Over 70% of the world��s population cannot access essential surgical, obstetric and anaesthesia services (hereafter referred to as ��surgical system�� or ��surgical care��). To address the severe lack of access to surgical care, concerned countries must consider national scale-up of surgical systems. In this publication, surgical systems strengthening is described as a three-step process, consisting of a baseline assessment, followed by facility assessments and finally national planning.
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