The Lancet commission on Global Surgery recommends that the surgical workforce should be scaled up to 20 surgeons, anaesthetists and obstetricians (SAO) providers per 100,000 population. However, 44% of the world’s population live in countries where this level is not met. To reach this target, it is estimated that an additional 1.27 million providers will be required in LMICs with associated training costs estimated at $45 billion. With the current level of scaling up surgical services only half of LMICs will reach the target of 5000 surgical procedures per 100,000 population by 2030. Training models used in Sierra Leone and Mongolia with a clear structure and targeted goals have increased the surgical work force and improved the quality of surgical care.
The Global Health Research Group in Surgical Technologies (GHRG-ST), University of Leeds, is partnering with stakeholders in India to undertake research and improve the provision of surgical care in NE India. India is a “lower middle-income” country on the Organisation for Economic Co operation and Development (OECD) Development Assistance Committee
(DAC) list. The research goals of the group are to identify the barriers to surgical care, characterise and prioritise the unmet surgical needs, develop technological solutions, to implement change and evaluate the effect on healthcare systems. The Gas Insufflation Less Laparoscopic Surgery projects in North East India will focus on assessing need, accessibility, acceptability and safety.