Framework for developing a national surgical, obstetric and anaesthesia plan.

Autor: Sonderman KA; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA., Citron I; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Mukhopadhyay S; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Albutt K; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.; Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA., Taylor K; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Jumbam D; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Iverson KR; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Nthele M; Zambian Ministry of Health, Lusaka, Zambia., Bekele A; School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia., Rwamasirabo E; King Faisal Hospital/Oshen, Rwanda Surgical Society, Kigali, Rwanda., Maongezi S; Tanzania Ministry of Health, Community Development, Gender, Elderly, and Children, Dodoma, Tanzania., Steer ML; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA., Riviello R; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA., Johnson W; Emergency and Essential Surgical Care Programme, World Health Organization, Geneva, Switzerland., Meara JG; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.; Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: BJS open [BJS Open] 2019 Jul 24; Vol. 3 (5), pp. 722-732. Date of Electronic Publication: 2019 Jul 24 (Print Publication: 2019).
DOI: 10.1002/bjs5.50190
Abstrakt: Background: Emergency and essential surgical, obstetric and anaesthesia (SOA) care are now recognized components of universal health coverage, necessary for a functional health system. To improve surgical care at a national level, strategic planning addressing the six domains of a surgical system is needed. This paper details a process for development of a national surgical, obstetric and anaesthesia plan (NSOAP) based on the experiences of frontline providers, Ministry of Health officials, WHO leaders, and consultants.
Methods: Development of a NSOAP involves eight key steps: Ministry support and ownership; situation analysis and baseline assessments; stakeholder engagement and priority setting; drafting and validation; monitoring and evaluation; costing; governance; and implementation. Drafting a NSOAP involves defining the current gaps in care, synthesizing and prioritizing solutions, and providing an implementation and monitoring plan with a projected cost for the six domains of a surgical system: infrastructure, service delivery, workforce, information management, finance and governance.
Results: To date, four countries have completed NSOAPs and 23 more have committed to development. Lessons learned from these previous NSOAP processes are described in detail.
Conclusion: There is global movement to address the burden of surgical disease, improving quality and access to SOA care. The development of a strategic plan to address gaps across the SOA system systematically is a critical first step to ensuring countrywide scale-up of surgical system-strengthening activities.
(© 2019 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.)
Databáze: MEDLINE
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