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Global safe anaesthesia and surgery initiatives: implications for anaesthesia in the Pacific region
M G Cooper1, P B Wake2, W W Morriss3
1Chair, Overseas Aid Committee, Australian & New Zealand College of Anaesthetists, Adjunct Professor of Anaesthesiology, University of Papua New Guinea, Papua New Guinea, Senior Anaesthetist, Department of Anaesthesia, The Children's Hospital at Westmead and St George Hospital, Sydney, New South Wales.
Insights
Global surgery and anaesthesia are increasingly recognized as vital for global health. Key 2015 events highlight the need to improve access, safety, and workforce density, particularly in the Pacific region.
Area of Science:
- Global Health
- Surgical Care
- Anaesthesia
Background:
- Three significant global health events in 2015 impacted anaesthesia and surgery.
- Essential Surgery (DCP 3rd edition) emphasized cost-effective surgical and anaesthesia roles.
- The Lancet Commission on Global Surgery 2030 report outlined key areas for surgical advancement.
Purpose of the Study:
- To analyze the implications of major global health initiatives on anaesthesia and surgery in the Pacific region.
- To examine regional factors affecting surgical access, workforce, data collection, and financial protection.
- To identify challenges and potential solutions for improving anaesthetic specialist workforce density in the Pacific.
Main Methods:
- Review of key global health publications and resolutions from 2015.
- Analysis of regional factors impacting surgical and anaesthesia care provision.
- Focus on anaesthetic specialist workforce density within the Pacific region.
Main Results:
- The 68th World Health Assembly passed Resolution A68/31, elevating surgical and anaesthesia care within universal health coverage.
- The Pacific region faces significant challenges in improving anaesthesia access, safety, and workforce density.
- Regional factors critically influence the five key areas identified by the Lancet Commission.
Conclusions:
- Major 2015 global health events have profound implications for safe anaesthesia and surgery in the Pacific.
- Addressing workforce density and regional challenges is crucial for improving surgical and anaesthesia care.
- Sustained efforts and support are necessary to enhance surgical and anaesthesia outcomes in the Pacific.
Abstract:
In 2015 three major events occurred for global anaesthesia and surgery. In January, the World Bank published Disease Control Priorities 3rd edition (DCP 3rd edition). This volume, Essential Surgery, highlighted the cost effective role of anaesthesia and surgery in global health. In April, the Lancet Commission on Global Surgery released its report "Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development". The report focuses on five key areas to promote change including: access to timely surgery, surgical workforce and procedural capability, surgical volume, data collection such as perioperative mortality rate, and financial protection. In May, the 68th World Health Assembly (WHA) voted in favour of Resolution A68/31: Strengthening emergency and essential surgical and anaesthesia care as a component of universal health coverage. The resolution was passed unanimously and it is the first time that surgery and anaesthesia have received such prominence at WHA level. These three events all have profound implications for the provision and access of safe anaesthesia and surgery in the Pacific region in the next 15 years. This article considers some of the regional factors that affect these five key areas, especially with regard to anaesthetic specialist workforce density in different parts of the region. There are many challenges to improve anaesthesia access, safety, and workforce density in the Pacific region. Future efforts, initiatives and support will help address these problems.
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