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Collecting data for global surgical indicators: a collaborative approach in the Pacific region

Guest, Glenn, McLeod, Elizabeth, Perry, William R. G., Tangi, Vilami, Pedro, Joao, Ponifasio, Ponifasio, Hedson, Johnny, Tudravu, Jemesa, Pikacha, Douglas, Vreede, Eric, Leodoro, Basil, Tapaua, Noah, Kong, James, Oten, Bwabwa, Teapa, Deacon, Korin, Stephanie, Wilson, Leona, Mesol, Samson, Tuneti, Kabiri, Meara, John G. and Watters, David A. 2017, Collecting data for global surgical indicators: a collaborative approach in the Pacific region, BMJ global health, vol. 2, no. 4, doi: 10.1136/bmjgh-2017-000376.

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Title Collecting data for global surgical indicators: a collaborative approach in the Pacific region
Author(s) Guest, Glenn
McLeod, Elizabeth
Perry, William R. G.
Tangi, Vilami
Pedro, Joao
Ponifasio, Ponifasio
Hedson, Johnny
Tudravu, Jemesa
Pikacha, Douglas
Vreede, Eric
Leodoro, Basil
Tapaua, Noah
Kong, James
Oten, Bwabwa
Teapa, Deacon
Korin, Stephanie
Wilson, Leona
Mesol, Samson
Tuneti, Kabiri
Meara, John G.
Watters, David A.ORCID iD for Watters, David A. orcid.org/0000-0002-5742-8417
Journal name BMJ global health
Volume number 2
Issue number 4
Article ID e00037
Total pages 10
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2017-01
ISSN 2059-7908
Summary © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. In 2015, the Lancet Commission on Global Surgery (LCoGS) recommended six surgical metrics to enable countries to measure their surgical and anaesthesia care delivery. These indicators have subsequently been accepted by the World Bank for inclusion in the World Development Indicators. With support from the Royal Australasian College of Surgeons and the Pacific Islands Surgical Association, 14 South Pacific countries collaborated to collect the first four of six LCoGS indicators. Thirteen countries collected all four indicators over a 6-month period from October 2015 to April 2016. Australia and New Zealand exceeded the recommended LCoGS target for all four indicators. Only 5 of 13 countries (38%) achieved 2-hour access for at least 80% of their population, with a range of 20% (Papua New Guinea and Solomon Islands) to over 65% (Fiji and Samoa). Five of 13 (38%) countries met the target surgical volume of 5000 procedures per 100 000 population, with six performing less than 1600. Four of 14 (29%) countries had at least 20 surgical, anaesthesia and obstetric providers in their workforce per 100 000 population, with a range of 0.9 (Timor Leste) to 18.5 (Tuvalu). Perioperative mortality rate was reported by 13 of 14 countries, and ranged from 0.11% to 1.0%. We believe it is feasible to collect global surgery indicators across the South Pacific, a diverse geographical region encompassing high-income and low-income countries. Such metrics will allow direct comparison between similar nations, but more importantly provide baseline data that providers and politicians can use in advocacy national health planning.
Language eng
DOI 10.1136/bmjgh-2017-000376
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121654

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.