Table 1 Six indicators of NSOAPs

Number Indicator Description Target
1 Access to timely essential surgery Fraction of the population that can access, within 2 hours, a hospital capable of performing Caesarean section, laparotomy, and open fracture repair under appropriate anaesthetic. By 2030, each nation must have at least 80% coverage of basic surgical and anaethetic services.
2 Specialist (licensed) surgical workforce density (SAO density) Number of active specialist surgical, anaesthetic, and obstetric physicians per 100,000 population. By 2030, every country has at least 20 surgical, anaesthetic, and obstetric physicians per 100,000 people.
3 Perioperative mortality Before discharge or within 30 days, the all-cause death rate in patients who have had a procedure in an operating theatre, divided by the total number of procedures, expressed as a percentage. Tracking perioperative mortality in 80% of nations by 2020 and 100% of countries by 2030; in 2020, review global data and create national objectives for 2030.
4 Total surgical volume Procedures performed in an operating room per 100,000 people each year. 80% of nations tracking surgical volume by 2020, and 100% of countries tracking surgical volume by 2030; a minimum of 5,000 operations per 100,000 people by 2030.
5 Protection against impoverishing surgical care Share of households safeguarded from poverty by direct out-of-pocket payments for surgical and anaesthetic treatment. 100% Protection from out-of-pocket expenditures for necessary surgical and anesthetic services by 2030.
Note: NSOAP, National Surgical, Obstetric, Anaesthesia Plan.