The current status of surgical care in the Asia–Pacific region and opportunities for improvement: proceedings

BMC Proceedings

Table 3 Lancet Commission on Global Surgery (LCoGS) indicators in Fiji [5, 10]

Indicator	Target y 2030	2015–6 status in Fiji
1. Access to timely essential surgery – the percentage of the population that can access, within 2 h, a facility capable of providing bellwether procedures (Caesarean section, laparotomy, and open fracture management)	80%	67%
2. Specialist surgical workforce density – number of surgical, anaesthesia, and obstetric specialists per 100,000 people	20	5.8
3. Surgical volume—procedures performed in an operating theatre per 100 000 population per year	5,000	1,490
4. Peri-operative mortality – prospective monitoring of all-cause death rate before discharge in patients who have undergone a procedure in an operating theatre	Prospectively monitored	0.83% Not prospectively monitored
5. % risk of catastrophic out-of-pocket expenditure^a on surgical care	0%	21%
6. % risk of impoverishment due to out-of-pocket expenditure^b on surgical care	0%	24%

^aImpoverishing expenditure is defined as being pushed into poverty or being pushed further into poverty by out-of-pocket payments [5]
^bCatastrophic expenditure is defined as direct out-of-pocket payments of greater than 40% of household income net of subsistence needs [5]

ISSN: 1753-6561