1. GLOBAL HEALTH SYMPOSIUM Strengthening Safe Surgery and Anaesthesia in Asia Pacific RACS Melbourne October 2015

2. Strengthening Safe Surgery and Anaesthesia in Asia Pacific  REGIONAL PERSPECTIVE from TONGA Dr. Viliami Tangi. FRACS

3. NO CONFLICT OF INTEREST

4. THE PACIFIC

5. Population size, PICT: 2008 5

6. Land area (km²), PICT (excl. PNG) 6

7. Proportion of population aged 0–14, PICT: 2008 7

8. HUMAN RESOURCES IN HEALTH; TONGA 2015  66 doctors/ 100 000  16 Surgical& Anaesthesia Providers/ 100 000

9. PIC doctors (PG & MMED doctors; 2013/2014 numbers) CountryInternal MedicinePaediatricsSurgeryAnaesthesiaO&G Cook Is3 131 Fiji2814321828 FSM53555 Kiribati13232 Niue--111 Nauru--111 Palau32322 RMI43312 Samoa33446 Solomon Is33532 Tonga24434 Tuvalu1-1-- Tokelau----- Vanuatu21625 Total5536684659

10. PICs Capacity Building Requests from 2012 to 2014

11. Types of capacity building requests

12. Strengthening Safe Surgery and Anaesthesia in Asia Pacific NEEDS:  Well Trained General Surgeons  More Additional Specialised experiences and exposure.

21. Strengthening Safe Surgery and Anaesthesia in Asia Pacific The Players in the Pacific…..Countries;  RACS / PIP/ Visiting Specialist Teams  Other Visiting Teams  NZMTS  SSCSiP  PMA  SPC  ANZCA  PISA  Pacific Anaesthetic Society

22. AIDS EFFECTIVENESS IN THE PACTIC Reality: Only those with relatively good capacity and experience are able to use Aid to shape sector activity

23. Strengthening Safe Surgery and Anaesthesia in Asia Pacific Visiting Surgical Team; Tonga, 2015. 12 Visiting Teams

24. Strengthening Safe Surgery and Anaesthesia in Asia Pacific SPECIALIST TRAINING OF OUR YOUNG DOCTORS  Surgery; Obstetric&Gynaecology; Anaesthesia- Master Degree, 4 years (Future Leaders).  RACS/PIP FUTURE ROLES.  PISA

25. Strengthening Safe Surgery and Anaesthesia in Asia Pacific PERIOPERATIVE MORTALITY (POMR).  Cook Island; Tonga; Fiji  Solomon Islands; Kiribati-SSCSiP helping.  All Pacifi countries have endorsed this work.

26. THANK YOU.