Sign in

Yves Sonnay

@yvessonnay.bsky.social
76 followers 151 following 52 posts

Program Management | Healthcare Systems | Public Health | Quality Improvement | Evaluations and Reviews | Humanitarian | @doctorswithoutborders.org @ariadnelabs.bsky.social | 🚲💚🌍

PostsRepliesMedia
Reposted by Yves Sonnay
APSA Outcomes Committee @apsa-outcomes.bsky.social · 08/07/2026
New study from @maryebrindle.bsky.social and company as they aim to re-imagine the surgical safety checklist in pediatric surgery! www.jpedsurg.org/article/S002...
jpedsurg.org
Reimagining the Surgical Safety Checklist Through a Pediatric Lens
This study, endorsed by CAPS and APSA leadership, aimed to gather perspectives from North American pediatric surgeons on how the Surgical Safety Checklist (SSC) can be optimized for the contemporary p...
011
Yves Sonnay @yvessonnay.bsky.social · 21/07/2026
Reimagining the surgical safety checklist through a pediatric lens @maryebrindle.bsky.social @ariadnelabs.bsky.social @sickkidsto.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
000
Yves Sonnay @yvessonnay.bsky.social · 21/07/2026
Evaluating challenges care-partners and older adults confront after major elective surgery: A multimethods study @maryebrindle.bsky.social @ariadnelabs.bsky.social @mgbresearch.bsky.social @swexner.bsky.social #SurgeryJournal www.sciencedirect.com/science/arti...
001
Yves Sonnay @yvessonnay.bsky.social · 14/05/2026
Widening global gap in safe surgery: revisiting the surgical safety checklist at the 20th anniversary of the WHO Surgical Safety Checklist @bmj.com #BMJ_Qual_Saf @maryebrindle.bsky.social @ariadnelabs.bsky.social #nobsroy #ughe_org qualitysafety.bmj.com/content/earl...
qualitysafety.bmj.com
010
Yves Sonnay @yvessonnay.bsky.social · 31/03/2026
Mind the Gap: Reported Versus Observed Surgical Safety Checklist Time‐Out Adherence in the Hybrid Operating Room onlinelibrary.wiley.com/doi/full/10....
onlinelibrary.wiley.com
Mind the Gap: Reported Versus Observed Surgical Safety Checklist Time‐Out Adherence in the Hybrid Operating Room
Endovascular surgery is a high-risk specialty where safety protocols are vital to prevent adverse events. Although WHO Surgical Safety Checklist (SSC) implementation showed significantly reduced over...
000
Yves Sonnay @yvessonnay.bsky.social · 31/03/2026
Mining the Gap: New Opportunities for the WHO Surgical Safety Checklist @maryebrindle.bsky.social onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Mining the Gap: New Opportunities for the WHO Surgical Safety Checklist
Click on the article title to read more.
011
Yves Sonnay @yvessonnay.bsky.social · 24/02/2026
Adaptation and Recovery Challenges After Ostomy Surgery: Qualitative Study of Clinician Perspectives @maryebrindle.bsky.social @ariadnelabs.bsky.social #JSurgRes www.sciencedirect.com/science/arti...
sciencedirect.com
Adaptation and Recovery Challenges After Ostomy Surgery: Qualitative Study of Clinician Perspectives
Patients undergoing colorectal surgery with fecal ostomy experience biopsychosocial challenges during recovery. We aimed (1) to describe clinician's p…
011
Yves Sonnay @yvessonnay.bsky.social · 30/01/2026
Surgeon peer coaching to optimize intraoperative performance: How to adapt for residents #stef_soelling #SaadatLily #JSJolissaint #jamiehillas #StephanieNitzs2 #dougsmink #BrighamWomens @ariadnelabs.bsky.social #CRICOtweet #AmJSurgery www.americanjournalofsurgery.com/article/S000...
americanjournalofsurgery.com
Surgeon peer coaching to optimize intraoperative performance: How to adapt for residents
Coaching is a collaborative process where the individual being coached drives their own learning and improvement. Over the past decade, healthcare coaching programs have gained recognition. Within sur...
