The human and economic losses from a lack of safe surgery and anesthesia care are too large to ignore. More than 70% of the world’s population lacks access to surgical, obstetric, and anesthesia care, and 50% risk financial catastrophe from surgery.¹ By adopting World Health Assembly Resolution 68.15 in 2015, adequate access to safe and affordable emergency surgery and anesthesia has been prioritized for all people worldwide by 2030 as a part of universal health coverage.² Surgery is a complex intervention, requiring a functioning health system, which in turn requires strategic planning. However, most national health plans have no significant mention of surgical care.³ Development of a national strategy to improve surgical care by simultaneously strengthening appropriate infrastructure, a well-trained and well-distributed workforce, efficient service delivery, integrated information management, quality assurance, and adequate financing and governance in low- and middle-income countries is an innovative approach to improve surgical care. Driven by the national government and supporting a wider health strategic plan, a national surgical, obstetric, and anesthesia plan (NSOAP) identifies the current gaps in health care, prioritizes solutions, and provides an implementation framework (specific time-bound, annually prioritized, costed activities to reach each goal), a monitoring and evaluation plan, and projected cost. The NSOAP establishes a unified vision for strengthening of surgical systems and the coordination of efforts required to achieve this.

由于缺乏安全的手术和麻醉护理而造成的人员和经济损失太大，无法忽视。世界上超过70％的人口无法获得手术，产科和麻醉护理，而50％的人则因手术而遭受财务灾难。¹通过在2015年通过世界卫生大会第68.15号决议，作为全民健康覆盖的一部分，到2030年，全世界所有人都应优先获得安全和负担得起的紧急手术和麻醉的适当途径。²手术是一项复杂的干预措施，需要一个运行良好的卫生系统，而这又需要进行战略规划。但是，大多数国家卫生计划都没有重大提及手术治疗。³通过在低收入和中等收入国家同时加强适当的基础设施，训练有素和分布合理的劳动力，有效的服务提供，综合信息管理，质量保证以及适当的融资和治理，制定一项旨在改善外科护理的国家战略是一种改善手术护理的创新方法。在国家政府的推动下，并支持更广泛的卫生战略计划，国家外科，产科和麻醉计划（NSOAP）识别了当前医疗保健方面的差距，确定了解决方案的优先顺序，并提供了实施框架（特定时限，年度优先，为实现每个目标而进行的成本估算的活动），监控和评估计划以及预计的费用。