Evidence map›Paper›PMID 41552374›Full record

ArticleHealth science reports2026

Global Surgery and Health Equity: Integrating Education, Research, and Policy-A Perspective Review.

Inibehe Ime Okon, Omar Kasimieh, Aiman Maidan, Ugwu Onyedika Mitchell, Oluwatobiloba Israel Popoola, Marcus Lester R Suntay, Carina Joane V Barroso, Kristine Joy Gacutno, Angelica Joyce Gacutno-Evardone, Jomar L Aban and 7 more

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Inibehe Ime OkonDepartment of Research Medical Research Circle (MedReC) Bukavu DR Congo.ORCID https://orcid.org/0009-0003-8275-5713
Omar KasimiehUniversity of the East Ramon Magsaysay Memorial Medical Center Manilla Philippines.
Aiman MaidanDepartment of Neurosurgery Taraz City Multidisciplinary Hospital and Consulting and Diagnostic Center Taraz Kazakhstan.
Ugwu Onyedika MitchellDepartment of Medicine University of Abuja College of Health Sciences Abuja Nigeria.
Oluwatobiloba Israel PopoolaDepartment of Clinical Medicine Shenyang Medical College Shenyang Liaoning China.
Marcus Lester R SuntayWorld Surgical Foundation Philippines Manila Philippines.
Carina Joane V BarrosoBukidnon State University Malaybalay City Bukidnon Philippines.
Kristine Joy GacutnoEastern Visayas Medical Center Tacloban City Leyte Philippines.
Angelica Joyce Gacutno-EvardoneEastern Visayas Medical Center Tacloban City Leyte Philippines.
Jomar L AbanCollege of Education Don Mariano Marcos Memorial State University La Union Philippines.
Victor C CañezoBiliran Province State University Naval Leyte Philippines.
Pearl Irish V De PazBiliran Province State University Naval Leyte Philippines.
Abraham Fessehaye SiumDepartment of Obstetrics and Gynecology St. Paul's Hospital Millennium Medical College, Addis Ababa.ORCID https://orcid.org/0000-0001-5812-0804
Rano K DadabaevaTashkent Medical University Tashkent Uzbekistan.
Kenesh DzhusupovInternational Higher School of Medicine Bishkek Kyrgyzstan.ORCID https://orcid.org/0000-0002-2213-1373
Karlygash ToguzbaevaAsfendiyarov Kazakh National Medical University Almaty Kazakhstan.
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Global surgery is intended to guarantee that all people can access safe, timely, and affordable surgical, obstetric, and anesthesia care, but wide disparities remain, mostly in low- and middle-income countries (LMICs). When the 17.9 million annual preventable deaths from surgical conditions are considered, the LDCS face a debilitating deficit of personnel, infrastructure, and policy-required backing. Mitigating these disparities calls for a comprehensive approach, which includes education, research, and policy. Methods: This perspective article reviews findings distilled from the global health literature, policy papers and reports, and leading initiatives such as the Lancet Commission on Global Surgery, National Surgical, Obstetric, and Anesthesia Plans (NSOAPs), and academic partnerships. It reviews pressing issues and solutions aimed at workforce development, research equity, and systems-level policy change. Results: Despite emerging awareness of the importance of surgery in universal health coverage, major gaps remain. Over 20% of public health practitioners lack fundamental knowledge of global surgery, and LMICs produce a minority of surgical research, reinforcing dependence on high-income country (HIC) frameworks. Successful interventions include integrating global surgery into public health curricula, fostering academic "twinning" partnerships, supporting South-South collaborations, and leveraging digital innovations like tele-mentoring and AI-based tools. NSOAPs have shown promise in driving national reforms but remain underfunded and unevenly implemented. However, integrated approaches also face practical challenges, including variable political commitment, competing health priorities, and limited absorptive capacity within under-resourced systems. Conclusion: Bridging global surgical inequities demands a coordinated, decolonial approach linking education, research, and policy. Building local capacity, prioritizing LMIC leadership, and embedding surgical care within broader health systems are essential to achieving sustainable, equitable progress. Global surgery must evolve from fragmented efforts into a cohesive movement that views surgical care as a fundamental human right. Future work should articulate clearer stakeholder-specific strategies, particularly for governments, academic institutions, NGOs, and funders, to ensure that integrated approaches translate into actionable, context-appropriate reforms.

Indexed as

decolonialeducationglobal surgeryhealth equityLMICspolicyresearch

Identifiers

PMID41552374
PMCPMC12804141

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.