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Research Letter
May 6, 2020

The Contribution of Surgical Nongovernmental Organizations to Global Surgical Care: An Estimate of Annual Caseload

Author Affiliations
  • 1Stoke Mandeville Hospital, Aylesbury, England
  • 2Kampot Provincial Referral Hospital, Sangkat Kampong Bay, Krong Kampot, Kampot Province, Cambodia
  • 3Centre for Global Surgery, Department of Global Health, Stellenbosch University, Cape Town, South Africa
JAMA Surg. Published online May 6, 2020. doi:10.1001/jamasurg.2020.0853

Nongovernmental organizations (NGOs) provide surgical care in low-income and middle-income countries1; however, the quantity of operative procedures performed is unknown, making their contribution difficult to measure. Previous attempts at pooling the surgical caseload have been limited by either a reliance on only peer-reviewed publications2,3 or to US-based organizations.4 In 2016, Ng-Kamstra et al1 published a comprehensive database of surgical NGOs (s-NGOs), a collective term used by the authors to cover charitable and aid organizations providing surgical care in low-income and middle-income countries to promote collaboration between organizations and health systems.1 We aimed to survey these s-NGOs to estimate their contribution to global surgical delivery.

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