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This two-day program brought together experts from global surgery, public health, health policy, and clinical practice to address planned challenges in SAO care, focusing on data-driven approaches, sustainable financing, and workforce development. The discussions emphasized leveraging data to strengthen SAO care systems by creating practical data products for localized planning and community engagement. Participants advocated for dynamic observatories to support data-driven research and policy implementation, making SAO care more accessible and efficient. Sustainable financing emerged as a key focus, with experts discussing innovative approaches that move beyond conventional models. Community-based solutions, decentralized funding, and performance-based models were discussed as strategies to optimize resource allocation. Establishing partnerships involving government, private, and community sectors was highlighted as crucial for achieving financial sustainability, particularly in underserved areas. Workforce development discussions addressed competency-based training and task-sharing initiatives to reduce disparities. The attendees agreed on the need for structured training to enhance surgical skills, especially for general practitioners in rural areas. Regulatory policies on task-sharing and task-shifting were considered essential to maintaining care quality while expanding access. Improving trauma care and emergency response through targeted training and rural workforce retention also remained key priorities. Advocacy efforts focused on integrating SAO care into national health priorities through data-driven communication and public engagement. 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Accessed 14 May 2025."}],"container-title":["BMC Proceedings"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12919-025-00351-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12919-025-00351-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12919-025-00351-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T23:02:16Z","timestamp":1762124536000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcproc.biomedcentral.com\/articles\/10.1186\/s12919-025-00351-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,3]]},"references-count":43,"journal-issue":{"issue":"S31","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["351"],"URL":"https:\/\/doi.org\/10.1186\/s12919-025-00351-3","relation":{},"ISSN":["1753-6561"],"issn-type":[{"value":"1753-6561","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,3]]},"assertion":[{"value":"3 November 2025","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This manuscript does not involve any human\/animal subjects as research participants. Hence, ethics approval and consent obligations are not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors and meeting attendees consent to the publication of this report. Consent from individuals who appear in the meeting pictures has been obtained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Siddhesh Zadey is the co-founding director of the Association for Socially Applicable Research (ASAR). He also represents ASAR at the G4 Alliance Permanent Council. He serves as the Chair of the SOTA Care in Asia Working Group, the G4 Alliance, Fellow of the Lancet Citizens\u2019 Commission on Reimagining India\u2019s Health System, and the Drafting Committee Member for Maharashtra State Mental Health Policy. Janet Martin is a consultant to WHO and WFSA and has Advisory roles with the NIHR Global Surgery Unit, the Utstein Group, WFSA, and the Laerdal Foundation. Chinmayee Swain, Anchal Dhiman, Shikha Sharma, and Kalpana Pawalia are Consultants at the National Health Systems Resource Centre (NHSRC), Ministry of Health and Family Welfare, India. Other authors declare no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest\/disclosures"}}],"article-number":"35"}}