Despite the significant burden of disease in global health, the pressing urgency and importance of surgical care has not been recognized (Bae, Groen, & Kushner, 2011). There is still a lack of awareness of the significant of prioritizing surgery in the global health agenda but in recent years there has been an increasing interest in global surgery as research has shown how investment in surgical infrastructure and performing surgery is cost-effective, even when comparing the cost per DALY (disability-adjusted life year) to public health interventions.
As global surgery is a upcoming priority in the global health agenda, there is a need for further research and evaluation. The Lancet Commission on Global Surgery in 2015 explicated the importance of concentrating research on finding solutions to problems and focusing on themes such as: cost and financing; quality and safety; care delivery innovations; burden; determinants and barriers; impact; prevention; partnership; training and education; policy and information management (Meara et al., 2015).
In this context, the JW Lee Center for Global Medical Center developed a comprehensive yet general evaluation framework that can be applied to the surgery training program by the evaluation team. This framework is to be revised and supplemented with further material for the various countries and contexts. This global surgical evaluation framework is based on a theory of change, and evaluates and examines the achievements of the project, the planning, execution and monitoring processes, efficiency, and short and term long goals.