How would you improve the impact of short-term (reconstructive) surgical missions in low- and middle-income countries (LMICs)?
A survey among members of foreign teams and local doctors involved in surgical missions.
Developed by ICOPLAST and Global Surgery Amsterdam
www.icoplast.org
www.globalsurgeryamsterdam.com

Background:
We all aim for improving outcomes of our patients all around the globe. Many of our patients suffer from conditions that can be treated with (reconstructive) surgery. Particularly in low- and middle-income countries, surgical missions are conducted on a large scale to provide this type of care. Annually, an estimated 313 million US dollars is spent on surgical missions. Typical missions are short-term, lasting up to several weeks.

However, currently we know very little about the actual impact of these missions, including patient outcomes and future strategies (Hendriks et al., 2019).

Therefore we developed this questionnaire. It is a first step in identifying what is currently being done and what should be done, according to your valuable experiences in the field. Your data is used to provide more clarity on today's practices of short-term missions.

The questionnaire consists of only 20 questions. Please select one answer, and further clarify in the comment box if applicable.

Note: we may ask additional questions in the future if you approve us to contact you.
Outcomes will be anonymized.
Email *
Your function *
Required
Q1. Name *
Q2. Age: *
Q3. Sex: *
Q4. Email address: *
Q5. Nationality: *
Q6. How many missions did you perform in your life? *
Q7. Country where you performed your last surgical mission: *
Q8. Name of the hospital and town: *
Q9. Name of the NGO that supported this mission: *
Q10. Country where this NGO is based: *
Q11. Please give points over the following potential activities of a visiting team (more points means a more important activity) *
1 point
2 points
3 points
4 points
Provide surgical equipment and consumables for the local team, also for use after the mission left
Provide free treatments
Treat patients yourself
Facilitate teaching of local staff (doctors and/or nurses)
Q12. Is there, in your opinion, an activity missing in question 11? (please explain what activity is important and why) *
Q13. Should medical registration in the host country be required for specialists performing short-term surgical missions? *
Comments:
Q14. When medical registration was required for your last mission, the process to obtain the documents was straightforward. *
Comments:
Q15. What can you say about the collaboration between authorities in LMICs (like the Ministry of Health, the district health management or the national surgical society) and visiting surgical teams? *
Comments:
Q16. What should have a higher priority in the hospital of your last mission ? Teaching in anesthesia care or teaching in surgical care? *
Comments:
Q17. A structured follow-up strategy (>6 months) of patients is required for short-term surgical missions.
Clear selection
Comments:
Q18. One month after the mission, an official report on the outcome including all complications encountered is recommended for all surgical missions. *
Comments:
Q19. A written long-term strategy (>5 years) with clear goals, developed by the visiting team and the local actors together, is recommended at the start of a new project. *
Comments:
Q20. What would you suggest to improve the impact of short term surgical missions? *
Q21. Hereby I give consent to use this data for publication. The purpose of this publication is to provide more insight into short-term surgical missions
Clear selection
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