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The United Nations’ 17 sustainable development goals (SDGs) target a wide range of human conditions worldwide, including poverty, equity, development, gender, health, and prosperity. Annually, 16.9 million lives are lost because of surgically amenable conditions, $12.3 trillion of economic productivity will be lost between 2015 and 2030 because of diseases related to surgery, anesthesia, and obstetric (SOA), and 81 million people each year face catastrophic expenditure seeking surgical care. Given that emergency and essential surgery and anesthesia care became part of universal health coverage (UHC) in 2015, and SOA care directly underpins six of the 17 SDGs, a massive movement in global public health is needed to meet the UHC and SDG targets. Efforts must address the entire surgical system, from the community level right through to complex tertiary referral care deploying a trans-professional strategy across all domains of the health system. The human rights and economic arguments for investment in SOA care are clear; there is now a mandate to act.

Making a case for national surgery, obstetric, and anesthesia plans