Children's surgery and the emergency, critical, and operative care resolution: Immediate actions to eliminate disparities in surgery, anesthesia, and perioperative care for all children

Paediatr Anaesth. 2024 Sep;34(9):831-834. doi: 10.1111/pan.14943. Epub 2024 Jun 10.

Abstract

Around 1.7 billion children lack access to surgical care worldwide. To reinvigorate the efforts to address these disparities and support work to address global challenges in surgery, anesthesia, emergency, and critical care, the World Health Assembly passed World Health Organization Resolution World Health Assembly 76.2: Integrated emergency, critical and operative care for universal health coverage and protection from health emergencies (ECO) in 2023. This resolution highlights the integral role of surgery, anesthesia, and perioperative care in health systems. However, understanding how best to operationalize this resolution is challenging. We review the ECO resolution and highlight points that the pediatric surgical and anesthesia community can leverage to advocate for its recommendations for operative care.

Keywords: child; global health; health disparities; low‐ and middle‐income countries; surgery.

Publication types

  • Review

MeSH terms

  • Anesthesia* / methods
  • Child
  • Critical Care
  • Emergency Medical Services / methods
  • Global Health
  • Health Services Accessibility
  • Healthcare Disparities*
  • Humans
  • Pediatrics / methods
  • Perioperative Care* / methods
  • Surgical Procedures, Operative
  • World Health Organization