PDF(Pubmed)
Abstract：
UNASSIGNED: the burden of diseases amenable to surgery, obstetrics, trauma, and anesthesia (SOTA) care is increasing globally but low- and middle-income countries are disproportionately affected. The Lancet Commission on Global Surgery proposed National Surgical, Obstetrics, and Anesthesia Plans as national policies to reduce the global SOTA burden. These plans are dependent on comprehensive stakeholder engagement and health policy analysis. Objective: in this study, we analyzed existing national health policies and events in Cameroon to identify opportunities for SOTA policies.
UNASSIGNED: we searched the Cameroonian Ministry of Health´s health policy database to identify past and current policies. Next, the policies were retrieved and screened for mentions of SOTA-related interventions using relevant keywords in French and English, and analyzed using the \'eight-fold path´ framework for public policy analysis.
UNASSIGNED: we identified 136 policies and events and excluded 16 duplicates. The health policies and events included were implemented between 1967 and 2021. Fifty-nine policies and events (49.2%) mentioned SOTA care: governance (n=25), infrastructure (n=21), service delivery (n=11), workforce (n=11), information management (n=10), and funding (n=8). Most policies and events focused on maternal and neonatal health, followed by anesthesia, ophthalmologic surgery, and trauma. National, multinational civil society organizations and private stakeholders supported these policies and events, and the Cameroonian Ministry of Public Health was the largest funder.
UNASSIGNED: most Cameroonian SOTA-related policies and events focus on maternal and neonatal care, and health financing is the health system component with the least policies and events. Future SOTA policies should build on existing strengths while improving neglected areas, thus attaining shared global and national goals by 2030.
UNASSIGNED: we searched the Cameroonian Ministry of Health´s health policy database to identify past and current policies. Next, the policies were retrieved and screened for mentions of SOTA-related interventions using relevant keywords in French and English, and analyzed using the \'eight-fold path´ framework for public policy analysis.
UNASSIGNED: we identified 136 policies and events and excluded 16 duplicates. The health policies and events included were implemented between 1967 and 2021. Fifty-nine policies and events (49.2%) mentioned SOTA care: governance (n=25), infrastructure (n=21), service delivery (n=11), workforce (n=11), information management (n=10), and funding (n=8). Most policies and events focused on maternal and neonatal health, followed by anesthesia, ophthalmologic surgery, and trauma. National, multinational civil society organizations and private stakeholders supported these policies and events, and the Cameroonian Ministry of Public Health was the largest funder.
UNASSIGNED: most Cameroonian SOTA-related policies and events focus on maternal and neonatal care, and health financing is the health system component with the least policies and events. Future SOTA policies should build on existing strengths while improving neglected areas, thus attaining shared global and national goals by 2030.
摘要：
■适合手术的疾病负担，产科,创伤,和麻醉（SOTA）护理在全球范围内正在增加，但低收入和中等收入国家受到的影响不成比例。柳叶刀全球外科委员会提议国家外科，产科,和麻醉计划作为减轻全球SOTA负担的国家政策。这些计划取决于利益相关者的全面参与和卫生政策分析。目的:在本研究中,我们分析了喀麦隆现有的国家卫生政策和事件,以确定SOTA政策的机会.
■我们搜索了喀麦隆卫生部的卫生政策数据库，以确定过去和当前的政策。接下来,使用法语和英语的相关关键字检索和筛选政策，以提及SOTA相关干预措施，并使用“八重路径”框架进行公共政策分析。
■我们确定了136个策略和事件，并排除了16个重复项。所包括的卫生政策和事件在1967年至2021年之间实施。59项政策和事件(49.2%)提到SOTA护理：治理(n=25)，基础设施(n=21)，服务交付(n=11)，劳动力(n=11)，信息管理(n=10)，和资金（n=8）。大多数政策和活动侧重于孕产妇和新生儿健康，接着是麻醉,眼科手术,和创伤。National,跨国民间社会组织和私人利益攸关方支持这些政策和活动，喀麦隆公共卫生部是最大的资助者。
■大多数与喀麦隆SOTA相关的政策和活动都集中在孕产妇和新生儿护理上，卫生筹资是政策和事件最少的卫生系统组成部分。未来的SOTA政策应建立在现有优势的基础上，同时改善被忽视的领域，到2030年实现共同的全球和国家目标。
■我们搜索了喀麦隆卫生部的卫生政策数据库，以确定过去和当前的政策。接下来,使用法语和英语的相关关键字检索和筛选政策，以提及SOTA相关干预措施，并使用“八重路径”框架进行公共政策分析。
■我们确定了136个策略和事件，并排除了16个重复项。所包括的卫生政策和事件在1967年至2021年之间实施。59项政策和事件(49.2%)提到SOTA护理：治理(n=25)，基础设施(n=21)，服务交付(n=11)，劳动力(n=11)，信息管理(n=10)，和资金（n=8）。大多数政策和活动侧重于孕产妇和新生儿健康，接着是麻醉,眼科手术,和创伤。National,跨国民间社会组织和私人利益攸关方支持这些政策和活动，喀麦隆公共卫生部是最大的资助者。
■大多数与喀麦隆SOTA相关的政策和活动都集中在孕产妇和新生儿护理上，卫生筹资是政策和事件最少的卫生系统组成部分。未来的SOTA政策应建立在现有优势的基础上，同时改善被忽视的领域，到2030年实现共同的全球和国家目标。
