Stories from the field
Making a difference
In 2004, as part of its national health plan, Mongolia launched a project to strengthen emergency and essential surgical care at the district hospital level. Since then, 187 general practitioners, 657 physicians in anaesthesia and surgery, 20 rural midwives and feldshers (physician assistants), and 50 rural nurses representing 14 Aimags (districts), have been trained using the Mongolian adaptation of the WHO IMEESC toolkit. As a result of the training, health workers were able to perform life-saving surgical and anesthestetic procedures in rural health facilities at the Aimag and Soum (subdistrict) level, thus reducing the need for referral to tertiary care centers.
Emergency and essential surgical care has been integrated as a component of the Comprehensive Council Health Plan (CCHP) in Tanzania.
In June, 2010, short training courses on emergency surgical care were carried out involving 24 regional medical officers and 24 in-charges of regional referral hospitals. The WHO IMEESC Toolkit was used as the primary training tool.