Global Surgery 2030 Lancet Commission Report
“During the past two decades, global health has focused on individual diseases. The development of integrated health services and health systems have been somewhat neglected. As such, surgical care has been afforded low priority in the world’s poorest regions. Our report presents a clear challenge to this approach […] Surgical care has an incontrovertible, cross-cutting role in achievement of local and global health challenges.”
Remarkable gains have been made in global health in the past 25 years, but progress has not been uniform. Mortality and morbidity from common conditions needing surgery have grown in the world’s poorest regions, both in real terms and relative to other health gains. At the same time, development of safe, essential, life-saving surgical and anesthesia care in low-income and middle-income countries (LMICs) has stagnated or regressed. In the absence of surgical care, case-fatality rates are high for common, easily treatable conditions including appendicitis, hernia, fractures, obstructed labor, congenital anomalies, and breast and cervical cancer.
Global Surgery 2030
The Lancet Commission on Global Surgery 2030 is an international collaboration, including 25 commissioners and advisors and collaborators from more than 110 countries. Proposed in early 2013, the Lancet Commission on Global Surgery 2030 held four international and nine international meetings in the implementation phases of the research from 2013-2015, prior to launching the Commission report findings in April and May 2015.
The Commission focuses on surgical and anesthesia care in low- and middle-income countries, as necessary components for treatment for all levels of a resilient health system and to address the burden of infectious, maternal, neonatal, and noncommunicable diseases and injuries in these countries. As the Commission illustrates, the global reduction of death and disability relies heavily upon improved access to surgical and anesthesia care that is available, timely, affordable, and safe.
The Lancet Commission on Global Surgery 2030 highlights that surgery must be a prominent part of the global health dialogue, and steps are needed to scale up surgical services and to address critical gaps in knowledge, policy, and action in acute care in low-income settings.