Volume : 3, Issue : 12, DEC 2017


Sanjay Maitra, Samput Mallick, Bappaditya Halder, Samir Mallick


Surgery is one of the most sought after treatment for humankind, but, globally there is shortage of surgical care, and many people die worldwide, especially in medium and low income group countries for this reason. Comparing with other types of primary care like Vitamin A distribution or immunisation against measles, many a times surgical care like emergency obstetric care in rural health set up are cheaper and cost effective strategy. Surgery can play a critical role to achieve the Millennium Development Goals (MDGs) of the United Nations. This requires change in perception to integrate surgical care and primary care, and related to growth of health spending. Since 1990s, the ratio of Total Health Expenditure (THE) as a % of GDP increasing for the BRICS countries (Brazil, Russia, India, China, South Africa), which is an indication that health expenditure of these group of countries is growing in rapid pace. Our aim is to build up a conceptual framework to integrate primary care with surgery which is based on building block model for health systems provided by Wold Health Organisation.


BRICS, Framework, Primary Care, Surgical Care.

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