Table 2 Summary of discussion themes by stakeholder
Themes | Population needs | Service design | Infra-structure | Workforce | Information system | Finance | Governance | ||
|---|---|---|---|---|---|---|---|---|---|
Stake-holder | Wider context | Disease burden | Integrating surgery with public health | Strengthening surgical care in first-level hospitals | Workforce strengthening | Data collection | Financial risk protection | ||
Tonga | Remote training | LCoGS indicators | Building political momentum Educating political leaders | ||||||
Cook Islands | Climate change, COVID-19 pandemic, AMR | NCDs | IPC | Decentralisation of health services | Training Quality supervision Continuous professional development | Developing NSOAP | |||
Fiji | COVID-19 pandemic, climate change, natural disasters | Surgeon involvement in pandemic response Integrating surgical care with emergency response | Decentralisation of surgical care | Health workforce shortage Rising cost of training Scholarships Teleconference | Developing NSOAP | ||||
Malaysia | Anaesthetic task-shifting program | National obstetric registry LCoGS indicators POMR | Communication between policymakers and providers | ||||||
Nepal | Road traffic accidents, cancers | Task-shifting | Subsidising surgical care | Integrating surgery into national policy | |||||
WHO WPRO | COVID-19 pandemic | Emergency maternal care, maternal mortality | IPC Waste management | Remote provinces, Outer islands | Access to equipment | Sustainable specialist training | |||
WHO SEARO | COVID-19 pandemic | Emergency obstetric care, maternal mortality | Blood safety | Monitoring and evaluation of service quality and safety | Increase public health spending for financial risk protection | Multi-year planning Integrating surgical plans into national health plans | |||