advocating for the neglected surgical patient 1 Health

advocating for the neglected surgical patient 1

“Health is a state of complete physical, mental and social wellbeing, and not merely the absence Constitution of the of disease infirmity. ” World Healthor Organization 2

What is The G 4 Alliance? • The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care • An advocacy-based organization dedicated to building political priority for surgical care as part of the global development agenda • A collective voice for more than 85 member organizations united in their commitment to supporting increased access to safe, quality essential surgical, obstetric, trauma, and anaesthesia care for all 3

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What is The G 4 Alliance all about? Mission: The G 4 Alliance is committed to advocating for the neglected surgical patient and driven by a mission to increase access to safe, quality essential surgical, obstetric, trauma, and anaesthesia care. Vision: Universal Access to Quality Essential Surgical, Obstetric, Trauma, and Anaesthesia Care Global Target: Safe, affordable surgical care for 80% of the world by 2030 5

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The G 4 Alliance: Achievements and Milestones 2015 With Member State leadership, successfully advocated for passage of Resolution 68. 15 on strengthening emergency and essential surgical and anaesthesia care as a component of universal health coverage Successfully advocated for the inclusion of surgical indicators in the 100 Core Health Indicators Launched the Global Consultative Process to collect local and regional input and build consensus among member orgs. and key stakeholders. 2016 Represented global surgery at 20+ global advocacy and networking events with our partners and collaborators at events including: • US Congressional Briefing on Global Surgical Care • Women Deliver 2016 • • • 69 th and 70 th World Health Assembly (WHA) Annual College of Surgeons of East, Central, and Southern Africa (COSECSA) Conference • 71 st and 72 nd UN General Assembly (UNGA) UN High-Level Political Forum • UHC Forum 2017 . 8

The G 4 Alliance: Achievements and Milestones 2016 Generated 1000+ commitments to surgery from country representatives, UN and WHO representatives, civil society leadership and the private sector Continued the Global Consultative Process, focusing on key advocacy messages, national goals, targets and indicators, international standards and guidelines, an operative case log data platform, and a platform to track partnerships and synergies. 2017 Publication of a joint manuscript in the World Journal of Surgery, announcing 15 consensus global surgery indicators and a global target of access to safe surgery for 80% of the world by 2030. Approval of an amendment calling for the WHO Director General to report on surgical & anaesthesia care progress every 2 years until 2030 . Support for the launch of the drafting of a national surgical obstetric and anaesthesia plan in Tanzania in collaboration with partners and external stakeholders. 9

The G 4 Alliance: Achievements and Milestones 2017 Drew media and public attention to the essential role of safe surgical care in supporting Universal Health Coverage and the Sustainable Development Goals With partners, garnered commitments to surgery as part of Universal Health Coverage from leaders include Dr. Tedros, Director - General of the WHO, Dr. Sania Nishtar, and Dr. Jim Kim. 2018…So Far Launch of an advocacy campaign for the expansion of surgery in the WHO thirteenth programme of work Launch of an advocacy campaign to gather over 120 signatories to a report on global surgery indicator data launched at the 49 th UN Statistical Commission. . Led an Implementation Showcase at the WHO workshop on Surgical Care Planning in the Eastern Mediterranean and African Regions, featuring G 4 Members and Partners who shared examples of collaborations supporting national surgical planning and implementation. 1 0

Why Do We Care? • Surgical care, including safe anesthesia, obstetric and trauma care = cross-cutting, cost-effective public health intervention to enhance health, productivity and economic development • Building political priority for surgery will not happen without coordinated, intentional, focused advocacy. • The G 4 Alliance amplifies the voice of its member organizations, representing global surgery at the local, regional, national, and international level. • Not sure how best to engage? Not sure what your organization can do? Contact Us! 1 1

Why Do We Care? “[Universal Health Coverage] is simply incomplete without access to surgery. . it is critical that we pay attention to the huge unmet surgical need in the developing world. ” Dr. Sania Nishtar Chair, WHO High-Level Global Commission on NCDs UHC Forum 2017 1 2

