ID: 75 (Conflict of Interest: K)

Platzierung der globalen Chirurgie in einem sozioökonomischen und epidemiologischen Kontext

P. N.Broer1, S.Juran2
1Städtisches Klinikum Bogenhausen, München
2United Nations Population Fund, New York


Placing global surgery in the context of population and socio-economic dynamics at the national, regional and global level as well as national health system functioning would add value to national surgical capacity assessment and the identification and definition of those ‘furthest behind’. 

Material und Methoden

In order to do there are three indispensable steps starting with gaining an overview over which indicators are most appropriate to assess the adequacy of national health systems in providing essential surgical care and anesthesia.

The Lancet Commission on Global Surgery agreed on six time bound targets, including six indicators to promote a better understanding of each country’s surgical system and to provide a baseline against which improvements can be measured. 

Following these efforts, data availability around the world with respect to these indicators has to be mapped and gaps have to be filled where possible. 

Finally, the chosen indicators have to be put into context in order to be meaningfully integrated into the global development agendas and to be able to serve as guidance for political interventions and for channeling often scarce financial and human resources. For example, if data indicate that 50 per cent of the population at national level cannot access surgical care when necessary, it is crucial to know the exact number of people who cannot access these essential services, where they live, what their economic situation is and what interventions they are most likely to need. 


The Global Surgery Catalogue aims at providing exactly this integration of indicators on global surgery by juxtaposing them with other relevant indicators. The list of indicators chosen in the Catalogue should not be considered as exhaustive, but rather as result of discussions with surgical experts, development specialists and as derived from cutting edge research on the issue.


Addressing global surgery requires a multidimensional approach, encompassing demographic  “geographic, temporal, structural, socio-cultural, financial and political components.” As such, any revision of indictors and targets on universal access to global surgery, and the policies and programs to achieve those targets, must take into account the population changes already underway.