1. Emergency & Essential Surgical Care Dr Meena Cherian Emergency & Essential Surgical Care Clinical Procedures Unit Essential Health Technologies Dept. EHT/CPR

2. Guidelines | 27 July 2006 2 |2 | Emergency & Essential Surgical Care Injuries Congenital Infection Equipment Drugs Specialists Lack of Access to Emergency & Essential Surgical Care

3. Guidelines | 27 July 2006 3 |3 | Emergency & Essential Surgical Care Clinical Procedures unit 2004 This team will be responsible for ensuring efficacy, safety & equity in the provision of clinical procedures in surgery, anaesthetics, obstetrics & orthopaedics, particularly at the district hospital level. It will also be in charge of promoting the appropriate effective & safe use of cell, tissue & organ transplantation, including surveillance of risks, in particular in xenotransplantation trials."

4. Guidelines | 27 July 2006 4 |4 | Building capacities towards improving access to Emergency & Essential Surgical Care Vertical Programmes Horizontal Programme Bridging the Gap Front line health personnel, medical & nursing schools, training programs

5. Guidelines | 27 July 2006 5 |5 | Global Initiative for Emergency & Essential Surgical Care 2005 Strengthening Health Systems Research Advocacy Training Appropriate technologies at primary health care facilities

6. Guidelines | 27 July 2006 6 |6 | Integrated Management for Emergency & Essential Surgical Care (IMEESC) tool www.who.int/surgery Standardized training Distance learning Reference

7. Guidelines | 27 July 2006 7 |7 | WHO IMEESC tool: Policy Standards Needs assessment Training curriculum Anesth.infrastructure/supplies Emergency Equipment Access Safety

8. Guidelines | 27 July 2006 8 |8 | Sterilization Waste disposal HIV prevention Antibiotic prophylaxis Hand washing Skin preparation Evaluation: Self Learning/Training Inventory EE Equipment Monitoring & Evaluation WHO IMEESC tool: Quality & Safety Best Practice Protocols

9. Guidelines | 27 July 2006 9 |9 | WHO IMEESC tool: Quality & Safety Anaesth./surgery Patient consent/records Burns Trauma Emergency obstetrics Disasters Postop. Management Pain Relief Best Practice Protocols

10. Guidelines | 27 July 2006 10 | WHO IMEESC tool: Access & Use Implementation MoH, Partners/programs Training guide Slides Film SCDH manual Workshop agenda, report

11. Guidelines | 27 July 2006 11 | Patient Procedure: surgery /anaesthesia Site Time Trained health personnel Emergency & Essential Surgical Care Thank You