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In their policy analysis, Yusra Ribhi Shawar and colleagues (August, 2015)1 outline the complex responses needed to make surgery a global health priority, highlighting as a major challenge that “consensus needs to be reached on solutions”. Professional interests might have forestalled consensus on the need to train and supervise non-surgeons to deliver surgical services in places where surgeons cannot be retained.2However, sceptics are right to call, and donors to wait, for evidence on the feasibility, safety, cost-effectiveness, and outcomes of such models.

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  1. Brugha, Ruairí ; Bijlmakers, Leon ; Borgstein, Eric ; Kachimba, John

    The Lancet. Global health, December 2015, Vol.3(12), pp.e741 [Peer Reviewed Journal]