What are G 4’s core messages? • safe surgery is a human right • surgical care saves lives and prevents disability • surgical care is cross-cutting and contributes to the strength of the overall health system. • universal health coverage cannot be achieved without the inclusion of surgical care. • surgical care is cost-effective and benefits the economy • lack of care impacts families and quality of life 1 3

Achieving Sustainable Development Goals impossible without increasing access to surgical services Goal 1. End poverty in all its forms everywhere Improved access to high quality, timely, safe surgical, obstetric, trauma and anesthesia care directly contributes to preventing individuals from falling into extreme poverty as a result of: • high out-of-pocket costs from surgical treatment • lack of educational and work opportunities for children born with debilitating congenital deformities • inability to work due to debilitating neglected surgical conditions such as neglected fractures, hernias, and benign and advanced tumors • profound isolation and social ostracization from obstetric fistula due to lack of access to emergency cesarean section 1 4

Achieving Sustainable Development Goals impossible without increasing access to safe surgical services Goal 3. Ensure healthy lives and promote well-being for all at all ages • 3. 1: by 2030 reduce global maternal mortality ratio to less than 70 per 100, 000 live births • 3. 4: by 2030 reduce by 1/3 premature mortality from NCDs through prevention and treatment, and promote mental health and wellbeing • 3. 6 by 2020 halve global deaths and injuries from road traffic accidents • 3. 7 by 2030 ensure universal access to sexual and reproductive health care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes • 3. 8 achieve universal health coverage, including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all 1 5

Achieving Sustainable Development Goals impossible without increasing access to surgical services Goal 5. Achieve gender equality and empower all women and girls ● Essential surgical care for women such as the availability of emergency cesarean section when necessary is critical to achieve target 1 6

What can we do as a member? • support advocacy for safe surgery at the national and global level • find out if countries in which we work have national surgical plans and help ensure that safe surgery is integrated into human resources for health strategies and plans • follow @theg 4 alliance on Twitter and add it on Facebook; spread the word about global surgery by tweeting/sharing widely in your networks at key times/events; alert your network of upcoming events hosted by the G 4 Alliance and Member Organizations • write an op-ed or blog post about why global surgery is important to us and our mission 1 7

Engage with us on Twitter @theg 4 alliance Frequently Used Hashtags #g 4 #globalsurgery #Safe. Surgery #Surgery. UHC #surgerysaves Trauma #We. Are. G 4 @Roads. For. Life #We. Are. G 4 Surgery @FIAFdn #We. Are. G 4 + #Anaestheisa #We. Are. G 4 + #OBGYN Other #We. Are. G 4 + #Trauma @Intra. Health #surgery 4 all @THET_links #surgeryisaright @selfless. UK @German. GSurgery. A #Globalsurgerygap #Healthworkerscount @Orbis. Intl #essentialsurgery Non-Member Orgs: #post 2015 @who #globalgoals @un #sdgs @gs. Commission #uhc @UNDESA #publichealth @unngls #UN @unfoundation #Data. Matters @sust. Dev #Advocacy. Works @CUGHNews @worldwewant @GSCommission @FHWCoalition G 4 Member Organizations on Twitter FOLLOW THE G 4 ALLIANCE ON TWITTER @theg 4 alliance Re-tweet the news when possible Sample Tweets included in the following sections on themes and events Academic Surgery Surgical Care @Int. Surg @Johns. Hopkins @Academic. Surgery @CSPH_BWH @rcsi_cosecsa @RCSI-Irl @UUCGS @Imperial_IGHI @indus_hospital @Harvard. PGSSC @Kings. College. Lon @worldjsurg @christianacare @SAGES_Updates @the. ACOMS @RCSNews @UCSFglobalsurg @Am. Coll. Surgeons @Northwestern. U @Essentl. Surgery @Operation. Smile @Re. Surge @Smiletrain @CUREIntl @surgicalneed @Drill. Cover @mendingkids @GP_STEP @Mercy. Ships @AOFoundation @meddir_kh OB/GYN & Women’s Health @Jhpiego @Innovate. Jhpiego @fistula_Fdtn @fistulasurgeons Anaesthesia @wfsaorg @ASAPtoday @Gradian. Health @diamedica. UK @aanawebupdates @CASUpdate 1 8