GLOBAL HEALTH SYMPOSIUM

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

RACS Melbourne October 2015

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

REGIONAL PERSPECTIVE from TONGA

Dr. Viliami Tangi. FRACS

NO CONFLICT OF INTEREST

THE PACIFIC

Population size, PICT: 2008

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100,000

200,000

300,000

400,000

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600,000

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Land area (km²), PICT (excl. PNG)

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Proportion of population aged 0–14, PICT: 2008

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HUMAN RESOURCES IN HEALTH; TONGA 2015

66 doctors/ 100 000

16 Surgical& Anaesthesia Providers/ 100 000

PIC doctors (PG & MMED doctors; 2013/2014 numbers)

Country Internal Medicine Paediatrics Surgery Anaesthesia O&G

Cook Is 3 1 3 1

Fiji 28 14 32 18 28

FSM 5 3 5 5 5

Kiribati 1 3 2 3 2

Niue - - 1 1 1

Nauru - - 1 1 1

Palau 3 2 3 2 2

RMI 4 3 3 1 2

Samoa 3 3 4 4 6

Solomon Is 3 3 5 3 2

Tonga 2 4 4 3 4

Tuvalu 1 - 1 - -

Tokelau - - - - -

Vanuatu 2 1 6 2 5

Total 55 36 68 46 59

PICs Capacity Building Requests from 2012 to 2014

Niue1%

Cook Is8%

Fiji23%

FSM4%

Kiribati7%

Nauru5%

Palau0%

Samoa13%

Solomon Is10%

Tonga18%

Tuvalu2% Vanuatu

9%

Percentage of PICs capacity building requests funded/co-funded through SSCSiP (2012 -2015)

Types of capacity building requests

PCO's Workshop Attachment Scholarship Conference Other Total0

50

100

150

200

250

300

350

400

450

179

127

5837 26 16

443

Number of PICS clinicians funded/co-funded through SSCSiP (2012 to 2015)

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

NEEDS:

Well Trained General Surgeons

More Additional Specialised experiences and exposure.

Strengthening Safe Surgery and Anaesthesia in Asia PacificThe Players in the Pacific…..Countries;

RACS / PIP/ Visiting Specialist Teams Other Visiting Teams

NZMTS SSCSiP PMA SPC

ANZCA PISA

Pacific Anaesthetic Society

AIDS EFFECTIVENESS IN THE PACTIC

Reality: Only those with relatively good capacity and experience are able to use Aid to shape sector activity

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

Visiting Surgical Team; Tonga, 2015.

12 Visiting Teams

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

SPECIALIST TRAINING OF OUR YOUNG DOCTORSSurgery; Obstetric&Gynaecology; Anaesthesia-

Master Degree, 4 years (Future Leaders).RACS/PIP FUTURE ROLES.

PISA

Strengthening Safe Surgery and Anaesthesia in Asia Pacific

PERIOPERATIVE MORTALITY (POMR).

Cook Island; Tonga; Fiji

Solomon Islands; Kiribati-SSCSiP helping.

All Pacifi countries have endorsed this work.

THANK YOU.