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REFERENCES (CONTINUED) facilitate the planning and implementation of
surgical services in settings of limited resources.
In addition, assessment of surgical care in
LMICs has typically focused on physical and
human resources rather than processes and outcomes. Assessment of all four elements likely is
necessary to gain a comprehensive understanding of how high-quality care can be delivered
and how it affects the perception of the health
care system. Instilling trust in a population is at
the core of promoting access and proper use of
health care services.
Although many challenges remain, over the
past three years we have made significant progress toward establishing an environment in
Mozambique in which it is possible for surgeons
to undertake a broad range of surgical research
projects and improve the delivery of care. Ongoing development of this enterprise will enhance
Mozambique’s capacity to address important
public health problems that are locally relevant
and will accelerate the development of national universities. We anticipate that promotion of
evidence-based surgical planning in global health
care will be a lasting legacy of the MEPI program.
This research was supported by grant number
R24TW008910 from the Fogarty International Center,
the Fogarty International Clinical Research Scholars and
Fellows Program (R24 TW007988), and a Fogarty International Center Research Training Grant (R25T W009343)
through the University of California Global Health Institute. The content is solely the responsibility of the authors
and does not necessarily represent the official views of the
Fogarty International Center, the NIH, or the University
of California Global Health Institute. The NIH Common
Fund supports the first award.