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. 2021 May 20;21(1):958.
doi: 10.1186/s12889-021-10936-0.

Global community perception of 'surgical care' as a public health issue: a cross sectional survey

Nurhayati Lubis  1 , Meena Nathan Cherian  2 , Chinmayee Venkatraman  3 , Fiemu E Nwariaku  3
Affiliations

Global community perception of 'surgical care' as a public health issue: a cross sectional survey

Nurhayati Lubis et al. BMC Public Health. .

Abstract

Background: In the last decade surgical care has been propelled into the public health domain with the establishment of a World Health Organisation (WHO) designated programme and key publications. The passing of the historic World Health Assembly Resolution (WHA) acknowledged surgical care as a vital component towards achieving Universal Health Coverage (UHC). We conducted the first worldwide survey to explore the perception of surgical care as a public health issue.

Method: The anonymous, cross sectional survey targeted worldwide participants across a range of professional backgrounds, including non-medical using virtual snowball sampling method (in English) using Google Forms (Google Inc., Mountain View, CA, USA) from 20th February 2019 to 25th June 2019. The survey questions were designed to gauge awareness on Sustainable Development Goals (SDGs), UHC, WHO programmes and key publications on surgical care as well as perception of surgical care as a priority topic in public health.

Results: The survey was completed by 1954 respondents from 118 countries. Respondents were least aware of surgical care as a teaching topic in public health courses (27%; n = 526) and as a WHO programme (20%; n = 384). 82% of respondents were aware of UHC (n = 1599) and of this 72% (n = 1152) agreed that surgical care fits within UHC. While 77% (n = 1495) of respondents were aware of SDGs, only 19% (n = 370) agreed that surgery was a priority to meet SDGs. 48% (n = 941) rated surgical care as a cost-effective component of Primary Health Care. 88% (n = 1712) respondents had not read the WHA Resolution on 'Strengthening emergency and essential surgical care and anaesthesia as a component of UHC'.

Conclusion: There is still a widespread gap in awareness on the importance of surgical care as a public health issue amongst our respondents. Surgical care was not seen as a priority to reach the SDGs, less visible as a WHO programme and not perceived as an important topic for public health courses.

Keywords: Public health education; Surgical care; Sustainable development goals; Universal health coverage.

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Conflict of interest statement

The author declares that they have no completing interests.

Figures

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Professional Affiliation
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Which of the following topics should be taught in public health courses?
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Which of the WHO programmes are you aware of?
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Which of the following health issues are a priority to reach the SDGs?
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Which of the publications have you read?
See this image and copyright information in PMC

References

    1. WHO Emergency and Essential Surgical Care (EESC). 2004.https://www.who.int/surgery/en/. Accessed 21 July 2020.
    1. WHO Global Initiative for Emergency and Essential Surgical Care (GIEESC). Geneva meeting report. 2015. https://www.who.int/surgery/mission/GIEESC2005_Report.pdf?ua=1. Accessed 21 July 2020.
    1. World Health Assembly (WHA) Resolution 68.15 on Strengthening emergency and essential surgical care and anaesthesia as a component of UHC. 2015. http://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_R15-en.pdf. Accessed 21 July 2020.
    1. Debas HT, Donkor P, Gawande A, et al. Essential surgery. Disease control priorities, third edition, volume 1. Washington, DC: World Bank; 2015. - PubMed
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