L Roa1,2, D T Jumbam1,3, E Makasa4,5, J G Meara1,3. 1. Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA. 2. Department of Obstetrics and Gynaecology, University of Alberta, Edmonton, Alberta, Canada. 3. Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA. 4. Cabinet Office, Lusaka, Republic of Zambia. 5. Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences of the University of Witwatersrand, Johannesburg, South Africa.
Abstract
BACKGROUND: The field of global surgery has gained significant recent momentum, catalysed by the 2015 publication of the Lancet Commission on Global Surgery, Disease Control Priorities 3 and World Health Assembly resolution 68.15. These reports characterized the global burden of disease amenable to surgical care, called for global investment in surgical systems, and recognized surgery and anaesthesia as essential components of universal health coverage. METHODS: A strategy proposed to strengthen surgical care is the development of national surgical, obstetric and anaesthesia plans (NSOAPs). This review examined how NSOAPs could contribute to the achievement of sustainable development goals (SDGs) 1, 3, 5, 8, 9, 10, 16 and 17 by 2030, focusing on their potential impact on the healthcare systems in Ethiopia, Tanzania and Zambia. RESULTS: Due to the cross-cutting nature of surgery, obstetrics and anaesthesia, investing in these services will escalate progress to achieve gender equality, economic growth and infrastructure development. Universal health coverage will not be achieved without addressing the financial ramifications to the poor of seeking and receiving surgical care. NSOAPs provide a strategic framework and a data collection platform for evidence-based policy-making, accountability and implementation guidance. CONCLUSION: The development and implementation of data-driven NSOAPs should be recognized as a powerful road map to accelerate achievement of the SDGs by 2030.
BACKGROUND: The field of global surgery has gained significant recent momentum, catalysed by the 2015 publication of the Lancet Commission on Global Surgery, Disease Control Priorities 3 and World Health Assembly resolution 68.15. These reports characterized the global burden of disease amenable to surgical care, called for global investment in surgical systems, and recognized surgery and anaesthesia as essential components of universal health coverage. METHODS: A strategy proposed to strengthen surgical care is the development of national surgical, obstetric and anaesthesia plans (NSOAPs). This review examined how NSOAPs could contribute to the achievement of sustainable development goals (SDGs) 1, 3, 5, 8, 9, 10, 16 and 17 by 2030, focusing on their potential impact on the healthcare systems in Ethiopia, Tanzania and Zambia. RESULTS: Due to the cross-cutting nature of surgery, obstetrics and anaesthesia, investing in these services will escalate progress to achieve gender equality, economic growth and infrastructure development. Universal health coverage will not be achieved without addressing the financial ramifications to the poor of seeking and receiving surgical care. NSOAPs provide a strategic framework and a data collection platform for evidence-based policy-making, accountability and implementation guidance. CONCLUSION: The development and implementation of data-driven NSOAPs should be recognized as a powerful road map to accelerate achievement of the SDGs by 2030.
Authors: Michelson Mn Padovany; Rolvix H Patterson; Alexis N Bowder; Eva O'Brien; Blake C Alkire; Arlene M Katz; Carole D Mitnick; Chunling Lu Journal: BMJ Open Date: 2022-05-24 Impact factor: 3.006
Authors: Alexander W Peters; Lina Roa; Emile Rwamasirabo; Emmanuel Ameh; Mpoki M Ulisubisya; Lubna Samad; Emmanuel M Makasa; John G Meara Journal: Glob Health Sci Pract Date: 2020-03-31
Authors: K Søreide; J Hallet; J B Matthews; A A Schnitzbauer; P D Line; P B S Lai; J Otero; D Callegaro; S G Warner; N N Baxter; C S C Teh; J Ng-Kamstra; J G Meara; L Hagander; L Lorenzon Journal: Br J Surg Date: 2020-04-30 Impact factor: 6.939
Authors: Ché L Reddy; Alexander W Peters; Desmond Tanko Jumbam; Luke Caddell; Blake C Alkire; John G Meara; Rifat Atun Journal: BMJ Glob Health Date: 2020-06
Authors: Richard Vanderburg; Nivaldo Alonso; Priya Desai; Peter Donkor; Peter Mossey; Erin Stieber; Felicity V Mehendale Journal: Plast Reconstr Surg Glob Open Date: 2021-06-24