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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
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  11. The Task-sharing Path To Safe And Accessible Anaesthesia Care In India: The Role Of Professional Associations In Health Policy Reform

The Task-Sharing Path to Safe and Accessible Anaesthesia Care in India: The Role of Professional Associations in Health Policy Reform

Nobhojit Roy1,2, Pranav Bhushan3, Monali Mohan4

  • 1Department of Global Public Health Karolinska Institutet Stockholm Sweden.

Public Health Challenges
|June 11, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

India faces an anaesthesia shortage, requiring 60,000 more specialists. A policy created Life Saving Anaesthetic Skills (LSAS) physicians, but task-sharing and team-based approaches are vital for improving access to safe anaesthesia care.

Area of Science:

  • Public Health
  • Health Workforce Development
  • Anaesthesiology

Background:

  • Global anaesthesia workforce shortage impacts surgical access, with India needing 60,000 more anaesthesiologists.
  • The World Health Organization identifies 44 essential surgeries, often hindered by a lack of safe anaesthesia.
  • The World Federation of Societies of Anaesthesiologists recommends 5 physician-anaesthesia providers per 100,000 population.

Purpose of the Study:

  • To examine a two-decade policy initiative by India's Ministry of Health and Family Welfare (MoHFW) to address anaesthetist shortages.
  • To evaluate the effectiveness of creating Life Saving Anaesthetic Skills (LSAS) physicians for emergency obstetric care.
  • To explore innovative, team-based task-sharing models for optimizing anaesthesia delivery.

Main Methods:

Keywords:
Indiaanaesthesia capacityglobal surgeryhealth policy

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  • Analysis of a two-decade policy initiative by the MoHFW in India.
  • Follow-up study of 838 LSAS physicians to assess practice of skills.
  • Discussion of "buddy-pairing" of LSAS physicians with Emergency Obstetric Care physicians.
  • Comparison with a midwife model for anaesthesia care.

Main Results:

  • Only two-thirds of trained LSAS physicians were able to practice their skills.
  • The "buddy-pairing" model demonstrated an innovative team-based approach.
  • Task-sharing models show potential for optimizing anaesthesia care within resource constraints.

Conclusions:

  • Leadership from anaesthesiology societies is crucial for policy reform in India.
  • Supporting district-level training for non-specialist physicians in anaesthesia is essential.
  • National surgical and anaesthesia plans are needed to achieve universal healthcare.
national surgical plans