The Tanzania-Oxford Children's Surgery Partnership is a longstanding capacity building and research collaboration. Over a 21-year period, this non-hierarchical partnership has worked to develop from service delivery to children surgical system strengthening in Tanzania. This has directly impacted the children's surgery and workforce by increasing the number of pediatric surgeons in the country and upskilling nurses, anesthetists, and pediatricians. Clinical skills acquisition has been complemented by the development of leadership, mentorship, and research acumen. The partnership has also delivered critical upgrading of infrastructure which has significantly increased operative volume and allowed for the provision of minimally invasive children's surgery. A children's research network has been established, with a focus on research equity and local data ownership adhering to local ethics, leading to prolific academic output. At the core of this partnership has been the recognition that achieving sustainable change requires local leadership, long-term commitment, and ‘bottom-up’ change. We described the historical events and steps taken by our partners to achieve the universal provision of children's surgery in Tanzania.

坦桑尼亚-牛津儿童外科合作伙伴关系是一项长期的能力建设和研究合作。在 21 年的时间里，这种非等级制的伙伴关系一直致力于在坦桑尼亚从提供服务发展到加强儿童外科系统。通过增加该国儿科外科医生的数量以及提高护士、麻醉师和儿科医生的技能，这直接影响了儿童手术和劳动力。临床技能的获得辅以领导力、指导和研究敏锐度的发展。该伙伴关系还对基础设施进行了重要升级，显着增加了手术量，并允许提供微创儿童手术。儿童研究网络已经建立，重点关注研究公平性和遵守当地道德的当地数据所有权，从而产生丰富的学术成果。这种伙伴关系的核心是认识到实现可持续变革需要地方领导、长期承诺和“自下而上”的变革。我们描述了历史事件以及我们的合作伙伴为实现坦桑尼亚普遍提供儿童手术而采取的步骤。