Surgical and Anaesthesia Care

Surgery and anaesthesia care are essential to a comprehensive primary health care (PHC) approach and to a people-centred continuum of emergency, critical, and operative care (ECO) services. Surgeons and anaesthetists treat a wide variety of conditions, from cancers and injuries to complications of pregnancy and infections. Billions of people currently lack safe, timely and affordable access to these services. Universal access to these services would save lives, prevent disability and promote economic growth. WHO‘s goal is to strengthen health systems to improve the delivery of comprehensive surgical and anaesthesia care, ensuring access without financial risk, to all people everywhere.

Operative Care Toolkits

WHO Academy Courses on Operative care at the first-level hospital

These modules will soon be available on OpenWHO and subsequently on the WHO Academy

Module 1. Organizing the District Hospital Surgical Service
Covers aspects related to the administration of diagnostic procedures and health interventions, patient flow, patient safety, essential staff and equipment, infection control and sterilization procedures, patient transport and handover processes.
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Module 2. Fundamentals of Surgical Practice
Covers underlying principles of patient-centred essential surgical care, such as cleaning wounds, suturing, changing dressings, and basic essential emergency procedures.
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Module 3. Resuscitation and Anaesthesia
Covers perioperative anaesthetic care for adults and children, including resuscitation, general or regional anaesthesia, and postoperative patient-centred care.
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Module 4. Operative Care for Injury
Covers the assessment and management of adults and children with traumatic injury. Includes elements of peri-operative care, anaesthesia management, damage control aspects and distinctions from elective surgery.
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Module 5. Emergency Obstetric Care
Covers the assessment and management of obstetric emergencies. Operative techniques focus of procedures for poor progress of labour and management of bleeding in pregnancy and childbirth.
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Module 6. General Surgery Topics
Covers general surgery in adults and approach to decision-making, guidance seeking and referral for to higher level of care when the patient’s needs are beyond the scope of practice. 
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Module 7. Children’s Surgery
Covers general surgery children and approach to decision-making, guidance seeking and referral for to higher level of care when the patient’s needs are beyond the scope of practice. 
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Community of Practice (Frontline Surgical Providers)

WHO Global Initiative for Emergency and Essential Surgical Care (GIEESC) was established in Dec 2005, and is a global forum that convenes multidisciplinary stakeholders representing health professionals, public health experts, health authorities and local and international organizations.

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