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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
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
900,000
Toke
lau
Niu
e N
auru
Tuva
luW
allis
& F
utun
aCo
ok Is
land
sPa
lau
Mar
shal
l Isl
.CN
MI
Am. S
amoa
Kiri
bati
Tong
aFS
MG
uam
Sam
oa Vanu
atu
New
Cal
edon
iaFr
. Pol
ynes
iaSo
lom
on Is
l.Fi
ji
Num
ber o
f peo
ple
5
Land area (km²), PICT (excl. PNG)
0
5,000
10,000
15,000
20,000
25,000
30,000To
kela
uN
auru
Tuva
luW
allis
&
Futu
naM
arsh
all I
sl.
Am. S
amoa
Cook
Isla
nds
Niu
e Pa
lau
CNM
IG
uam
Tong
aFS
MKi
ribati
Sam
oaFr
. Pol
ynes
ia Vanu
atu Fi
ji Is
land
sN
ew C
aled
onia
Solo
mon
Isl.
km²
6
Proportion of population aged 0–14, PICT: 2008
0
5
10
15
20
25
30
35
40
45
Pala
uN
iue
New
Cal
edon
iaFr
. Pol
ynes
iaCN
MI
Wal
lis &
Fu
tuna
Gua
mCo
ok Is
land
sFi
ji Is
land
sTu
valu
Kirib
atiN
auru
Toke
lau
Am. S
amoa
FSM
Tong
aSa
moa
Vanu
atu
PNG
Solo
mon
Isl.
Mar
shal
l Isl
.
Population aged 0-14 (%)
Prop
ortio
n of
pop
ulati
on a
ged
0-14
yea
rs (%
)
7
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.