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The Lancet Commission on Global Surgery was established in January 2014, comprising an international, multidisciplinary team of 25 commissioners, supported by advisors and collaborators from over 110 countries worldwide.
The primary objective of this initiative is to address disparities in accessibility and affordability of surgical care in low- and middle-income countries (LMICs) by advocating for safe, essential, and life-saving surgical and anaesthesia services.
Thereby reducing case fatality rates for common, treatable conditions such as appendicitis, hernias, fractures, and obstructed labour through the provision of fundamental surgical care.
As Malaysia progresses, the Global Surgery initiative seeks to enhance patient services and improve accessibility, particularly for remote populations across the nation.
In recent years, Malaysia has implemented a variety of strategies and innovations to improve access to healthcare services, including surgery and anaesthesia. The Malaysian context of the Global Surgery initiative highlights the nation’s advancements by consolidating all surgical interventions and innovations from the past and present, putting emphasis on efforts to enhance accessibility and equity in surgical care across various specialties.
This encompasses a wide range of procedures, from simple to complex, conducted in both rural and urban settings, clinics, and hospitals, driven by creativity and resource optimization through collaboration among multiple agencies.
Definition of Global Surgery
"An area of study, research, practice, and advocacy that seeks to improve health outcomes and achieve health equity for all people who need surgical and anesthesia care, with a special emphasis on underserved populations and populations in crisis. It uses collaborative, cross-sectoral, and transnational approaches and synthesizes population-based strategies with individual surgical and anesthesia care.”
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(Byass P. The imperfect world of global health estimates. PLoS Med 2010; 7: e1001006.)
“The global surgery framework shall establish the minimum standard for universal health coverage for surgery and anesthesia, embrace digital technology, connect the unconnected, harness creative ideas and innovations to improve deliveries and services of surgical and anesthesia care towards inclusivity and relevance for the present and future.”
(Director-General of Health Malaysia)
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