OBSTACLES FOR HEALTH AND SURGICAL CARE LACK OF ACCESS

INEQUITY

Between Countries Within Countries

Underlying Cause

INEQUITY

POVERTY

Lancet Commission on Global Surgery

www.gscommission.com @GSCommission/GSCommission

Universal surgical care with financial protection

Universal access to safe, high quality, affordable surgery and anaesthesia when needed

VISION

PHYSICIAN DENSITY

0 1 2 3 4

RussiaItaly

SwitzerlandGermanyDenmark

FranceArgentina

NetherlandsBelgiumFinland

UKMongolia

USAJapan

MexicoCanada

BrazilEcuador

ColombiaChinaIndia

BangladeshBotswana

DijibutuCambodia

GuyanaNepal

IndonesiaKenyaGhanaCongo

CameroonMozambique

ChadEthiopia

Sierra LeoneNiger

MalawiAfrica

Latin America

Asia

North America

Europe

Physician Density (per 1,000 population)

0 250 500 750 1,000 1,250 1,500

Population per physician

00 00 00 00 00

x 100

0 250 500 750 1,000 1,250 1,500

IndiaPakistan

PhilippinesChinaJapan

ChilePeru

EcuadorBrazilCuba

CanadaMexico

USA

UKFrance

NorwayGermany

Population per physician

TanzaniaMalawi

Sierra LeoneEthiopiaUganda

India

Population per physician

0 250 500 750 1,000 1,250 1,500

Population per physician

PHYSICIAN DENSITY

Population per physician

CanadaMexico

USA

UK

Population per physician

UKFrance

NorwayGermany

Population per physician

ChilePeru

EcuadorBrazilCuba

Canada

Population per physician

IndiaPakistan

PhilippinesChinaJapan

Chile

Population per physician

SURGICAL WORKFORCE• ECUADOR (14 M) UGANDA (35M)

• General Surgeons 1978 107

• Specialty Surgeons 3483 97

• Ob-Gyn 1996 124

• Anesthesiologists 2016 17

MOBILE SURGERY

7427 OPERATIONS

HOW TO ADDRESS THE PROBLEM OF SURGICAL WORKFORCE

• Task Shifting

• Medical School Curriculum

• Postgraduate Training

• International Solidarity

Gracias!