World Journal of Surgery

, Volume 37, Issue 7, pp 1462–1469 | Cite as

World Health Organization Global Initiative for Emergency and Essential Surgical Care: 2011 and Beyond

  • David A. SpiegelEmail author
  • Fizan Abdullah
  • Raymond R. Price
  • Richard A. Gosselin
  • Stephen W. Bickler


The world’s burden of surgical diseases is large and increasing. Unfortunately, <5 % of all surgical procedures are performed in countries ranked within the lowest one-third in terms of per-capita health expenditures [1]. The unmet need for surgical care results in unacceptable morbidity/mortality rates associated with a host of conditions (trauma, pregnancy-related complications, other emergencies). This is especially true for rural and marginalized populations in low- and middle-income countries (LMICs). Recognizing that variations in the spectrum of surgical diseases are observed among and within countries, “essential” surgery and anesthesia may be viewed as a core group of services that can be delivered within the context of universal access. These high-priority interventions are those for which: (1) there is a large public health burden; (2) the treatment is highly successful; (3) the treatment is cost-effective [2].

To date, essential surgery and anesthesia have...


Primary Health Care Catastrophic Health Expenditure Policy Window National Health Plan Millenium Development Goal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • David A. Spiegel
    • 1
    Email author
  • Fizan Abdullah
    • 2
  • Raymond R. Price
    • 5
    • 6
    • 7
  • Richard A. Gosselin
    • 4
  • Stephen W. Bickler
    • 3
  1. 1.Division of Orthopaedic Surgery, Childrens Hospital of PhiladelphiaUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  2. 2.Johns Hopkins HospitalJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Department of Surgery, School of MedicineUniversity of CaliforniaSan DiegoUSA
  4. 4.School of Public HealthUniversity of CaliforniaBerkeleyUSA
  5. 5.University of UtahSalt Lake CityUSA
  6. 6.Intermountain Medical CenterIntermountain HealthcareSalt Lake CityUSA
  7. 7.Swanson Family FoundationOgdenUSA

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