InciSioN Global / Global Engagement / Health Systems

Acute care is a continuum.
Every link matters.

From the first response in a community to emergency stabilization, critical support, an operation and recovery, saving lives depends on a connected system. Explore WHO’s Acute Care Action Network and why InciSioN contributes a global surgery perspective.

Our engagement: InciSioN participates in ACAN, with eight representatives across its four working-group areas.

01 / Why this matters

Safe surgery starts long before the operating theatre.

A patient may need transport, triage, emergency treatment, anaesthesia, surgery, critical care and follow-up. The patient experiences one journey—even when services are managed by different teams.

Simplified educational pathway based on WHO’s emergency-care system framing; not an official five-stage WHO classification.

02 / The ECO continuum

Three interdependent fields. One system.

Emergency care

Rapid recognition, assessment, stabilization and referral for acute illness and injury.

Critical care

Life-sustaining treatment and monitoring when patients experience or risk severe organ dysfunction.

Operative care

Surgery, anaesthesia and perioperative services—including time-sensitive operations and postoperative support.

The interfaces matter: oxygen supply, blood availability, transport, workforce, communication and financing determine whether the continuum functions.

03 / World Health Assembly

WHA76.2: a mandate for integrated ECO care

Adopted on 30 May 2023, WHA76.2 recognizes emergency, critical and operative care as central to universal health coverage and protection from health emergencies. It calls for integrated planning, equitable access, workforce development and resilient service delivery.

Policy progression
2015 · WHA68.15
Essential surgery and anaesthesia
2019 · WHA72.16
Timely emergency care
2023 · WHA76.2
Integrated emergency, critical and operative care
2024 · WHA77(8)
Decision to develop a global strategy
2026 · WHA79(17)
Adoption of the 2026–2035 strategy

04 / The WHO network

What is ACAN?

The WHO-managed Acute Care Action Network connects participant organizations around the implementation, evaluation and advocacy needed for stronger acute care, particularly in lower-resource health systems. Its collaboration does not replace national leadership or confer WHO implementation authority on participants.

Priority 01

Strengthening services

Support the appropriate use and spread of WHO acute-care tools.

Priority 02

Empowering communities

Link community first response, care seeking and formal services.

Priority 03

Improving clinical quality

Support facility-based improvement and safer patient care.

Priority 04

Enhancing access

Clarify which services and referral functions belong at different levels.

Priority 05

Informing action

Assess systems and translate evidence into workable priorities.

Four areas of collaborative work

WHO tools & resources

Supporting implementation and learning across care settings.

Community empowerment

Connecting first response with appropriate formal pathways.

Clinical quality improvement

Strengthening facility processes and feedback.

Advocacy & resource mobilization

Making integrated care visible in financing and policy discussions.

Explore ACAN at WHO ↗

05 / Foundational tools

Community response and clinical first-contact care

Community First Aid Response (CFAR)

Designed for designated community responders linked to a health system. Recognition, safety, simple appropriate actions, activation and handover are central.

Basic Emergency Care (BEC)

A structured course for first-contact health workers using systematic assessment, including the ABCDE approach. It does not replace professional scope or supervision.

07 / Country spotlight

COMING SOON · GHANA

From global dialogue to a Ghana-based exploration.

In collaboration with InciSioN Ghana, InciSioN Global is exploring locally informed, simulation-supported approaches to sustaining first-contact emergency-care learning and stronger connections across the care pathway.

Developed with attention to Ghana’s context, existing emergency services and local ownership. Specific delivery partners, locations and implementation arrangements will be announced only when confirmed.

08 / Explore further

Learn the system. Explore the evidence.

CFAR & BEC — learning guide

Who each programme is for, what it teaches and where official WHO material can be accessed.

Ghana — an emerging initiative

Why Ghana, what is being explored with InciSioN Ghana and what has not yet been announced.

Primary sources: WHO ACAN · WHA76.2 · WHA79(17)

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