000
Yves Sonnay @yvessonnay.bsky.social · 30/01/2026
Bridging Operative Standards to Clinical Practice: A Case Comparison of Synoptic Operative Report Implementation in Breast Cancer Surgery #KClaraPark @maryebrindle.bsky.social #BrighamSurgery @ariadnelabs.bsky.social @annsurgoncology.bsky.social link.springer.com/article/10.1...
link.springer.com
Bridging Operative Standards to Clinical Practice: A Case Comparison of Synoptic Operative Report Implementation in Breast Cancer Surgery - Annals of Surgical Oncology
Background In 2020, the Commission on Cancer (CoC) announced a new accreditation standard requiring use of synoptic operative reporting (SOR) to improve the proportion of patients with breast cancer r...
011
Yves Sonnay @yvessonnay.bsky.social · 28/01/2026
Distance Traveled by Colorectal Liver Metastasis Patients to the Nearest Cancer Hospital To Receive Liver Metastasectomy @ariadnelabs.bsky.social @maryebrindle.bsky.social @cureusmedical.bsky.social www.cureus.com/articles/337...
cureus.com
Distance Traveled by Colorectal Liver Metastasis Patients to the Nearest Cancer Hospital To Receive Liver Metastasectomy
Background Liver metastasectomy for colorectal liver metastasis (CRLM) has been found to be associated with higher overall survival in select patients. However, this aggressive surgical treatment opt...
022
Yves Sonnay @yvessonnay.bsky.social · 16/01/2026
The Pivotal Role of Coaching in Surgical Residency: A Scoping Review www.sciencedirect.com/science/arti... #JSurgEduc
sciencedirect.com
The Pivotal Role of Coaching in Surgical Residency: A Scoping Review
Coaching is commonly used in sports and business to direct individuals toward a defined goal. Over the past decade, coaching has gained traction in me…
000
Yves Sonnay @yvessonnay.bsky.social · 16/12/2025
Redefining and Improving Patient Involvement in the Surgical Safety Checklist @maryebrindle.bsky.social @ariadnelabs.bsky.social journals.lww.com/annalsofsurg...
journals.lww.com
011
Yves Sonnay @yvessonnay.bsky.social · 25/11/2025
Defining re-implementation link.springer.com/article/10.1... @ariadnelabs.bsky.social @maryebrindle.bsky.social @implementsci.bsky.social
link.springer.com
Defining re-implementation - Implementation Science Communications
Background The first attempt to implement a new tool or practice does not always lead to the desired outcome. Re-implementation, which we define as the systematic process of reintroducing an intervent...
011
Yves Sonnay @yvessonnay.bsky.social · 24/11/2025
“We work to make the human consequences more visible as a first step to address and rectify what’s happened.” news.harvard.edu/gazette/stor...
news.harvard.edu
In the grip of ‘horror and anger,’ Gawande grows more determined — Harvard Gazette
As global health suffers, his focus on patient-first systems feels more urgent than ever.
000
Yves Sonnay @yvessonnay.bsky.social · 14/10/2025
Assessing Equity in Quality Care for Metastatic Pancreatic Cancer doi.org/10.6004/jncc... #JNCCN #realgmolina
doi.org
000
Yves Sonnay @yvessonnay.bsky.social · 10/10/2025
Understanding the impact of racism on surgical outcomes in settler nation-states USA and Canada: a protocol for a systematic review and meta-analysis bmjopen.bmj.com/content/15/1... @bmj.com
bmjopen.bmj.com
Understanding the impact of racism on surgical outcomes in settler nation-states USA and Canada: a protocol for a systematic review and meta-analysis
Introduction To improve surgical quality and safety, health systems must prioritise equitable care for surgical patients. Racialised patients experience worse postoperative outcomes when compared with...
000
Yves Sonnay @yvessonnay.bsky.social · 09/10/2025
Improving Shared Decision-making in Situations of Uncertainty Adopting Lessons From “The Equipoise Ruler” journals.lww.com/annalsofsurg... #AnnalsofSurgery @maryebrindle.bsky.social
journals.lww.com
010
Yves Sonnay @yvessonnay.bsky.social · 09/10/2025
Enhanced Recovery After Surgery (ERAS) consensus recommendations for opioid-minimising pharmacological neonatal pain management bmjpaedsopen.bmj.com/content/8/1/... @bmj.com @maryebrindle.bsky.social @ucalgarymed.bsky.social @ariadnelabs.bsky.social @erassociety.bsky.social
bmjpaedsopen.bmj.com
Enhanced Recovery After Surgery (ERAS) consensus recommendations for opioid-minimising pharmacological neonatal pain management
Objective Enhanced recovery after surgery (ERAS) guidelines have been successfully applied to children and neonates. There is a need to provide evidence-based consensus recommendations to manage neona...
