Abstract
The COVID-19 pandemic created an unprecedented burden on health systems, including surgical services, which have been indirectly affected by the growing number of cases due to cancellation of operations, delayed screening and a lack of adequate resources such as PPE and ventilators. In addition to logistical challenges, the pandemic also raised imminent clinical questions that required immediate answers. Global collaborations have been vital to identifying challenges by pooling data and collecting evidence to provide critical information to guide clinical and surgical care. Research partnerships have been the driving force behind global surgery research; however, since the pandemic, there has been an increased need for equitable collaboration and innovation between high-income and low-income research institutions to continue making steady progress towards providing access to safe, affordable surgical care. This article explores academic research partnerships formed during the pandemic and identifies challenges and opportunities presented to researchers and institutions. Finally, this paper recommends that further collaborations be made between HIC and LMICs to ensure policies that global surgery ensures that key stakeholders are at the centre of research. Such policies need to focus on the access to education and mentorship, micro-grants for researchers, and publication opportunities.
Highlights
There are many well-documented limitations for research in low-resource settings; some barriers cited preCOVID-19 included lack of human resources, financial constraints, poor connectivity, and difficulty accessing records.[2,3] Constraints around regulatory requirements at the hospital and national levels, such as the inability to access ethical approvals, prevented research activities
Global collaborations have been vital to identifying challenges by pooling data and collecting evidence to provide critical information to guide clinical and surgical care
In-person global surgery research in HICs and LMICs has been operating at a limited capacity due to extensive lockdowns
Summary
There are many well-documented limitations for research in low-resource settings; some barriers cited preCOVID-19 included lack of human resources, financial constraints, poor connectivity, and difficulty accessing records.[2,3] Constraints around regulatory requirements at the hospital and national levels, such as the inability to access ethical approvals, prevented research activities.
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