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
 Number of people

300,000
400,000
500,000
600,000
700,000
800,000
900,000

100,000
200,000

0
Tokelau
Niue
Nauru
Tuvalu
Wallis & Futuna
Cook Islands
Palau
Marshall Isl.
CNMI
Am. Samoa
Kiribati
Tonga
Population size, PICT: 2008

FSM
Guam
Samoa
Vanuatu
New Caledonia
Fr. Polynesia
Solomon Isl.
5

Fiji
 km²

5,000
10,000
15,000
20,000
25,000
30,000

0
Tokelau
Nauru
Tuvalu
Wallis & Futuna
Marshall Isl.
Am. Samoa
Cook Islands
Niue
Palau
CNMI
Guam
Tonga
FSM
Land area (km²), PICT (excl. PNG)

Kiribati
Samoa
Fr. Polynesia
Vanuatu
Fiji Islands
6

New Caledonia
Solomon Isl.
 Proportion of population aged 0-14 years (%)

0
5
10
15
20
30
35
40
45

25
Palau
Niue
New Caledonia
Fr. Polynesia
CNMI
Wallis & Futuna
Guam
Cook Islands
Fiji Islands
Tuvalu
Kiribati
Nauru
Population aged 0-14 (%)

Tokelau
Am. Samoa
FSM
Tonga
Proportion of population aged 0–14, PICT: 2008

Samoa
Vanuatu
PNG
7

Solomon Isl.
Marshall Isl.
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
Percentage of PICs capacity building requests funded/co-funded through SSCSiP (2012 -2015)
Niue
Tuvalu 1%
2% Vanuatu Cook Is
9% 8%

Tonga Fiji
18% 23%

Solomon Is
10%
Kiribati
Samoa FSM
Nauru 7%
13% 4%
5%

Palau
0%
 Types of capacity building requests
Number of PICS clinicians funded/co-funded through SSCSiP (2012 to 2015)

443
450

400

350

300

250

200 179

150 127

100
58
37
50 26 16
0
PCO's Workshop Attachment Scholarship Conference Other Total
 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 Pacific
The 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 DOCTORS
Surgery; 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.