020
Yves Sonnay @yvessonnay.bsky.social · 09/10/2025
Enhanced Recovery After Surgery (ERAS) consensus recommendations for non-pharmacological perioperative neonatal pain management bmjpaedsopen.bmj.com/content/9/1/... @bmj.com @maryebrindle.bsky.social @ucalgarymed.bsky.social @ariadnelabs.bsky.social @erassociety.bsky.social
bmjpaedsopen.bmj.com
Enhanced Recovery After Surgery (ERAS) consensus recommendations for non-pharmacological perioperative neonatal pain management
Enhanced Recovery After Surgery (ERAS) recommendations for multi-modal, opioid-limiting analgesia have been shown to be effective in paediatric patients. However, neonatal-specific protocols are limit...
020
Yves Sonnay @yvessonnay.bsky.social · 09/10/2025
Pediatric enhanced recovery after surgery (ERAS):... : Current Opinion in Anesthesiology journals.lww.com/co-anesthesi... @_Anesthesiology
journals.lww.com
000
Yves Sonnay @yvessonnay.bsky.social · 09/10/2025
Interventions to Improve Nontechnical Skills in Surgery: A Systematic Review And Meta-Analysis www.sciencedirect.com/science/arti... #JSurgEduc
sciencedirect.com
Interventions to Improve Nontechnical Skills in Surgery: A Systematic Review And Meta-Analysis
Many surgical adverse events are due to failures in nontechnical skills. Improving nontechnical skills has become a priority for surgical training org…
010
Yves Sonnay @yvessonnay.bsky.social · 30/09/2025
Characteristics of Surgical Coaching Interventions: A Systematic Review www.sciencedirect.com/science/arti... #SurgicalCoacing #JSurgEduc
sciencedirect.com
Characteristics of Surgical Coaching Interventions: A Systematic Review
Coaching is increasingly utilized as an educational intervention for performance improvement in surgeons and surgical trainees. Surgical coaching has …
000
Yves Sonnay @yvessonnay.bsky.social · 29/09/2025
"...coaches find peer coaching to be both professionally fulfilling and clinically impactful to their own practice. Existing and future programs should promote both coach and coachee professional development and adapt programs to facilitate this to maximize surgeon engagement."
010
Yves Sonnay @yvessonnay.bsky.social · 09/09/2025
Evaluating the Impact of the World Health Organization’s Surgical Safety Checklist on Clinical Outcomes and Implementation Strategies: A Systematic Review www.cureus.com/articles/291...
cureus.com
Evaluating the Impact of the World Health Organization’s Surgical Safety Checklist on Clinical Outcomes and Implementation Strategies: A Systematic Review
This systematic review evaluates the impact and implementation strategies of the World Health Organization's Surgical Safety Checklist (WHO SSC) across diverse healthcare settings since its introducti...
010
Yves Sonnay @yvessonnay.bsky.social · 02/09/2025
Importance of social ties in dissemination of Commission on Cancer's synoptic operative report sciencedirect.com/science/arti... #BrighamSurgery @ariadnelabs.bsky.social #OSUCCC_James #wakeforestmed #KClaraPark @maryebrindle.bsky.social #SurgeryOpen
sciencedirect.com
Importance of social ties in dissemination of Commission on Cancer's synoptic operative report
In 2020, the Commission on Cancer (CoC) launched templated synoptic element documentation in operative reports (SORs) as an accreditation standard to …
021
Yves Sonnay @yvessonnay.bsky.social · 19/08/2025
Perspectives of Older Adults Undergoing Elective Major Surgery - A Qualitative Study of Patients Undergoing Colectomy journals.lww.com/annalsofsurg... #AnnalsofSurgery #MGHSurgery @ariadnelabs.bsky.social #CSPH_BWH #BrighamSurgery #AtziriRubioMD #ChristyCauley #zaracMD #drAMVranceanu #RitchieCS
journals.lww.com
Perspectives of Older Adults Undergoing Elective Major... : Annals of Surgery
qualitative study with adults age 65+ years, 30-90 days post colectomy, using interviews and surveys at a Northeastern U.S. tertiary surgical clinic. Guided by a modified Framework method, we arranged...
