Collaboration Prize Finalists

Following an exhaustive review of 13 excellent applications, a group of 6 finalists was selected. These finalists represent the strength and diversity of the G4 Alliance — organizationally, programmatically and technically.

Most importantly, these finalists demonstrate the impact and innovation that powerful collaborations can achieve.  The six finalists for the G4 Alliance collaboration prize are:

Alzaeim Alazhari University

An Electronic Registry for Trauma with Training of Providers

G4 Collaborators:                 PTCF, McGill University CGH

Additional Collaborators:   Lifebox, Center for Innovation in Global Health, Stanford University Global Surgery

An Electronic Registry for Trauma and Elective Operations with Training of Trauma Care Providers

The 5 partners presenting this project bring together an ideal mixture of developed country expertise and developing country willingness to improve and change. Both these former attributes are in academic settings with an interest in researching into possible models for further country wide implementation. This mix is further complemented by the two other partners who are nongovernmental organizations who have a track record of delivering successful scalable projects in the developing world environment.

The 5 complementary partners have teamed up to develop a vertically integrated project which takes two important aspects of surgery (data collection and improving care). In a nutshell, the project aims to develop a mobile internet based registry and use it to collect data on trauma and elective operations in 5 states of Sudan. The data collected will be studied to help in better planning of these services. In parallel to the data collection training in better trauma care and safe surgery using the WHO safe surgery checklist will be implemented. The final product of this project is in itself innovative and furthermore provides an easily sustainable and expandable example that can be replicated globally.

We think that this project ticks a lot of the “to do” list of the G4 Alliance and brings an industry (the telecommunications industry) which is renowned for its hitherto rapid expansion and even more future projected expected expansion as a partner to our efforts. This latter aspect can be very beneficial to us in several ways. 



COSECSA Safe Surgical Checklist


Collaborating Organizations: AAS

Additional Collaborators:  Lifebox

COSECSA Safe Surgical Checklist

The Safe Surgery Checklist (SSC) is a global phenomenon that transformed the way surgical systems perform; however, it has been poorly adopted in developing countries.

COSECSA, an influential surgical authority in 12+5 countries and +104 hospitals, and its partners will develop and test an organizational intervention to prevent surgical infection through regional implementation of the SSC.

We will develop a modified COSECSA Checklist to be distributed to our partner hospitals. We will couple its use with a surveillance strategy to identify problems in compliance with specific surgical infection prevention standards embedded in the Checklist. We will collect baseline data in two champion facilities. The Checklist will then be promoted in all COSECSA-accredited hospitals, and specific partnerships will be established to monitor and evaluate the impact of the checklist.

By adopting the Checklist, our partners can conduct training and education for COSECSA surgeons. COSECSA will establish a standard that its facilities may modify. COSECSA accreditation criteria will also include the use of the Checklist. We have seen the checklist save many lives that would have been lost due to surgical infections and other mishaps.

We also expect to reduce costs and advance health and surgical capacity in the COSECSA region. COSECSA is taking a lead in these efforts. This is important for the sustainability of the project, as it addresses needs that we at COSECSA feel are most immediate and important.

Global Paediatric Surgery Network

Geospatial Mapping of Pediatric Surgery Needs


G4 Collaborators: WOFAPS, Harvard PGSSC, COSECSA, McGill CGS

Additional Collaborators: Lancet, GICS, Stanford

Geospatial Mapping of Pediatric Surgery Needs

Our proposed study addresses the unmet surgical needs of children in LMICs, allowing informed advocacy for resource allocation and capacity-building efforts to help this vulnerable population of patients.

We will partner with several G4 Alliance organizations, working through member societies of WOFAPS to identify pediatric surgeons in LMIC countries. These surgeons will determine the capabilities for pediatric surgical care at primary, secondary, and tertiary level hospitals in their respective countries. We will then perform geospatial mapping, calculating travel times to hospitals and pediatric surgeons within each country.

Our project is innovative because it uses imperforate anus as a proxy for measuring capacity to treat congenital anomalies. For these patients, colostomy is life saving and needs to be performed shortly after birth. The ability to perform subsequent reconstruction requires highly skilled surgeons and anesthesiologists, but that surgery can be done electively when travel time is less critical.

We expect to find deficiencies that underscore mortality due to untreated newborn bowel obstruction, as well as poor quality of life for children with colostomies who are unable to undergo reconstructive surgery. This project should have tremendous impact since children represent more than half the population in many LMICs, with a high burden of unmet needs where specialist surgical and anesthetic care is not readily available. We anticipate being able to determine where improvements in infrastructure, manpower, and training at tertiary level hospitals, as well as primary and secondary level hospitals, will have maximal impact to improve care of the neglected pediatric surgical patient.

