GAPS phase II: development and pilot results of the global assessment in pediatric surgery, an evidence-based pediatric surgical capacity assessment tool for low-resource settings

Topic overview

Key takeaways

• GAPS is a validated 64-question tool to assess pediatric surgical capacity in low-resource settings across 5 domains.
• Pilot testing in 65 institutions identified 64 questions that significantly discriminate between basic and advanced surgical care levels.
• The tool addresses systemic gaps in healthcare resources, infrastructure, training, and organization in LMICs.
• GAPS covers human resources, material resources, outcomes, accessibility, and education with high response rates.
• Evidence-based assessment enables targeted interventions to strengthen pediatric surgical systems in resource-limited environments.

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