020
Yves Sonnay @yvessonnay.bsky.social · 19/08/2025
Cross-specialty impact in the adoption of minimally invasive surgery in abdominal surgical oncology at the hospital level link.springer.com/article/10.1... #realgmolina #CSPH_BWH #BrighamSurgery #MghObgyn #JRobotSurg
link.springer.com
Cross-specialty impact in the adoption of minimally invasive surgery in abdominal surgical oncology at the hospital level - Journal of Robotic Surgery
Colorectal surgeons have been early adopters of MIS. The objective of this study was to evaluate whether use of minimally invasive surgery (MIS) for colorectal cancers (CRC) has had an impact on use o...
000
Yves Sonnay @yvessonnay.bsky.social · 19/08/2025
"Coupled with the growing literature on implementation, these findings can assist health systems in realizing full potential of mHealth for delivering high-quality, patient-centered surgical care" www.surgjournal.com/article/S003... @ariadnelabs.bsky.social @maryebrindle.bsky.social
surgjournal.com
Acceptability of mobile health technology in elective surgery: A study of postoperative patients
We sought to assess the patient-perceived acceptability of mobile health technology when applied in perioperative care. Although numerous use cases demonstrate the value of mHealth, there is limited k...
000
Yves Sonnay @yvessonnay.bsky.social · 31/07/2025
Aging Disparities in Ostomy Surgery www.sciencedirect.com/science/arti... #MonganInstitute #MassGeneral #BrighamSurgery #JSurgRes
sciencedirect.com
Aging Disparities in Ostomy Surgery
Little is known about the association between age and fecal ostomy surgery trends over time. We aim to 1) determine the rate of fecal ostomy operation…
000
Yves Sonnay @yvessonnay.bsky.social · 31/07/2025
Healthcare Priorities for Surgical Care in Canada journals.lww.com/aosopen/full... @maryebrindle.bsky.social @ariadnelabs.bsky.social #UCalgaryMed #SickKidsNews #AnnalsofSurgery
journals.lww.com
Healthcare Priorities for Surgical Care in Canada : Annals of Surgery Open
stem priorities related to surgery have evolved; the concepts of what constitutes quality care have changed over time. How efficiency and access contribute to safe care, where equity exists as a key o...
011
Yves Sonnay @yvessonnay.bsky.social · 31/07/2025
The Hispanic Paradox and the Rising Incidence and Mortality From Hepatobiliary and Gastric Cancers Among Hispanic Individuals in the United States - A Call for Surgeon Advocates journals.lww.com/annalsofsurg... @ariadnelabs.bsky.social #BWHSurgery #CSPH
journals.lww.com
The Hispanic Paradox and the Rising Incidence and Mortality ... : Annals of Surgery
An abstract is unavailable.
010
Yves Sonnay @yvessonnay.bsky.social · 31/07/2025
What About the Coach? Mixed-Methods Study Assessing the Experience of Coaches in a Peer Surgical Coaching Program journals.lww.com/journalacs/a... #dougsmink #NOTSS_lab #BrighamSurgery #SurgicalSaber @ariadnelabs.bsky.social @acsjacs.bsky.social
journals.lww.com
What About the Coach? Mixed-Methods Study Assessing the... : Journal of the American College of Surgeons
to understand the impact of peer surgical coaching from the perspective of surgeons participating as coaches. Study Design: A concurrent mixed methods study design was used. Participants were recru...
