The results from this study can be used to advocate for enhanced neonatal and paediatric surgical care in SSA, at an institutional level, country level via 'National Health Strategic Plans' and at an international level. This is vital to ensure neonatal and paediatric surgery are appropriately prioritised over the coming 15-years as access to surgical care in low- and middle-income countries is scaled up following publication of the LCoGS and the WHA resolution 68:15. Participation in this international project will help to enhance research capacity amongst surgeons, anaesthetists and allied healthcare professionals across SSA. Formation of the PaedSurg Africa Research Collaboration will provide the infrastructure for future research projects and interventional studies to help improve outcome.