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Global safety in anaesthesia and surgery: Implications for anaesthesia in Pakistan
1Department of Anaesthesia, Aga Khan University, Karachi, Pakistan.
Insights
This study assesses the feasibility of global safe surgery indicators in Pakistan. It examines access, workforce, volume, mortality, and financial protection metrics for universal surgical care.
Area of Science:
- Global Surgery
- Health Policy
- Surgical Outcomes
Background:
- The 2015 Lancet Commission emphasized safe surgery and anesthesia.
- A framework for universal access to safe surgery was proposed.
- Pakistan faces unique challenges in implementing global health recommendations.
Purpose of the Study:
- To evaluate the applicability of the Lancet Commission's safe surgery indicators in Pakistan.
- To assess key performance areas for surgical care in Pakistan.
- To inform policy for improving surgical access and safety.
Main Methods:
- Analysis of existing data and literature on surgical indicators in Pakistan.
- Review of indicators including access, workforce, volume, mortality, and financial protection.
- Contextual assessment of Pakistan's healthcare system.
Main Results:
- The study identifies specific challenges and opportunities for applying each indicator in Pakistan.
- Data availability and quality for certain indicators may be limited.
- The findings highlight areas requiring targeted interventions for Pakistan.
Conclusions:
- The Lancet Commission's indicators provide a valuable framework for Pakistan's surgical system.
- Adaptation and context-specific implementation are crucial for success.
- Strengthening surgical systems is essential for achieving universal health coverage.
Abstract:
The Lancet Commission report in 2015 highlighted the role of safe surgery and anaesthesia. They also gave a framework of recommendations, indicators and targets to achieve universal access to safe surgery. This article explores the applicability of these indicators in Pakistan namely; access to timely surgery, specialist surgical workforce diversity, surgical volumes, perioperative mortality rate, protection against impoverishing expenditure and protection against catastrophic expenditure.
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