Skip to main content

Main menu

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
      • Local Voices Webinar
      • Connecting Creators and Users of Knowledge
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers

User menu

  • My Alerts

Search

  • Advanced search
Global Health: Science and Practice
  • My Alerts

Global Health: Science and Practice

Dedicated to what works in global health programs

Advanced Search

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers
  • Alerts
  • Find GHSP on LinkedIn
  • Visit GHSP on Facebook
  • RSS
COMMENTARY
Open Access

National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage

Alexander W. Peters, Lina Roa, Emile Rwamasirabo, Emmanuel Ameh, Mpoki M. Ulisubisya, Lubna Samad, Emmanuel M. Makasa and John G. Meara
Global Health: Science and Practice March 2020, 8(1):1-9; https://doi.org/10.9745/GHSP-D-19-00314
Alexander W. Peters
aDepartment of Surgery, Weill Cornell Medical College, New York, NY, USA.
bProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
cDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: awp9003@nyp.org
Lina Roa
bProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
cDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA, USA.
dDepartment of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Emile Rwamasirabo
eDepartment of Surgery, King Faisal Hospital, Kigali, Rwanda.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Emmanuel Ameh
fDepartment of Surgery, National Hospital, Abuja, Nigeria.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mpoki M. Ulisubisya
gMinistry of Health Community Development Gender Elderly and Children, Dar es Salaam, Tanzania.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lubna Samad
hCenter for Essential Surgical and Acute Care, Indus Health Network, Karachi, Pakistan.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Emmanuel M. Makasa
iPublic Service Management Division Cabinet Office, Office of the President, Lusaka, Zambia.
jWits Centre of Surgical Care for Primary Health & Sustainable Development, School of Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John G. Meara
bProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
cDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
PreviousNext
  • Article
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF
Loading

Figures & Tables

Figures

  • Tables
  • FIGURE 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1

    Adapting WHO Building Blocks for NSOAPs14

    Abbreviations: NSOAP,National Surgical, Obstetric, and Anesthesia Plan; WHO, World Health Organization.

  • FIGURE 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2

    NSOAP Creation Theoretical Framework (Adapted11–13)

    Abbreviation: NSOAP, National Surgical, Obstetric, and Anesthesia Plan.

  • FIGURE 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3

    Tanzania NSOAP Development Process Timeline

    Abbreviation: NSOAP, National Surgical, Obstetric, and Anesthesia Plan.

  • FIGURE 4
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4

    Roadmap for Pakistan's Surgical Care Strengthening, From National Vision to Provincial Plans

    Abbreviations: IHN, Indus Health Network; LOU, letter of understanding; MONHSR&C, Ministry of National Health Services, Regulation, and Coordination; NHV, National Health Vision; NSC, National Steering Committee; NVSC, National Vision for Surgical Care; PSOAP, Provincial, Surgical, Obstetric, and Anesthesia Plan; TWG, technical working group.

    a Consisting of representatives from international and national public and private stakeholders to oversee and coordinate the process of being the decision maker.

    b Consisting of international and national partners to conduct research, provide technical support throughout the process, and draft documents.

Tables

  • Figures
    • View popup
    TABLE 1.

    Lancet Commission on Global Surgery Core Key Performance Indicators for Monitoring Surgical Systems

    IndicatorLancet Commission on Global Surgery DefinitionLancet Commission on Global Surgery Target by 2030Included in the World Bank Group's World Development IndicatorsIncluded in the World Bank Group's 2018 Atlas of Sustainable Development GoalsIncluded in the World Health Organization's Core 100 Indicators
    Access to timely essential surgeryProportion of the population that can access a facility within 2 hours that can do cesarean delivery, laparotomy, and open fracture repairsA minimum of 80% coverage of essential surgical and anesthesia services per country--Yes
    Specialist surgical workforce densityNumber of specialist surgical, anesthetic, and obstetric physicians working, per 100,000 population100% of countries with at least 20 surgical, anesthetic, and obstetric physicians per 100,000 populationYesYesYes
    Number of surgical procedures performedProcedures done in an operating theatre, per 100,000 population per year80% of countries by 2020 and 100% of countries by 2030 tracking surgical volume; a minimum of 5,000 procedures per 100,000 populationYes-Yes
    Perioperative mortality rateAll-cause death rate before discharge in patients who have undergone a procedure in an operating theater, divided by the total number of procedures80% of countries by 2020 and 100% of countries by 2030 tracking perioperative mortality; in 2020, assess global data and set national targets for 2030--Yes
    Protection against impoverishing expenditure for surgical careProportion of households protected against impoverishment from direct out-of-pocket payments for surgical and anesthesia care100% protection against impoverishment from out-of-pocket payments for surgical and anesthesia careYes-Yes
    Protection against catastrophic expenditure for surgical careProportion of households protected against catastrophic expenditure from direct out-of-pocket payments for surgical and anesthesia care100% protection against catastrophic expenditure from out-of-pocket payments for surgical and anesthesia careYes-Yes
    • View popup
    TABLE 2.