000
Reposted by Yves Sonnay
Mary Brindle @maryebrindle.bsky.social · 29/06/2025
It's here! The ERAS Society's updated colorectal guideline- built around robust, contemporary evidence and developed by an international multiprofessional team led by Ulf Gustafsson and Martin Hubner. Proud to be a part of this team! tinyurl.com/3x6efeyu
tinyurl.com
Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations 2025
011
Yves Sonnay @yvessonnay.bsky.social · 28/07/2025
Mapping Implementation Strategies to Address Barriers to Commission on Cancer’s Accreditation Standards in Breast Surgery journals.lww.com/journalacs/a... @acsjacs.bsky.social @ariadnelabs.bsky.social #BrighamSurgery #MGB
journals.lww.com
Mapping Implementation Strategies to Address Barriers to... : Journal of the American College of Surgeons
mal implementation strategies for SOR integration. Study Design: Using the Consolidated Framework for Implementation Research (CFIR), we conducted semi-structured interviews from December 2021-May ...
000
Yves Sonnay @yvessonnay.bsky.social · 25/07/2025
Challenges faced by patients undergoing fecal ostomy surgery: a qualitative study of colorectal cancer patient perspectives www.sciencedirect.com/science/arti... @ariadnelabs.bsky.social #MGB #MGH
sciencedirect.com
Challenges faced by patients undergoing fecal ostomy surgery: a qualitative study of colorectal cancer patient perspectives
Education and support for ostomy are instrumental in surgical recovery and adaptation. This study aimed to evaluate (i) the challenges faced by fecal …
000
Yves Sonnay @yvessonnay.bsky.social · 22/07/2025
To Operate or Not to Operate? A Script Concordance Study of Resident Preoperative Decision-Making - Journal of Surgical Research www.journalofsurgicalresearch.com/article/S002... @ariadnelabs.bsky.social
journalofsurgicalresearch.com
To Operate or Not to Operate? A Script Concordance Study of Resident Preoperative Decision-Making
Deciding when to operate is crucial to surgery but difficult to teach. Script concordance testing (SCT) can assess clinical reasoning for uncertain scenarios. We aimed to assess trainee preoperative d...
000
Yves Sonnay @yvessonnay.bsky.social · 22/07/2025
Video-based coaching for surgeons in the UK: consensus on essential elements url: academic.oup.com/bjsopen/arti... @surgicalsaber.bsky.social‬ @bjsopen.bsky.social‬
academic.oup.com
Video-based coaching for surgeons in the UK: consensus on essential elements
Peer-led surgical coaching programmes are recognized increasingly as a performance-enhancing tool for surgeons. In contrast to the established application
021
Yves Sonnay @yvessonnay.bsky.social · 15/07/2025
Moving away from sometimes wrong, never in doubt: 360-degree feedback is an essential tool - The American Journal of Surgery www.americanjournalofsurgery.com/article/S000...
americanjournalofsurgery.com
Moving away from sometimes wrong, never in doubt: 360-degree feedback is an essential tool
Congratulations to Soelling et al. for their study on “Using 360-degree Feedback to Identify Actionable Strategies to Improve Surgeon Intraoperative Non-Technical Skills” and recognizing the value of ...
011
Yves Sonnay @yvessonnay.bsky.social · 11/07/2025
Overcoming Professional Silos and Threats to Psychological Safety: A Conceptual Framework for Successful Team-Based Morbidity and Mortality Conferences @maryebrindle.bsky.social @ariadnelabs.bsky.social #TheJointCommissionJournalonQualityandPatientSafety www.sciencedirect.com/science/arti...
sciencedirect.com
Overcoming Professional Silos and Threats to Psychological Safety: A Conceptual Framework for Successful Team-Based Morbidity and Mortality Conferences
Adverse events in health care are frequently discussed in morbidity and mortality conferences. However, while health care has evolved to be delivered …
011
Reposted by Yves Sonnay
Doctors Without Borders @doctorswithoutborders.org · 07/04/2025
A message for #WorldHealthDay and every day.❤️🧡💛💚💙💜
Text in image reads: Love without borders...means safe access to health care for everyone.
