to promote EESC (institutions, health authorities, parliaments, societies, NGOs, foundations, and civil society) at the international, national, and local levels | ||
| Identify specific advocacy tools | ||
| Act as a liaison between working groups and the public |
LMICs low and middle income countries, NGOs nongovernmental organizations