PAUL FARMER GLOBAL SURGERY RESEARCH FELLOWSHIP
![GHSM Program Glob Surgery & SC[55].png](https://static.wixstatic.com/media/d9a674_5124acb089954170bbd1c7f2813a923f~mv2.png/v1/fill/w_448,h_97,al_c,q_85,usm_0.66_1.00_0.01,enc_avif,quality_auto/GHSM%20Program%20Glob%20Surgery%20%26%20SC%5B55%5D.png)
NATIONAL SURGICAL, OBSTETRIC and ANESTHESIA PLANNING
To achieve our vision of providing Universal access to safe, affordable surgical and anesthesia care when needed, the PGSSC is working with several Ministries of Health to develop National Surgical, Obstetric and Anesthesia Plans (NSOAP). This is a national health plan specifically focused on surgical capacity and access in a country - something which has been traditionally not present in most national health plans.
RESOURCES
If you are interested in learning more about your country's surgical system and implementing an NSOAP the following resources have been developed to facilitate this process.
Plan National Chirurgical Obstétrique et d'Anesthésie (PNCOA) - Centre for Global Surgery McGill University Health Centre
Further information and documents for the development of a national surgical, obstetric, and anesthesia plan, translated in French, from the Centre for Global Surgery at McGill University Health Centre
Technical Guide to NSOAP Planning
Surgical Indicators
Six essential indicators of surgical system strength covering preparedness, delivery, and finance. For Spanish copies, please click here.
Implementation Strategies
Specific guidelines, recommendations, and prior implementation strategies on some of the more common identified gaps in surgical, obstetric, and anesthesia care. These documents contain only a sample from the literature and are not in anyway all inclusive or supported by the PGSSC.
Safe Surgery Organizational Readiness Tool (SSORT)
The purpose of the Safe Surgery Organizational Readiness Tool (SSORT) is to evaluate surgical facility members’ baseline beliefs and attitudes toward such interventions and their implementation.
Recent efforts have drawn attention to the urgent need to address the lack of access to safe and high-quality surgical care in low- and middle-income countries (LMIC); however, not all interventions intended to improve quality and safety in LMICs achieve successful outcomes. More strikingly, multiple facilities implementing the same intervention may not all achieve success. This heterogeneity could be explained, in part, by pre-intervention organizational characteristics and lack of readiness of surgical facilities to implement safety and quality improvement interventions.