Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
The G4 Alliance, Chicago, IL, 60611, USA.
Am Surg. 2023 Apr;89(4):844-849. doi: 10.1177/00031348211047493. Epub 2021 Oct 12.
The US Agency for International Development (USAID) receives directives and funding through the appropriation process, though until recently, global surgery was not included in its mission. Nevertheless, an estimated five billion people lack access to safe, timely, and affordable surgical care, in large part due to lack of economic resources. Using coalition-based advocacy, the G4 Alliance successfully developed and submitted language that was incorporated into the 2020 Appropriations report language, directing USAID to financially support global surgery. This has significant implications for global surgical investment, yet few advocates are aware of the 2020 Appropriations language, let alone how they can utilize it now to advance global surgery in their respective countries. Here, we describe how advocates navigate the US appropriations process and the ways USAID funds are obtained for the purposes of global health. We also highlight the importance of coalition-based advocacy and provide guidance in how to increase success.
美国国际开发署（USAID）通过拨款程序接受指令和资金，尽管直到最近，全球外科学仍未被纳入其使命范围。然而，据估计，有 50 亿人无法获得安全、及时和负担得起的外科护理，这在很大程度上是由于缺乏经济资源。通过基于联盟的宣传，G4 联盟成功制定并提交了措辞，这些措辞被纳入 2020 年拨款报告的措辞中，指示 USAID 为全球外科学提供财政支持。这对外科手术的全球投资具有重大意义，但很少有倡导者了解 2020 年拨款的措辞，更不用说他们现在如何利用它来推进各自国家的全球外科学了。在这里，我们描述了倡导者如何驾驭美国拨款程序以及 USAID 资金是如何获得的，以用于全球卫生目的。我们还强调了基于联盟的宣传的重要性，并提供了如何提高成功率的指导。
