Qin Rennie X, Fowler Zachary G, Jayaram Anusha, Stankey Makela, Yoon Sangchul, McLeod Elizabeth, Park Kee B
The Program in Global Surgery and Social Change, the, Department of Global Health and Social Medicine , Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA.
Tufts University School of Medicine, 145 Harrison Ave, Boston, MA, 02111, USA.
BMC Proc. 2023 Jul 25;17(Suppl 5):12. doi: 10.1186/s12919-023-00255-0.
The World Health Assembly resolution 68.15 recognised emergency and essential surgery as a critical component of universal health coverage. The first session of the three-part virtual meeting series on Strategic Planning to Improve Surgical, Obstetric, Anaesthesia, and Trauma Care in the Asia-Pacific Region focused on the current status of surgical care and opportunities for improvement. During this session, Ministries of Health and World Health Organization (WHO) Regional Directors shared country- and regional-level progress in surgical system strengthening. The WHO Western Pacific Regional Office (WPRO) has developed an Action Framework for Safe and Affordable Surgery, whilst the WHO South-East Asia Regional Office (SEARO) highlighted their efforts in emergency obstetric care, workforce strengthening, and blood safety. Numerous countries have begun developing and implementing National Surgical, Obstetric, and Anaesthesia Plans (NSOAPs). Participants agreed surgical system strengthening is an integral component of universal health coverage, pandemic preparedness, and overall health system resilience. Participants discussed common challenges, such as the COVID-19 pandemic, climate change, workforce capacity building, and improving access for hard-to-reach populations. They generated and shared common solutions, including strengthening surgical care capacity in first-level hospitals, anaesthesia task-shifting, remote training, and integrating surgical care with public health, preventive care, and emergency preparedness. Moving forward, participants committed to developing and implementing NSOAPs and agreed on the need to raise political awareness, build a broad-based movement, and form intersectoral collaborations.
世界卫生大会第68.15号决议认可急诊和基本外科手术是全民健康覆盖的关键组成部分。亚太地区改善外科、产科、麻醉和创伤护理战略规划系列虚拟会议的第一部分聚焦于外科护理的现状及改进机会。在本次会议期间，各国卫生部和世界卫生组织（世卫组织）区域主任分享了国家和区域层面在加强外科系统方面取得的进展。世卫组织西太平洋区域办事处（西太区办事处）制定了《安全且可负担手术行动框架》，而世卫组织东南亚区域办事处（东南亚区办事处）则强调了其在急诊产科护理、加强劳动力队伍以及血液安全方面所做的努力。许多国家已开始制定和实施国家外科、产科和麻醉计划（NSOAPs）。与会者一致认为，加强外科系统是全民健康覆盖、大流行防范以及整个卫生系统韧性的一个不可或缺的组成部分。与会者讨论了一些共同挑战，如新冠疫情、气候变化、劳动力能力建设以及改善难以触及人群的就医机会。他们提出并分享了共同的解决方案，包括加强一级医院的外科护理能力、麻醉任务转移、远程培训以及将外科护理与公共卫生、预防保健和应急准备相结合。展望未来，与会者承诺制定和实施国家外科、产科和麻醉计划，并一致认为有必要提高政治意识、开展广泛运动并形成跨部门合作。
