Globally, 5 billion people do not have access to safe and affordable surgical care. This means that nearly 17 million people die each year from conditions that require surgical care (this is more than five time the number of lives lost to HIV/AIDS, malaria and TB, combined). Not surprisingly, most of these people live in low- and middle-income countries, and within these countries, the poorest individuals and those living in rural areas suffer the most.
The provision of safe surgical care, which includes safe anesthesia and obstetric and trauma care, is affordable and will not only save lives, but will also promote economic growth.1 By focusing on coverage of “bellwether procedures,” which include cesarean sections (C-sections) and laparotomies (abdominal surgery) and management of open fractures, 80% of emergency surgical needs can be met.
Jhpiego is a global leader in safe surgery efforts. We leverage a global network, leadership, and the in-depth knowledge at the country level to influence the quality and visibility of safe surgery initiatives. Our success has been achieved and grounded in reality because we have a seat at the table and our feet on the ground.
About Safe Surgery1,2
- 9 out of 10 people do not have access to basic surgical care in low- and middle-income countries
- 143 million additional surgical procedures are needed each year to save lives and prevent disability
- 100,000 maternal deaths can be prevented every year and newborn mortality can be reduced by 30–70% with timely cesarean sections
- Sub-Saharan Africa has less than 1% of the number of surgeons in the U.S
- For every $1 invested in strengthening local surgical systems, $10 is returned in enhanced health and increased productivity.
Where We Work
As of November 2018, Jhpiego is implementing Safe Surgery programs in Ethiopia, Tanzania, Kenya, Madagascar, Cambodia and Lao PDR, with generous support from GE Foundation, ELMA Philanthropies, Medtronic Foundation, and Sanofi Espoir Foundation.
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Our Approach/How We Make an Impact
Jhpiego works at the global, national and sub-national levels. Central to Jhpiego’s Safe Surgery approach is the understanding that expanding quality surgical care requires a multipronged approach that emphasizes policy and advocacy and harnessing innovations to increase access to safe, high-quality surgical care. To implement our safe surgery framework, Jhpiego:
- Leads policy and advocacy efforts: Jhpiego is well-positioned as a policy and advocacy leader, given our strong relationships with ministries of health and leadership in global, regional and national forums. Jhpiego’s efforts in policy and advocacy aim to drive surgical access to the top of the global health agenda. This includes advocating for the consideration of safe, affordable surgical care in current health care guidelines, licensing procedures, clinical governance, financing mechanisms and partnership development.
Jhpiego is a founding member of the G4 alliance, which emphasizes the importance of prioritizing access to safe, affordable surgical care to target countries, stakeholders and technical organizations.
- Harnesses innovations to increase access to safe, high-quality surgical care by:
- Exploring and understanding barriers to access to safe, quality care
- Providing team-based, continuous capacity development, mentoring and leadership development of frontline health workers with a focus on performance and continuous quality improvement
- Using a combination of capacity building and mentoring methods to increase onsite practice, reduce training costs and encourage drills and simulation to maintain skills
- Standardizing and using evidence-based best practices that are incorporated into checklists and tools for perioperative care
- Collaborating with ministries of health, academic institutions, international organizations, corporations and foundations to ensure sustainability and adoption of programs
- Using data to inform and iterate project implementation and drive better and faster results
- Footnotes ▾
1 Centers for Disease Control and Prevention (CDC): About Malaria: Frequently Asked Questions (FAQs), https://www.cdc.gov/malaria/about/faqs.html; CDC: Impact of Malaria, https://www.cdc.gov/malaria/malaria_worldwide/impact.html; World Health Organization (WHO): Malaria Fact Sheet, http://www.who.int/mediacentre/factsheets/fs094/en/; WHO: Malaria: Overview of malaria treatment, http://www.who.int/malaria/areas/treatment/overview/en/; WHO: Malaria: High-risk groups, http://www.who.int/malaria/areas/high_risk_groups/en/.
Kate Holt/Jhpiego, Karen Kasmauski/MCHIP, Karel Prinsloo/ARETE, Charles Wanga, Suresh Bhandari, Jhpiego Staff