We would love some discussion and feedback about a surgical implementation science protocol we just published on BMJ Open. This research will evaluate our implementation of surgical services at our rural district hospital in remote western Nepal. As you all are acutely aware, surgical care is a severely neglected area in public health. Our theory of change, and indeed our motivation, for this research is the following: 1) pilot some methodologies for evaluation and planning of surgical services; 2) generate some baseline data; 3) provide motivation and background for larger implementation studies; and 4) advocate for increased funding mechanisms for implementation and research in global surgical and anesthesia care.
We would greatly appreciate some hard-hitting, critical feedback about the ability of this protocol to help meet these objectives. This is very much new territory for us, and the qualitative methodologies are currently still quite weak. We will be submitting this to NIH PAR-10-039 in the next cycle (which by the way is an excellent RFP for any implementation researchers out there). You may also see discussion of the article on GHD online.
Duncan Maru, MD, PhD is a co-founder and President of Nyaya Health. He is currently a resident in the Internal Medicine – Pediatrics program and fellow in Global Health Equity at Brigham and Women’s Hospital and Children’s Hospital of Boston.