Cargando…
Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study
BACKGROUND: Surgical capacity is critical for ensuring optimum access to safe, affordable, and timely emergency and essential surgical care (EESC) in low- and middle-income countries (LMICs) like Ethiopia. A five-year strategic plan has been implemented during 2016–2020 in Ethiopia to improve surgic...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000322/ https://www.ncbi.nlm.nih.gov/pubmed/36910165 http://dx.doi.org/10.5334/aogh.3871 |
_version_ | 1784903845262917632 |
---|---|
author | Merga, Kassa Haile Gebreegziabher, Senedu Bekele Getachew, Edlawit Mesfine Sibhatu, Manual Kassaye Beshir, Hassen Mohammed Kumssa, Tsegaye Hailu Ashuro, Akililu Alemu Alemayue, Endawoke Amsalu Teferi, Mikiyas Taye, Desalegn Bekele Meshesha, Berhane Redae Zewude, Wuletaw Chane Shagre, Mulatu Biru |
author_facet | Merga, Kassa Haile Gebreegziabher, Senedu Bekele Getachew, Edlawit Mesfine Sibhatu, Manual Kassaye Beshir, Hassen Mohammed Kumssa, Tsegaye Hailu Ashuro, Akililu Alemu Alemayue, Endawoke Amsalu Teferi, Mikiyas Taye, Desalegn Bekele Meshesha, Berhane Redae Zewude, Wuletaw Chane Shagre, Mulatu Biru |
author_sort | Merga, Kassa Haile |
collection | PubMed |
description | BACKGROUND: Surgical capacity is critical for ensuring optimum access to safe, affordable, and timely emergency and essential surgical care (EESC) in low- and middle-income countries (LMICs) like Ethiopia. A five-year strategic plan has been implemented during 2016–2020 in Ethiopia to improve surgical capacity. OBJECTIVES: This study aims to evaluate the impact of the five-year strategy in surgical capacity in the country. METHODS: A cross sectional survey was conducted in 172 health care facilities in Ethiopia from December 30, 2020, to June 10, 2021. Descriptive statistical analysis was done using STATA statistical software Version 15. FINDINGS: A total of 2,312 surgical workforces were available and, the surgical workforce to population ratio ranged from 1.13:100,000 for public specialized hospitals to 10.8:100,000 for health centre operation room (OR) blocks. Surgical bed to population ratio was 0.03:1000 population, and the average numbers of OR tables per facility were 34. Nearly 25% and 10% of OR tables were not functional in public primary hospitals and private hospitals, respectively. The average surgical volume to population ratio was 189:100,000. CONCLUSIONS: Following the implementation of surgical care strategy, the surgical workforce density has increased. However, the study revealed that there is still a huge unmet gap in surgical capacity. The improvement in surgical volume is very low compared to the increment in the surgical workforce density. In addition to the investment being made to build surgical capacity, emphasis needs to be put on surgical system design and strengthening surgical system efficiency. |
format | Online Article Text |
id | pubmed-10000322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-100003222023-03-11 Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study Merga, Kassa Haile Gebreegziabher, Senedu Bekele Getachew, Edlawit Mesfine Sibhatu, Manual Kassaye Beshir, Hassen Mohammed Kumssa, Tsegaye Hailu Ashuro, Akililu Alemu Alemayue, Endawoke Amsalu Teferi, Mikiyas Taye, Desalegn Bekele Meshesha, Berhane Redae Zewude, Wuletaw Chane Shagre, Mulatu Biru Ann Glob Health Original Research BACKGROUND: Surgical capacity is critical for ensuring optimum access to safe, affordable, and timely emergency and essential surgical care (EESC) in low- and middle-income countries (LMICs) like Ethiopia. A five-year strategic plan has been implemented during 2016–2020 in Ethiopia to improve surgical capacity. OBJECTIVES: This study aims to evaluate the impact of the five-year strategy in surgical capacity in the country. METHODS: A cross sectional survey was conducted in 172 health care facilities in Ethiopia from December 30, 2020, to June 10, 2021. Descriptive statistical analysis was done using STATA statistical software Version 15. FINDINGS: A total of 2,312 surgical workforces were available and, the surgical workforce to population ratio ranged from 1.13:100,000 for public specialized hospitals to 10.8:100,000 for health centre operation room (OR) blocks. Surgical bed to population ratio was 0.03:1000 population, and the average numbers of OR tables per facility were 34. Nearly 25% and 10% of OR tables were not functional in public primary hospitals and private hospitals, respectively. The average surgical volume to population ratio was 189:100,000. CONCLUSIONS: Following the implementation of surgical care strategy, the surgical workforce density has increased. However, the study revealed that there is still a huge unmet gap in surgical capacity. The improvement in surgical volume is very low compared to the increment in the surgical workforce density. In addition to the investment being made to build surgical capacity, emphasis needs to be put on surgical system design and strengthening surgical system efficiency. Ubiquity Press 2023-03-09 /pmc/articles/PMC10000322/ /pubmed/36910165 http://dx.doi.org/10.5334/aogh.3871 Text en Copyright: © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Merga, Kassa Haile Gebreegziabher, Senedu Bekele Getachew, Edlawit Mesfine Sibhatu, Manual Kassaye Beshir, Hassen Mohammed Kumssa, Tsegaye Hailu Ashuro, Akililu Alemu Alemayue, Endawoke Amsalu Teferi, Mikiyas Taye, Desalegn Bekele Meshesha, Berhane Redae Zewude, Wuletaw Chane Shagre, Mulatu Biru Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title | Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title_full | Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title_fullStr | Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title_full_unstemmed | Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title_short | Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study |
title_sort | surgical capacity in public and private health facilities after a five-year strategic plan implementation in ethiopia: a cross sectional study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000322/ https://www.ncbi.nlm.nih.gov/pubmed/36910165 http://dx.doi.org/10.5334/aogh.3871 |
work_keys_str_mv | AT mergakassahaile surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT gebreegziabhersenedubekele surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT getachewedlawitmesfine surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT sibhatumanualkassaye surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT beshirhassenmohammed surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT kumssatsegayehailu surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT ashuroakililualemu surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT alemayueendawokeamsalu surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT teferimikiyas surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT tayedesalegnbekele surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT mesheshaberhaneredae surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT zewudewuletawchane surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy AT shagremulatubiru surgicalcapacityinpublicandprivatehealthfacilitiesafterafiveyearstrategicplanimplementationinethiopiaacrosssectionalstudy |