National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage

Peters, Alexander W.; Roa, Lina; Rwamasirabo, Emile; Ameh, Emmanuel A.; Ulisubisya, Mpoki; Samad, Lubna; Makasa, Emmanuel; Meara, John G.

doi:10.9745/ghsp-d-19-00314

Cited by 42 publications

(37 citation statements)

References 27 publications

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“…In order to successfully scale diagnostic services, it is necessary for a country to develop a national strategic diagnostics plan (pathology, laboratory medicine and radiology) that is integrated into national healthcare delivery [ 3 , 39 ]. Such national plans are feasible, as demonstrated by the development and implementation of National Surgical, Obstetric, and Anesthesia Plans (NSOAPs) in many countries [ 40 , 41 ]. However, the scaling of SAO care should be paralleled by the scaling of diagnostic services, as SAO care is dependent upon and strengthened by a robust diagnostic system.…”

Section: Discussionmentioning

confidence: 99%

Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states

et al. 2020

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Background: Diagnostic services are an essential component of high-quality surgical, anesthesia and obstetric (SAO) care. Efforts to scale up SAO care in Latin America have often overlooked diagnostics capacity. This study aims to analyze the capacity of diagnostic services, including radiology, pathology, and laboratory medicine, in hospitals providing SAO care in the states of Chiapas, Mexico and Amazonas, Brazil. Methods: A stratified cross-sectional evaluation of diagnostic capacity in hospitals performing surgery in Chiapas and Amazonas was performed using the Surgical Assessment Tool (SAT). National data sources were queried for indicators of diagnostics capacity in terms of workforce, infrastructure and diagnosis utilization. Fisher's exact tests and chi-square tests were used to compare categorical variables between the private and public sector in Chiapas while descriptive statistics are used to compare Amazonas and Chiapas. Findings: In Chiapas, 53% (n = 17) of public and 34% (n = 20) of private hospitals providing SAO care were assessed. More private hospitals than public hospitals could always provide x-rays (35% vs 23.5%) and ultrasound (85% vs 47.1%). However neither sector could consistently perform basic laboratory testing such as complete blood counts (70.6% public, 65% private). In Amazonas, 30% (n = 18) of rural hospitals were surveyed. Most had functioning x-ray machine (77.8%) and ultrasound (55.6%). The majority of hospitals could provide complete blood count (66.7%) but only one hospital (5.6%) could always perform an infectious panel. Both Chiapas and Amazonas had dramatically fewer diagnostic practitioners per capita in each state compared to the national average capacity. Interpretation: Facilities providing SAO care in low-resource states in Mexico and Brazil often lack functioning diagnostics services and workforce. Scale-up of diagnostic services is essential to improve SAO care and should occur with emphasis on equitable and adequate resource allocation.

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Section: Discussionmentioning

confidence: 99%

Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states

et al. 2020

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“…The WHO has mandated all countries to report on their NSOAP progress every two years. 31 Several LMICs have developed NSOAPs, including Nigeria, Ethiopia, Tanzania and Zambia 32 ; however, implementation has been stalled by a lack of financial support. Other factors limiting the implementation of NSOAPs may be a lack of research capacity, skills, and local governance to coordinate the collective support of surgical health systems research in LMICs.…”

Section: Global Surgery As An Essential Component Of Global Healthmentioning

confidence: 99%

“…Governments and other global surgery actors must prioritise the development and implementation of NSOAPs. 32 Development of a NSOAP involves eight steps: ministry support and ownership; situation analysis and baseline assessments; stakeholder engagement and priority setting; drafting and validation; monitoring and evaluation; costing; governance; and implementation. 52 Barriers to successful implementation of NSOAPs should be identified and understood.…”

Section: Global Surgery As a Global Health Prioritymentioning

confidence: 99%

Global surgery is an essential component of global health

Quene¹,

Bust²,

Louw³

et al. 2022

The Surgeon

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“…of Anaesthesiologist (WFSA) 4 Since its founding in 1966, the WFSA represents the major advocacy group for the anaesthesia limb of global surgery and have actively promoted and advocated for the patient safety in anaesthesia. As the only global federation of anaesthesiologists, they are well placed to influence decision-makers within the World Health Organisation and consultative to with United Nations Economic and Social Council (ECOSOC).…”

Section: World Federation Of Societiesmentioning

confidence: 99%

Global Surgery: From Grassroots Movement to Global Momentum

Pigeolet

Kucchal

Qin

2021

Sustainable Development Goals Series

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2015 marked a year to set new goals, and as the Sustainable Development Goals were launched, global momentum for the surgical patient had arrived. Academia, nongovernmental organizations, student organizations and many other organizations and partnerships joined forces to attract the necessary attention to global surgery and to advocate for better care for patients without access to timely, affordable and safe surgical care. Many advocacy efforts in global surgery focus on systems strengthening as a way to increase access. In line with this idea The Lancet Commission on Global Surgery recommended the formulation of National Surgical, Obstetrics and Anesthesia Plans (NSOAPs) as a coordinated and strategic roadmap to improving surgical care around the world. NSOAPs are only the first step towards surgical system strengthening, and with every NSOAP that is implemented, the long-term impact of these plans will eventually come into scrutiny. NSOAPs must therefore contain robust data collection and reporting systems that will be will crucial for the monitoring and evaluation of NSOAPs, and also guide evidence-based policy making, research priority setting, and the attraction of more funding in the future. Ongoing global partnership will also be required to address other complex issues that arise as a part of the surgical planning process.

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National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage

Cited by 42 publications

References 27 publications

Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states

Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states

Global surgery is an essential component of global health

Global Surgery: From Grassroots Movement to Global Momentum

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