015562
Yves Sonnay @yvessonnay.bsky.social · 17/03/2025
@ariadnelabs.bsky.social #AmericanJournalOfSurgery #SurgicalSabermetrics
010
Reposted by Yves Sonnay
STITCHES - the Best Papers in General Surgery @stitches.today · 12/03/2025
Surgeons benefit from 360-degree feedback on non-technical skills by Soelling SJ, Cummins E (...) Smink DS et 5 al. in Am J Surg #Surgery #SurgSky #GeneralSurgery #MedSky 🪡 read our summary here 📖 read the article: www.sciencedirect.com/science/artic…
002
Reposted by Yves Sonnay
Mary Brindle @maryebrindle.bsky.social · 25/02/2025
What a great honour to contribute to this piece on the evidence and the implementation considerations for ERAS and look to ERAS's future potential with Gregg Nelson and Kevin Elias for @nejm.org NEJMEvidence evidence.nejm.org/doi/full/10....
evidence.nejm.org
Enhanced Recovery after Surgery — Evidence and Practice
Enhanced Recovery After Surgery (ERAS) is a global initiative comprised of a series of evidence-based interventions in the preoperative, intraoperative, and postoperative surgical phases. When impl...
044
Reposted by Yves Sonnay
Mary Brindle @maryebrindle.bsky.social · 11/02/2025
Yes! #ERAS in colorectal surgery across multiple sites. Almost 9000 patients studied and published in @acsjacs.bsky.social ⬇️ SSI ⬇️ 30d complications ⬇️ LOS ⬇️ Readmission The video is worth watching. 🔥culture and 💪 implementation
Abstract describing improvements in recovery post ERAS
052
Yves Sonnay @yvessonnay.bsky.social · 11/02/2025
Impact of Multi-Institutional Enhanced Recovery after Surgery Protocol Implementation on Elective Colorectal Surgery Outcomes @acsjacs.bsky.social @facs.org #MGB #BWH journals.lww.com/journalacs/a...
journals.lww.com
Impact of Multi-Institutional Enhanced Recovery after... : Journal of the American College of Surgeons
STUDY DESIGN: We conducted a multicenter retrospective cohort study using the American College of Surgeons NSQIP database from 2012 to 2020. We analyzed patient outcomes before (2012 to 2014) and af...
131
Yves Sonnay @yvessonnay.bsky.social · 11/02/2025
Healthcare professionals’ perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey @bmj.com #SurgicalSafetyTechnologies #SafeSurgery #SafeSystems bmjopenquality.bmj.com/content/13/4...
bmjopenquality.bmj.com
Healthcare professionals’ perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey
Background The Surgical Safety Checklist (SSC) is a cornerstone of ensuring the safety and accuracy of communication among interdisciplinary teams in the operating room. Central to the successful impl...
111
Yves Sonnay @yvessonnay.bsky.social · 03/02/2025
Interventions to support caregivers of older adults undergoing surgery: A systematic review #AmJSurgery @uoftnursing.bsky.social #UBCNursing #martine_puts & School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran www.americanjournalofsurgery.com/article/S000...
americanjournalofsurgery.com
Interventions to support caregivers of older adults undergoing surgery: A systematic review
Increasing numbers of caregivers provide support to older adults after surgery, which is associated with stress and negative impacts on their health. Our review questions were:
000
Reposted by Yves Sonnay
Mary Brindle @maryebrindle.bsky.social · 29/01/2025
Today I am ridiculously proud of two of my junior colleagues and #pedsurg colleagues Tito Daodu @ucalgarymed.bsky.social and Mercedes Pilkington @sickkids.bsky.social @sickkidsvs.bsky.social Congratulations on receiving CIHR funding for two incredibly important projects
021
Reposted by Yves Sonnay
Atul Gawande @agawande.bsky.social · 27/01/2025
Another Stop Work Order that further disables core health functions for the US. US work with @who.int is constant and essential to America’s health. 🧵 apnews.com/article/cdc-...
apnews.com
CDC ordered to stop working with WHO immediately, upending expectations of an extended withdrawal
U.S. public health officials have been told to stop working with the World Health Organization, effective immediately. The surprise decision is focused on the U.S.
920484
Reposted by Yves Sonnay
Craig Spencer MD MPH @craigspencer.bsky.social · 24/01/2025
PEPFAR is one of the most successful global health programs ever It provides HIV treatment for 20 million people And now it faces a funding delay of up to 6 months Without access to treatment, HIV can rebound in less than a month. This is self-defeating stupidity. www.nytimes.com/2025/01/24/u...
nytimes.com
Trump Pauses Disbursements to Program Supplying H.I.V. Treatment Worldwide
Pepfar, which is estimated to have delivered lifesaving treatment to as many as 25 million people in 54 countries, faces a funding delay of as long as 180 days.
510651