Lancet Commission on Global Surgery (LCoGS)

Data Gathering Projects

lancetglobalsurgery@gmail.comhttp://www.globalsurgery.info

Five primary data collection projects

Qualitative Interview Project (The How Project)

Surgeon Mapping

● Ministry of Health (MOH) Interview

● Online Provider

● Management “How” Project

How… PurposePublished Research

Specific groupsSpecific TopicsPoor Data

Opinions of those actually doing the work

WHY? To HOW?

How InterviewsSemi-Structured interviews

Concentrates on Operational Challenges in Access, Service Delivery and Policy

Interviewer has some knowledge

Searching for Themes and Examples

Intentionally open ended

Reaches saturation quite early

Can be used by Local MOH

Qualitative Interview Project (How Project)

How Project

Requirements, Can You Help?

Someone to do the interviews, local language

People to interview

Clearance

Realistic expectation of time. Interviews started in the next few weeks…Results by second week in August

Provider Survey Purpose: To seek input and opinions from surgical and

anesthesia providers in low- and middle-income countries regarding how to improve delivery of surgical care

Over 500 surveys from 59 countries, South Africa and Nigeria

Survey is available in 6 languages: French, Spanish, English, Arabic, Russian, Chinese

Need assistance is survey distribution – we would like to reach as many people in as many different countries as possible

Survey Links (we will email them to you)

English:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=xfGAw8UA9r

Spanish:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=XJZvP4p7m3

French:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=2Annw9B63f

Russian:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=X9F93K4hDi

Arabic:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=V7fytJNja4

Chinese:  https://redcap.tch.harvard.edu/redcap_edc/surveys/?s=z9iZpPMx7w

Management Questionnaire

People in this room,

People you know

30 minutes

Phone, skype, even email

Ministry of Health Qualitative Interview• Purpose: discuss and identify health priorities, data collection and

use pertaining to surgery and anesthesia, research agendas and metrics feasibility

• Botswana, Brazil, China, Ecuador, Ghana, Haiti, Kenya, Lithuania, Malawi, Mexico, Mongolia, Nepal, Nigeria, Pakistan, Papa New Guinea, Peru, Rwanda, Saudi Arabia, Sierra Leone, Somaliland, South Africa, Uganda, Zambia, Zimbabwe

MOH Interviews Current top five priorities in your regional or national

health plan.

  Is access to surgery and anaesthesia included within your national or regional health plan?

  Do you record or collect any data pertaining to surgery on a national or regional level?

In your opinion, what would be the most helpful thing the Commission could do to help improve delivery of surgical care?

  Does your country have the following information?  Number of surgeons/obstetricians/anaesthesia/nurses/facilities

RequirementsA person at the ministry with knowledge of data

collection

Introduction, permission and contact details

Do the interview yourself, and send on the results

Time, Interview done by the end of July

Background InformationSurgeon Mapping

We are trying to answer the question: What percentage of the population has access to safe surgery and anesthesia, when

needed?● There are multiple assumptions that are being used in order to answer this question in a

meaningful way● Given realities of data availability, the plan is to initially focus on surgeon-provider locations

and count populations that live within two-hours of road access● We are using the NASA/Columbia University SEDAC Population Estimation Tool to calculate

populations and Google Maps to identify 2-hour driving ranges

Project ScopeSurgeon Mapping

Project ScopeSurgeon Mapping

Surgeon Mapping

Surgeon MappingLocation and numbers of surgical providers

Underway beginning of July

Finished by end of July for processing

SummaryHow Project in Your Country?

a commitment, but worth it….sign up

Provider Survey a few hours of work

Management Interviews we need you!

Minister of Health Interviews we need your connections and authority

Surgeon Mapping The start of something?

Please get in touch if you think you can help

SIGN UPDon’t leave the Room!

We look forward to hearing from you.

lancetglobalsurgery@gmail.comhttp://www.globalsurgery.info