Healing the Children

Use of Fingerprint Identification for Unique Patient ID with Cloud Interface

G4 Organizations: IAOMS, WFSA, IFNA, SmileTrain

Collaborating Organizations: Boston Children's Hospital,  Northwell Health Care, Identazone

Use of Fingerprint Identification to Provide a Unique Patient ID with Cloud Interface

Surgical and anesthesia specialties rely on medical history to provide safe medical care. Global surgery groups often do not have medical records available to them. Even in situations with a good medical record system there are often issues with identifying and matching patients correctly with their records. This is often due to name changes, address changes and spelling errors.

The solution is to implement a comprehensive electronic medical record stored in a cloud based system which utilizes patient fingerprints as the key unique patient identifier. This will allow for access to medical record information during future medical missions and will facilitate communication between anesthesia and all surgical specialties, resulting in the ability to provide safer and more efficient global health services.

We are proposing to trial this technology at this year’s 24th mission to Neiva, Colombia on May 26th, 2017. We have teamed up with both Smile Train and the International Federation of Anesthesiologists and are incorporating forms and information they deem necessary in the medical record system. Upon trip completion, we will use the data gathered to examine outcomes and other biometric information.

In the future, embedded language translation software will be incorporated to allow providers the ability to read and contribute information in their native languages. Another addition will be to use patient owned smartphones to allow patients and health care workers to upload pictures, videos and audio samples into their medical records. This would allow for continued follow-up outcome assessment and better planning for future required surgeries despite language and geographical barriers.

International Collaboration for Essential Surgery (ICES)

Primary Surgery is the Answer!

G4 Organizations: IFSC

Collaborating Organizations: ASGBI Royal College of Surgeons of England


Primary Surgery is the Answer!

The G4 alliance is committed to making surgery happen for those billions for whom it is currently denied. But who will describe the surgery that needs to be done? Primary Surgery is the answer!

This text is in two volumes (One: Non Trauma, Two: Trauma). It has established itself since 1980 as the Surgical Guidebook. Volume One has been re-edited. Easy to read, in one year, it has been downloaded over 600,000 times. This makes it the most-read surgical text worldwide!

It tells you what to do, what not to do, and what to do when things go wrong. It is an essential innovative text to have available in the operation room, when there is no other available source of help. Volume Two needs to be re-edited, and a template of chapters has already been put in place. This needs to be finished quickly because it is Trauma that is killing people more than ever. The surgery of trauma and of emergencies is literally life-saving, but its morbidity needs reducing urgently.

Many will tell you of the ‘Neglected Patient’, but few of the “Neglected Surgeon”? This book is that surgeon’s saviour. Popular acclaim demands its completion, which will be disseminated globally in cooperation with ICES and ASGBI. Evaluation of its use will be proven through studies in Madagascar, Tanzania and Zimbabwe.

International College of SurgeonS

A Single Open Source Registry of Available Surgery Resources

G4 Organizations: Americares, IntraHealth, Plasticos, Mending Kids, Cure International, IFNA, PTC, Selfless, Global ENT Outreach

Collaborating Organizations:   HVO, Navajo Hopi Health Foundation, First Nations Limb Preservation Foundation, Scalpel


The G4 Empowerment Database - A Single Open Source Registry of Available Human and Material Resources to Efficiently Coordinate Organizational Efforts Between HICs and LMICs

International health care groups, academic centers, and NGOs from high income countries
(HICs) frequently send medical missions to low and middle income countries (LMICs). With the
proposed budgetary cuts in HIC governmental aid programs, the challenge is to send the right
clinical specialists in the right numbers to the right locations to economically sustain regionally
identified health care needs.

From a global perspective, medical missions invest their efforts with relatively ineffective
international coordination. The resulting gaps and redundancies in healthcare delivery do not
foster the needed sustainability required to empower local systems. The result is that
opportunities and valuable human and material resources may be wasted and global health
care not optimized. These challenges can be met with simple logistical methodologies by
creating a central, global registry of all medical professionals who wish to volunteer for such

 IntraHealth has invested ten years developing database registries for LMIC health workers and
is operational in more than twenty countries. We propose adapting their proven software, iHRIS
Qualify, to serve as a global registry of volunteer surgeons, obstetricians, anesthesiologists,
and Advanced Practice Nurses. iHRIS is an open source, cloud based and free software
program that can be accessed over the web by international volunteers who wish to register for
medical missions. It can then be efficiently used as a registry by international health care
organizations and host countries alike to recruit personnel for medical missions who have the
skills, availability, and experience required to successfully sustain the meaningful support of
desired programs.