Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia'
Background: Lack of policy prioritization of surgical, obstetric, trauma and anesthesia (SOTA) care in South and Southeast Asian countries could be a potential contributor to limited access to care. Objective: To assess the SOTA care prioritization in National Health Policies, Strategies, and Plans...
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Ubiquity Press
2024-12-01
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| Series: | Annals of Global Health |
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| Online Access: | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4532 |
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| author | Saloni Mitra Ritika Shetty Shirish Rao Sweta Dubey Siddhesh Zadey |
| author_facet | Saloni Mitra Ritika Shetty Shirish Rao Sweta Dubey Siddhesh Zadey |
| author_sort | Saloni Mitra |
| collection | DOAJ |
| description | Background: Lack of policy prioritization of surgical, obstetric, trauma and anesthesia (SOTA) care in South and Southeast Asian countries could be a potential contributor to limited access to care. Objective: To assess the SOTA care prioritization in National Health Policies, Strategies, and Plans (NHPSPs). Methods: We analyzed NHPSPs from twelve South and Southeast Asian countries. These documents are considered the most important health-related policy statements. Bangladesh was excluded due to a lack of English translations. We searched sixteen electronic documents for a predefined list of keywords. The list included 52 keywords related to SOTA care and 7 keywords unrelated to SOTA care (used as a control). We used the keyword frequency (mentions per keyword or MPK) as a measure to compare prioritization between SOTA care and non-SOTA care. We further categorized the SOTA care keywords into five different Lancet Commission on Global Surgery (LCoGS) domains and eight subgroups. Findings: Across twelve NHPSPs, MPK value for SOTA care was 54.09 compared with 202.86 for non-SOTA, with eight NHPSPs having lower MPK values for SOTA care than non-SOTA keywords. Four NHPSPs had no mentions related to SOTA care financing and information management. Pediatric surgery and anesthesia were among the neglected subgroups. Conclusion: The analysis of South and Southeast Asian NHPSPs suggests that SOTA care issues are not prioritized in most countries. Pathways to greater policy attention include integrating SOTA care into ongoing health policy-making and planning efforts and developing and implementing specific national SOTA care plans. |
| format | Article |
| id | doaj-art-a633d9bd775743ec92053e5f8dc01cdd |
| institution | Kabale University |
| issn | 2214-9996 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj-art-a633d9bd775743ec92053e5f8dc01cdd2025-01-08T07:52:56ZengUbiquity PressAnnals of Global Health2214-99962024-12-01901808010.5334/aogh.45324532Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia'Saloni Mitra0https://orcid.org/0000-0001-5246-5991Ritika Shetty1Shirish Rao2https://orcid.org/0000-0003-1150-4581Sweta Dubey3Siddhesh Zadey4https://orcid.org/0000-0003-1176-1529Association for Socially Applicable Research (ASAR), Pune, Maharashtra, India; OO Bogomolets National Medical University, KyivAssociation for Socially Applicable Research (ASAR), Pune, MaharashtraAssociation for Socially Applicable Research (ASAR), Pune, Maharashtra; Seth GS Medical College and KEM Hospital, Mumbai, MaharashtraAssociation for Socially Applicable Research (ASAR), Pune, Maharashtra, India; Department of Pediatrics, SUNY Downstate Health Sciences University, City of New York, New YorkAssociation for Socially Applicable Research (ASAR), Pune, Maharashtra, India; GEMINI Research Center, Duke University School of Medicine, Durham NC USA; Dr D. Y. Patil Dental College and Hospital, Dr D. Y. Patil Vidyapeeth, Pune, Maharashtra, India; Department of Epidemiology, Columbia University Mailman School of Public Health, City of New York, New YorkBackground: Lack of policy prioritization of surgical, obstetric, trauma and anesthesia (SOTA) care in South and Southeast Asian countries could be a potential contributor to limited access to care. Objective: To assess the SOTA care prioritization in National Health Policies, Strategies, and Plans (NHPSPs). Methods: We analyzed NHPSPs from twelve South and Southeast Asian countries. These documents are considered the most important health-related policy statements. Bangladesh was excluded due to a lack of English translations. We searched sixteen electronic documents for a predefined list of keywords. The list included 52 keywords related to SOTA care and 7 keywords unrelated to SOTA care (used as a control). We used the keyword frequency (mentions per keyword or MPK) as a measure to compare prioritization between SOTA care and non-SOTA care. We further categorized the SOTA care keywords into five different Lancet Commission on Global Surgery (LCoGS) domains and eight subgroups. Findings: Across twelve NHPSPs, MPK value for SOTA care was 54.09 compared with 202.86 for non-SOTA, with eight NHPSPs having lower MPK values for SOTA care than non-SOTA keywords. Four NHPSPs had no mentions related to SOTA care financing and information management. Pediatric surgery and anesthesia were among the neglected subgroups. Conclusion: The analysis of South and Southeast Asian NHPSPs suggests that SOTA care issues are not prioritized in most countries. Pathways to greater policy attention include integrating SOTA care into ongoing health policy-making and planning efforts and developing and implementing specific national SOTA care plans.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4532global surgerysoutheast asiasouth asiahealth policy |
| spellingShingle | Saloni Mitra Ritika Shetty Shirish Rao Sweta Dubey Siddhesh Zadey Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' Annals of Global Health global surgery southeast asia south asia health policy |
| title | Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' |
| title_full | Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' |
| title_fullStr | Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' |
| title_full_unstemmed | Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' |
| title_short | Prioritization of Surgical, Obstetric, Trauma, and Anesthesia Care in South and Southeast Asian Countries’ Health Planning and Policy-making: 'SOTA Care Policies in South and Southeast Asia' |
| title_sort | prioritization of surgical obstetric trauma and anesthesia care in south and southeast asian countries health planning and policy making sota care policies in south and southeast asia |
| topic | global surgery southeast asia south asia health policy |
| url | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4532 |
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