The Inaugural Issue of the Journal of Global Neurosurgery


  • Paul E Farmer





Over the last decade, the field of Global Surgery, which some of us had termed the “neglected stepchild of Global Public Health,” has expanded to bridge the gap in surgical care. Evidence of a burgeoning field of research, practice, and cooperation abounds: the 16 countries of the Southern Africa Development Community, for example, are working together to strengthen surgical care in the region. During the most recent meeting of the World Health Organization’s Western Pacific Regional Committee, the 37 member states unanimously agreed to a regional action framework for safe and affordable surgery. A global coalition is forming to meet the need for 143 million surgical procedures in low- and middle-income countries (LMICs) by the end of the decade. 


Academic institutions have an essential role and responsibility in the quest for global access to safe and affordable surgical services. In response to pressing material disparities faced by district hospitals, academic institutions can partner with the public sector and bolster access to services by helping provide the staff, space, systems, and social supports required for quality care. By conducting relevant and timely research, investigators inform the planning, financing, and implementation of surgical care delivery programs. Furthermore, specialists are well placed to bring their expertise to bear on disparities in access and outcome, and neurosurgeons are advancing research to link their area of clinical practice to broader efforts for global health equity; this includes, of course, an emphasis on forging fruitful and equitable research collaborations across the globe. To that end, I congratulate all involved in launching the inaugural issue of the Journal of Global Neurosurgery (JGNS).