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To achieve our vision of providing Universal access to safe, affordable surgical and anesthesia care when needed, the PGSSC is working with several Ministries of Health to develop National Surgical, Obstetric and Anesthesia Plans (NSOAP). This is a national health plan specifically focused on surgical capacity and access in a country - something which has been traditionally not present in most national health plans. 


Surgical Indicators

Six essential indicators of surgical system strength covering preparedness, delivery, and finance. For Spanish copies, please click here


If you are interested in learning more about your country's surgical system and implementing an NSOAP the following resources have been developed to facilitate this process. 

NSOAP Tracker

The National Surgical, Obstetric and Anaesthesia Planning Tracker is a live document containing an up-to-date list of countries developing or implementing an NSOAP.  

NSOAP Template

The National Surgical, Obstetric and Anaesthesia Planning Template contains the most critical components of a resilient surgical system

Surgical Assessment Tool (SAT)

The SAT is used to evaluate the strength of a surgical system within 5 domains: infrastructure, service delivery, workforce, information management, and financing

Qualitative SAT Interview Tool

The semi-structured interview is a qualitative tool designed to understand the key factors affecting the provision of safe, affordable and timely surgical care 

Safe Surgery Organizational Readiness Tool (SSORT)

The purpose of the Safe Surgery Organizational Readiness Tool (SSORT) is to evaluate surgical facility members’ baseline beliefs and attitudes toward such interventions and their implementation.


Recent efforts have drawn attention to the urgent need to address the lack of access to safe and high-quality surgical care in low- and middle-income countries (LMIC); however, not all interventions intended to improve quality and safety in LMICs achieve successful outcomes. More strikingly, multiple facilities implementing the same intervention may not all achieve success. This heterogeneity could be explained, in part, by pre-intervention organizational characteristics and lack of readiness of surgical facilities to implement safety and quality improvement interventions.


Surgical Care Systems Strengthening

A monograph from the WHO and the Program in Global Surgery and Social Change on developing national surgical, obstetric and anesthesia plans.

NSOAP Costing Template

Costing template for national surgical, obstetric, and anesthesia planning.

Discussion Framework

Discussion frameworks are available in each domain to facilitate productive discussions amongst stakeholders that ultimately provide the foundation for a NSOAP



For more information about past NSOAP events or additional resources, please see the links below. 

Please see the link below for more information on financing NSOAPs, additional NSOAP evaluation and development tools, and individual country NSOAPs.    

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