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Dr Meena Nathan Cherian Emergency & Essential Surgical Care project Clinical Procedures Unit

Integrated Management for Emergency & Essential Surgical Care towards Strengthening Capacities for Primary Healthcare facilities. Dr Meena Nathan Cherian Emergency & Essential Surgical Care project Clinical Procedures Unit Dept. Essential Health Technologies WHO/Geneva, Switzerland.

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Dr Meena Nathan Cherian Emergency & Essential Surgical Care project Clinical Procedures Unit

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  1. Integrated Management for Emergency & Essential Surgical Care towards Strengthening Capacities for Primary Healthcare facilities Dr Meena Nathan Cherian Emergency & Essential Surgical Care project Clinical Procedures Unit Dept. Essential Health Technologies WHO/Geneva, Switzerland

  2. Integrated Management for Emergency & Essential Surgical Care towards Strengthening Capacities for Primary Healthcare facilities Reaching Life & Disability Saving EESC to meet MDGs 3,4,5,6

  3. Timely, Equitable Access to Life & Disability saving Emergency & Essential Surgical Care at PHC 5 mil/yr die Injuries 90% injury deaths occur in LMIC RTA kill 1.2 mil/yr& disable 20-50 mil/yr 96% children killed in RTA in LMIC 55% injury-related deaths in ages 15-44 yrs 300,000 die burns 0.5 million die pregnancy related complications 1 mill living with obstetric fistula & 142,000 in Uganda

  4. Timely Equitable Access to Life & Disability Saving Emergency & Essential Surgical Care • Health systems weak • Trained Health providers • Specialists unavailable • Kenya 8 anaesthesiologists • Uganda 13 anaesthesiologists • Tanzania 80 trained surgeons • Supplies/Drugs • Equipment, maintenance • Continuing education/training • Skills Mix

  5. Integrated Management for EESC towards Strengthening Capacities for PHC Horizontal Programme Bridging the Gap Vertical Programmes Trauma, Maternal & Child Health, Disasters, HIV, Buruli Ulcer Front line health workforce, non-specialist doctors, nurses, clinical officers, medical & nursing schools, training programs

  6. IMEESC towards Strengthening Capacities for PHCCPR unit: ensuring efficacy, safety & equity in provision of clinical procedures in surgery, anaesthesia, obstetrics, orthopaedics

  7. Integrated Management for EESC towards Strengthening Capacities for PHC facilities • Comprehensive, Generic tools for Guidance on WHO standards • Surgical Care at the District Hospital • Integrated Management for Emergency & Essential Surgical Care(IMEESC)toolkit • Policies Best practices Quality & safety www.who.int/surgery/imeesc

  8. Integrated Management for EESC towards Strengthening Capacities for PHC facilities Strategiesfor Reaching Life & Disability Saving Emergency & Surgical Interventions at PHC, towards strengthening health systems at primary level of care through: • Partnerships for sustainability • Situation analysis • Monitoring &Evaluation of the impact • Replication of the model

  9. IMEESC towards Strengthening Capacities for PHC facilities Capacity building at PHC through a Diagonal and Integrated approach using the WHO IMEESC package • Implementation MOH, Partners/programs • Local Adaptation, integration • Training/education, -medical/nursing schools/programs • Reference • Distance learning • Monitoring/evaluation

  10. Urgent need IMEESC towards Strengthening Capacities for PHC & Health systems to meet the MDGs Partnerships & Collaborations • Patient • Procedures: surgery /anaesthesia • Site • Time • Trained health personnel Thank You

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