Data Innovation, Program Implementation, and Community Action (DIPICA) Observatory for Surgical, Anesthesia, and...

The Data Innovation, Program Implementation, and Community Action (DIPICA) Observatory for Surgical, Anesthesia, and Obstetric (SAO) Care in India convened in December 2024 in New Delhi. This two-day program brought together experts from global surgery, public health, health policy, and clinical practice to address planned challenges in SAO care, focusing on data-driven approaches, sustainable financing, and workforce development. The discussions emphasized leveraging data to strengthen SAO care systems by creating practical data products for localized planning and community engagement. Participants advocated for dynamic observatories to support data-driven research and policy implementation, making SAO care more accessible and efficient. Sustainable financing emerged as a key focus, with experts discussing innovative approaches that move beyond conventional models. Community-based solutions, decentralized funding, and performance-based models were discussed as strategies to optimize resource allocation. Establishing partnerships involving government, private, and community sectors was highlighted as crucial for achieving financial sustainability, particularly in underserved areas. Workforce development discussions addressed competency-based training and task-sharing initiatives to reduce disparities. The attendees agreed on the need for structured training to enhance surgical skills, especially for general practitioners in rural areas. Regulatory policies on task-sharing and task-shifting were considered essential to maintaining care quality while expanding access. Improving trauma care and emergency response through targeted training and rural workforce retention also remained key priorities. Advocacy efforts focused on integrating SAO care into national health priorities through data-driven communication and public engagement. The observatory aims to sustain progress through collaborative research, advocacy, and policy dialogues to ensure equitable, accessible, and high-quality SAO care across India.