OBJECTIVES OF THE WFNS GLOBAL NEUROSURGERY COMMITTEE

1. To AMPLIFY access to neurosurgical care.
 A. Track global neurosurgical workforce 
   1. Perform 2020 global neurosurgical workforce survey
   2. Establish ongoing survey and reporting mechanism
 B. Increase the number of training programs 
   1.   Track training programs as part of survey
   2.   Initiate 3 new local training programs by 2021
 C. Ensure availability of fit-for-purpose basic neurosurgical instrument sets. 
   1.   Fill >75% of qualified requests each year.
   2.   Track donated equipment for suitability
 D. Ensure financial risk protection from neurosurgical procedures.
   1. Track out of pocket costs of bellwether procedures (craniotomy for trauma and shunt/ETV for hydrocephalus) in >10 LMICs by 2021.

2. To ALIGN all global neurosurgery activity.
 A. Create platform for communication, reporting, and dissemination
   1. Add Global Neurosurgery website within WFNS site [GNI-Harvard]
 B. Create an interactive platform to match needs and opportunities
   1. Incorporate Intersurgeon Website [Intersurgeon]
 C. Adoption of Global Neurosurgery Action Plan by
   1. >70% of member societies.
 D. Create a Coordination mechanism for training [Foundation]
   1. Initiate discussion for training of neurosurgeons with countries with lowest number of neurosurgeons (bottom 5)
   2. Develop strategic plan for training with targets for (5) countries with shortages.

3. To ADVANCE relevant research, especially from authors in the developing world.
 A. Map research output by region and themes
   1. Perform literature review of the gaps
 B. Establish Global Neurosurgery research grant and/or award mechanisms
   1. 1 or more by 2021.
 C. Advocate for Global Neurosurgery category/sections in major neurosurgery journals
   1. 3 or more by 2021.
 D. Establish funding mechanisms for training in future leaders in the public health practice of Global Neurosurgery
   1. 2 or more by 2021.
 E.   Inclusion of Global Neurosurgery Sessions in major neurosurgery meetings
   1. >75% by 2021.
 F. Establish mentoring relationship between editorial boards from HIC and LMICs
   1. >1 by 2021
 G. Establish mentoring relationship between authors from HIC and LMICs
   1. >1 by 2021

4. To ASSIMILATE neurosurgical capacity building into surgical systems.
 A. Participation by neurosurgeons in National Surgical Strengthening Processes
   1. >50% participation rate by 2021.
 B. Participation by neurosurgeons in major global surgery conferences.
   1. >20% participation rate (per year) increase by 2021.

5. To ADVOCATE for (neuro)surgical care within Universal Health Coverage.
 A. Participation by neurosurgeons in global surgery advocacy events
   1. >20% participation rate (per year) increase by 2021.
 B. Work with industry partners for a shared vision. Meet with major industry partners.
   1. 5 or more meetings by 2021.

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