Advocacy

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Find a surgeon

The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.

 

Specialist Colleges endorse the WHO Global Plan of Action on Interpersonal Violence

Following discussions with the RACS Trauma and Global Health Committees, RACS, in conjunction with ANZCA, ASA, RANZCOG, RANZCO and RACP issued a joint letter to the Chief Medical Officer of the Australian Government expressing support for the WHO global plan of action on interpersonal violence.

A Resolution on interpersonal violence will be considered at the 69th World Health Assembly in May 2016.

The Colleges support the WHO global plan of action to strengthen the role of the health system in addressing violence, in particular against women and girls, and against children. The Colleges support all evidence-based initiatives that assist in the prevention of trauma and the reduction of the devastating effects of injury.

Read the proposed Resolution on the WHO website.

View the Colleges' joint letter to the CMO, Australian Government.

Surgical and Anaesthesia bodies endorse the Bangkok Global Surgery Declaration

The Bangkok Global Surgery Declaration was developed during the World Congress of Surgery in August 2015. 65 organisations including RACS have endorsed the Declaration to date.

The Declaration is a call to the global health community to promote the implementation of the World Health Assembly Resolution for Surgery and Anaesthesia Care. It promotes global collaboration among all countries and regions to work towards implementation solutions for ensuring "universal access to safe, affordable surgical and anaesthesia care when needed."

If your organisation wishes to become a signatory to the Declaration, please send a statement of endorsement and your organisation's logo to: global.health@surgeons.org

Surgical Colleges Support the Lancet Commission on Global Surgery

At a President's Forum on 06 May 2015 at the RACS ASC in Perth, 12 Surgical Colleges and Societies committed to support the strengthening of universal access to emergency and essential surgical care and released a joint statement promoting this message. Eleven more colleges subsequently endorsed the statement and unanimously agreed to promote its messages.  The joint statement is available on the College news page or you can download a PDF version (PDF 2MB). 

Management of Wounds in Disaster Situations

Wound _Care _in _Disaster _SituationsDownload the free poster (PDF 1.6MB)

Download the free full text World Journal of Surgery article (PDF 1.6MB)

The College developed a set of guidelines to help first responders and health care personnel with the initial management of wounds to prevent infection and further tissue loss. It highlights the risk of contamination and sets out a step-by-step guide to safely manage wounds.

The guidelines are in the form of an illustrated poster, which is available as a free resource for health care workers globally. It is specifically directed at doctors in isolated healthcare environments.

The development of the poster was a result of a study on wound management in disaster settings, conducted by Wuthisuthimethawee P., et al and presented at the Wound Management Conensus Meeting during the Global Burden of Surgical Disease Symposium, held at the College in September 2012.

The results of the study are presented in the article, 'Wound Management in Disaster Settings'. Access the free full text article.

Download a free copy of the poster (PDF 1.6MB)

 

Emergency and Essential Surgery as a vital component of Universal Health Coverage

The College is collaborating with international surgical bodies and advocacy groups to promote surgical care and anaesthesia to the World Health Assembly (WHA) as part of a primary health care package, integral to achieving universal health coverage.

The Issue
Surgically treatable diseases and injuries are among the top 15 causes of disability. Yet five billion of the world's population do not have access to emergency and essential surgical care, and the poorest third of the world's population receives only 3.5% of all surgical operations. Safe surgery and anaesthesia are vital to effectively treat much of the global burden of non-communicable diseases and injuries and contribute to the provision of safe child-birth where complications arise.

The major barriers to the delivery of essential surgical services in many low and middle income countries are the perception that surgery is unaffordable and too complicated to include in public health strategies, a lack of global or national policies promoting safe surgery and anaesthesia and a lack of infrastructure. Treatment of most surgical conditions does not require complex surgical skills or equipment. With access to appropriately trained health professionals, safe surgery and anaesthesia can be delivered cost-effectively in low and middle income countries.

Achievements

A Resolution on "Strengthening Emergency and Essential Surgical Care and Anaesthesia as a Component of Universal Health Coverage" was passed unanimously by 194 member nations at the 68th WHA in May 2015.This resolution was critical because Ministers of Health are guided by the recommendations of the WHO when implementing healthcare decisions for their country. But it will require significant and sustained political commitment and substantial investment of resources by individual countries, to put policy into practice and improve surgical care at the country and regional level.

Other recent milestones include the adoption of the Perioperative Mortality Rate (POMR) in the WHO Global Reference List of 100 Core Health Indicators which will serve as a measure of safety and access, and the inclusion of a volume on Essential Surgery in the next edition of the World Bank's Disease Control Priorities, due for release in 2015. World Health Assembly (WHA) in May 2015. 

Worldwide adoption and reporting of the Perioperative Mortality Rate (POMR) as an indicator for measuring safety of, and access to surgical care

The College urges health ministries to adopt the POMR, a WHO standardised metric for global surgical surveillance. Perioperative mortality reporting serves as a measure of the safety of and access to surgical care worldwide.

Read More:

Perioperative Mortality Rate (POMR): A Global Indicator of Access to Safe Surgery and Anaesthesia (World J Surg Article, via PubMed website)

Get Involved

Fellows and trainees interested in Global Surgery are invited to join ASAP - the Alliance for Surgery and Anaesthesia Presence (an integrated society of the International Society of Surgery). Visit the ASAP website (www.asaptoday.org) or contact Professor David Watters or Professor Russell Gruen at iss.aust@surgeons.org 

Contact

RACS Global Health
Telephone: +61 3 9249 1211
Email: global.health@surgeons.org