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Country Plans and Additional Resources

Below are country-specific National Surgical Obstetric and Anesthesia Plans and resources. Please see our NSOAP Tracker for an updates on the implementation and evaluation of other NSOAP  by country. 


Ethiopia's national flagship initiative-Saving Lives through Safe Surgery (SaLTS) was launched in 2016 in order to streamline all efforts towards defining a package of essential and emergency surgical care 


Zambia's National Surgical, Obstetric and Anaesthesia Plan was signed in May 2017, making Zambia a leader in creating and implementing a major policy document focused on global surgical systems


Tanzania's National Surgical, Obstetric and Anaesthesia Plan was signed in March 2018.


Rwanda's National Surgical, Obstetric and Anaesthesia Plan


Below are additional resources to help guide the implementation and evaluation of National Surgical Obstetric, Anesthesia Plans, including resources for children's surgery, anesthesia, specialty-specific evaluations, costing, and tools in additional languages.

Please see our main NSOAP page for the primary recommended tools for NSOAP implementation. 

WFSA Anaesthesia Facility Assessment Tool
Plan National Chirurgical Obstétrique et d'Anesthésie (PNCOA) - Centre for Global Surgery McGill University Health Centre

Further information and documents for the development of a national surgical, obstetric, and anesthesia plan, translated in French, from the Centre for Global Surgery at McGill University Health Centre

Optimal Resources for Children's Surgery  (OReCS) -  Global Initiative for Children's Surgery

Further information and tools for the development and planning processes related to children’s surgery

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Letter Template to Request Technical & Financial Support

A template letter to send to WHO country office to request technical and financial support for creating a national strategic plan for surgical care. Versions also available in French and Spanish.

Discussion Framework

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

Cardiac Surgery Needs Assessment 

A semi-structured interview guide, facility questionnaire, and needs assessment tool to evaluate the availability and possibility of cardiac surgical services in tertiary hospitals globally. 

Implementation Strategies

Specific guidelines, recommendations, and prior implementation strategies on some of the more common identified gaps in surgical, obstetric, and anesthesia care. These documents contain only a sample from the literature and are not in anyway all inclusive or supported by the PGSSC.

Strategizing National Health in the 21st century: a handbook

A WHO handbook and resource for national health planning based on the experiences of the WHO in planning and strategizing health systems globally.

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.

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