    Overview of Health Spending, by Country, 201630

    Health Spending per Capita, USDaHealth Spending per GDP, %Government Health Spending per Total Health Spending, %Out-of-Pocket Spending per Total Health Spending, %Development Assistance for Health per Total Health Spending, %
    Nigeria71.02.414.575.28.6
    Pakistan41.02.726.262.78.3
    Rwanda44.05.037.08.143.6
    Tanzania41.04.034.322.841.6
    Zambia64.03.238.112.344.0
    • Abbreviations: GDP, gross domestic product; USD, United States dollar.

    • ↵a In 2018 purchasing power parity US dollars.

PreviousNext
Back to top

In this issue

Global Health: Science and Practice: 8 (1)
Global Health: Science and Practice
Vol. 8, No. 1
March 30, 2020
  • Table of Contents
  • About the Cover
  • Index by Author
  • Complete Issue (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Global Health: Science and Practice.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
(Your Name) has forwarded a page to you from Global Health: Science and Practice
(Your Name) thought you would like to see this page from the Global Health: Science and Practice web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
Alexander W. Peters, Lina Roa, Emile Rwamasirabo, Emmanuel Ameh, Mpoki M. Ulisubisya, Lubna Samad, Emmanuel M. Makasa, John G. Meara
Global Health: Science and Practice Mar 2020, 8 (1) 1-9; DOI: 10.9745/GHSP-D-19-00314

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
National Surgical, Obstetric, and Anesthesia Plans Supporting the Vision of Universal Health Coverage
Alexander W. Peters, Lina Roa, Emile Rwamasirabo, Emmanuel Ameh, Mpoki M. Ulisubisya, Lubna Samad, Emmanuel M. Makasa, John G. Meara
Global Health: Science and Practice Mar 2020, 8 (1) 1-9; DOI: 10.9745/GHSP-D-19-00314
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Statistics from Altmetric.com

Jump to section

  • Article
    • BACKGROUND
    • NATIONAL SURGICAL, OBSTETRICS, AND ANESTHESIA PLAN FRAMEWORK
    • NOTABLE NSOAP DEVELOPMENT PROCESSES
    • CURRENT CHALLENGES TO NSOAP PROGRESS
    • THE WAY FORWARD
    • Competing interests
    • Notes
    • REFERENCES
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Delivery of essential pediatric congenital surgical care within Brazils universal health coverage system: a national survey of pediatric surgeons
  • Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
  • A Financing Strategy to Expand Surgical Health Care
  • Roadblocks and solutions to planning surgical care for a billion Indians
  • Measuring oxygen access: lessons from health facility assessments in Lagos, Nigeria
  • Google Scholar

More in this TOC Section

  • People that Deliver: Established to Address the Health Supply Chain Workforce Gap
  • mHealth and Digital Innovations as Catalysts for Transforming Mental Health Care in Ghana
  • No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors
Show more COMMENTARY

Similar Articles

Subjects

  • Cross-Cutting Topics
    • Health Systems
    • Surgery
    • Universal Health Coverage
Johns Hopkins Center for Communication Programs

Follow Us On

  • LinkedIn
  • Facebook
  • RSS

Articles

  • Current Issue
  • Advance Access Articles
  • Past Issues
  • Topic Collections
  • Most Read Articles
  • Supplements

More Information

  • Submit a Paper
  • Instructions for Authors
  • Instructions for Reviewers

About

  • About GHSP
  • Advisory Board
  • FAQs
  • Privacy Policy
  • Contact Us

© 2025 Creative Commons Attribution 4.0 International License. ISSN: 2169-575X

Powered by HighWire