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About 1.7 billion children and adolescents, mostly in low- and middle-income countries (LMICs) lack access to surgical care. While some of these countries have developed surgical plans and others are in the process of developing theirs, children's surgery has not received the much-needed specific emphasis and focus in these plans. With the significant burden of children's surgical conditions especially in low- and middle-income countries, universal health coverage and the United Nations' (UN) Sustainable Development Goals (SDG) will not be achieved without deliberate efforts to scale up access to children's surgical care. Inclusion of children's surgery in National Surgical Obstetric and Anaesthesia Plans (NSOAPs) can be done using the Global Initiative for Children's Surgery (GICS)-modified Children's Surgical Assessment Tool (CSAT) tool for baseline assessment and the Optimal Resources for Children Surgical Care (OReCS) as a foundational tool for implementation.

Original publication




Journal article


Pediatr Surg Int

Publication Date





529 - 537


Child health, Children’s surgery, Infrastructure, NSOAP, OReCS, Workforce, Adolescent, Child, Child Health, Child, Preschool, Developing Countries, Female, Global Health, Health Services Accessibility, Health Workforce, Humans, Pregnancy, Specialties, Surgical, Surgical Procedures, Operative