logo

Surgical Care for All: Transforming Lives Together through the G4 Alliance

Imagine a world where every patient—regardless of where they live—has access to safe, timely, and affordable surgical, obstetric, trauma, and anesthesia (SOTA) care.

At the G4 Alliance, we’re making this vision a reality through three transformative initiatives:

Operative Encounter Registry (OER)

Community of Practice (CoP)

ECHO Project

Together, these projects form a locally-led, data-driven, and globally connected strategy to revolutionize healthcare delivery in low- and middle-income countries (LMICs).

At a glance

The OER is a software platform developed under the guidance of the World Health Organization (WHO). Hosted within WHO’s DHIS2 database, the OER is designed to improve surgical data collection. The OER is a transformative project, a catalyst to improve the healthcare system in LMICs through a patient-centered, data-driven, and locally-led approach. The data collected will power a Community of Practice (CoP) – run through the Project ECHO Model – which includes doctors, members of international medical societies, academics, representatives of nonprofit organizations, and corporate executives. They will have resources to coordinate directly with the local health workforce in hospitals in LMICs to implement actionable quality improvement

What Is the Operative Encounter Registry (OER)?

The OER is a digital platform for the routine collection of standardized surgical patient data. It equips providers with real-time insights into patient outcomes, delays, and access barriers—empowering them to plan, allocate resources, and improve quality of care.

  • Built on the DHIS2 platform

  • Includes 29 core + 10 extended variables

  • Mobile- and offline-compatible

  • Fully de-identified for privacy and provider acceptability

What Is the Community of Practice (CoP)?

The CoP is a global network of healthcare professionals, researchers, advocates, and hospital leaders committed to interpreting OER data and turning it into action.

Through peer learning, virtual collaboration, and direct technical support, the CoP helps hospitals:

  • Implement the OER effectively
  • Design local quality improvement strategies
  • Advocate for evidence-based policy change

Real data. Real change. Real lives saved.

Introducing the ECHO Project: Learn Locally, Teach Globally

The ECHO Project (Extension for Community Healthcare Outcomes) is the educational backbone of the OER and CoP model.

Through tele-mentoring, case-based learning, and interactive virtual sessions, the ECHO Project creates ongoing capacity-building opportunities for healthcare providers in LMICs. It strengthens:

  • Clinical decision-making
  • Use of registry data for quality improvement
  • Integration of best practices across different health systems

The ECHO model breaks down silos and builds bridges between hospitals, ministries, and global experts, ensuring that knowledge travels faster than disease.

Piloting a Global Solution

In 2024, the G4 Alliance signed a Memorandum of Understanding with the WHO to pilot and scale this three-part model—OER, CoP, and ECHO—across multiple LMICs.

These pilots are being launched in diverse settings including:

  • First-level and referral hospitals

  • Rural and urban areas

  • All six WHO regions

Photo credit: Mercy Ships
Photo credit: ReSurge International

The data collected will help evaluate:

  • Implementation and usability

  • Provider engagement and satisfaction

  • Scalability at the national level

Headquarters

  • 1050 Connecticut Ave NW Suite 500
    Washington, DC 20036 USA

Connect With Us

  • contact@theg4alliance.org

Members Only