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IMEESC toolkit
and health care providers (non-specialist doctors, nurses and paramedics)
Teaching & Reference Guidelines: Surgery, Emergency, Obstetrics,
Essential surgical care
Anesthesia, Trauma & Orthopedics at District Hospital
:: Surgical Care at the District Hospital manual
makes a difference
:: Surgical Care at the District Hospital (SCDH) teaching slides
:: Evaluation of Self Learning
Training Workshops Causes of maternal
:: Trainer’s Guide death worldwide
Each year 1.2 million people are losing their lives because of road traffic
:: Model Agenda
accidents and more than 500 000 women are dying from pregnancy-related
:: Participants Evaluation
complications. Young people between the ages of 15 and 44 years account for
:: Sample Report of Training Workshop
20% 24% almost 50% of global injury-related mortality. In addition to primary prevention
of these tragedies, the ability to apply the correct emergency, surgical and
Best Practice Protocols
anaesthesia procedures is vital.
:: Best Practice Protocols for Clinical Procedures Safety 8%
:: Hand Washing Techniques 15%
:: Waste Disposal for Clinical Procedures
8%
Conditions treatable by surgery account for
:: Disaster Management Guidelines 12%
11% of the global burden of disease.
QUALITY & SAFETY :: Burn Management
13%
EMERGENCY
10-20% of deaths of young adults in developing countries are n Interpersonal violence 10%
Emergency and Essential Surgical Care directly attributable to inadequate surgical knowledge. n War 6%
TRAUMA OBSTETRICS
Clinical Procedures unit SURGERY
n Other 17%
Simple surgery makes a difference.
Department of Essential Health Technologies and
World Health Organization n Road traffic injury 25% ANAESTHESIA
Geneva 27, Switzerland n Poisoning 6%
Fax: +41 22 791 4836 n Falls 6% CONGENITAL INFECTION
www.who.int/surgery
n Fires 5%
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WHO/EHT/CPR/2009 n Drowning 9%
Department of Essential Health Technologies – Emergency and Essential Surgical Care n Self-inflicted violence 16% Department of Essential Health Technologies – Emergency and Essential Surgical Care
Department of Essential Health Technologies - Emergency and Essential Surgical Care
Emergency and Essential Surgical Care (EESC) Global Initiative for Emergency and Essential
Surgical Care (GIEESC)
The WHO Emergency and Essential Surgical Care (EESC) program is
aimed at strengthening emergency, surgery and anaesthesia services for WHO GIEESC was established in December 2005 with the objective to
injuries, disasters, pregnancy-related complications and other surgical improve collaboration among Ministries of Health, WHO country offices,
conditions at first referral level health facilities through education, skills local and international organizations and academia. GIEESC is involved
building and research. in reducing death and disability from road traffic accidents, trauma, burns,
falls, pregnancy related complications, domestic violence, disasters and
AWARENESS EESC is an integral part of Primary Health Care (PHC), providing technical POLICY other surgical conditions. The specific objectives are
support to countries in scaling up frontline health providers in life-saving
and disability-preventive surgical care which requires no expensive Emergency and
essential surgical care • strengthen capacity to deliver effective emergency surgical care at
technology or sophisticated facilities. AIDE-MEMOIRE the first referral level facility, working towards achieving the WHO
�
Millennium Development Goals
Surgical and Emergency Obstetrical Care
at First Referral Level Checklist
Well-organized surgical, obstetric, trauma care and anaesthetic services
are essential for a district hospital to be an effective community Personnel
BUILDING
Providing clinical recommendations to safely EESC in Primary Health Care
manage these and other conditions:
• UNIVERSAL ACCESS
Pregnancy-related complications Increasing the number of appropriately trained providers leads to
• obstructed labour improved access for underserved populations
• unsafe abortions
• SERVICE DELIVERY
Injuries Support capacity building in EESC skills and equipment leading
• road traffic to a greater range of services available in PHC
• violence
• burns • LEADERSHIP
• falls Support worldwide collaboration and partnerships through WHO
“SCDH is an indispensable • disasters GIEESC
manual for outlying health
centres.”
International Federation of Surgical
Other surgical conditions • POLICY
Colleges • male circumcision Providing guidance on comprehensive and integrated EESC for
• congenital clubfoot strengthening health systems
Complete text available online: http://
www.who.int/surgery/publications/en/
• hernias
SCDH.pdf • hydrocoele
• female genital mutilation Patient Assessment during an EESC training workshop
in Mozambique
• infection
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Department of Essential Health Technologies – Emergency and Essential Surgical Care Department of Essential Health Technologies – Emergency and Essential Surgical Care