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Surgical and Trauma Capacity Assessment in Rural Haryana, India

BACKGROUND: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma h...

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Autores principales: Bhatia, Manisha B., Mohan, Srivarshini C., Blair, Kevin J., Boeck, Marissa A., Bhalla, Ashish, Sharma, Sristi, Helenowski, Irene, Tatebe, Leah C., Nwomeh, Benedict C., Swaroop, Mamta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879992/
https://www.ncbi.nlm.nih.gov/pubmed/33614421
http://dx.doi.org/10.5334/aogh.3173
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author Bhatia, Manisha B.
Mohan, Srivarshini C.
Blair, Kevin J.
Boeck, Marissa A.
Bhalla, Ashish
Sharma, Sristi
Helenowski, Irene
Tatebe, Leah C.
Nwomeh, Benedict C.
Swaroop, Mamta
author_facet Bhatia, Manisha B.
Mohan, Srivarshini C.
Blair, Kevin J.
Boeck, Marissa A.
Bhalla, Ashish
Sharma, Sristi
Helenowski, Irene
Tatebe, Leah C.
Nwomeh, Benedict C.
Swaroop, Mamta
author_sort Bhatia, Manisha B.
collection PubMed
description BACKGROUND: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma healthcare delivery. Prior to implementing change, the capacities of the rural India healthcare system need to be identified. OBJECTIVE: The object of this study was to estimate surgical and trauma care capacities of government health facilities in rural Nanakpur, Haryana, India using the Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) and International Assessment of Capacity for Trauma (INTACT) tools. METHODS: The PIPES and INTACT tools were administered at eight government health facilities serving the population of Nanakpur in June 2015. Data analysis was performed per tool subsection, and an overall score was calculated. Higher PIPES or INTACT indices correspond to greater surgical or trauma care capacity, respectively. FINDINGS: Surgical and trauma care capacities increased with higher levels of care. The median PIPES score was significantly higher for tertiary facilities than primary and secondary facilities [13.8 (IQR 9.5, 18.2) vs. 4.7 (IQR 3.9, 6.2), p = 0.03]. The lower-level facilities were mainly lacking in personnel and procedures. CONCLUSIONS: Surgical and trauma care capacities at healthcare facilities in Haryana, India demonstrate a shortage of surgical resources at lower-level centers. Specifically, the Primary Health Centers were not operating at full capacity. These results can inform resource allocation, including increasing education, across different facility levels in rural India.
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spelling pubmed-78799922021-02-18 Surgical and Trauma Capacity Assessment in Rural Haryana, India Bhatia, Manisha B. Mohan, Srivarshini C. Blair, Kevin J. Boeck, Marissa A. Bhalla, Ashish Sharma, Sristi Helenowski, Irene Tatebe, Leah C. Nwomeh, Benedict C. Swaroop, Mamta Ann Glob Health Original Research BACKGROUND: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma healthcare delivery. Prior to implementing change, the capacities of the rural India healthcare system need to be identified. OBJECTIVE: The object of this study was to estimate surgical and trauma care capacities of government health facilities in rural Nanakpur, Haryana, India using the Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) and International Assessment of Capacity for Trauma (INTACT) tools. METHODS: The PIPES and INTACT tools were administered at eight government health facilities serving the population of Nanakpur in June 2015. Data analysis was performed per tool subsection, and an overall score was calculated. Higher PIPES or INTACT indices correspond to greater surgical or trauma care capacity, respectively. FINDINGS: Surgical and trauma care capacities increased with higher levels of care. The median PIPES score was significantly higher for tertiary facilities than primary and secondary facilities [13.8 (IQR 9.5, 18.2) vs. 4.7 (IQR 3.9, 6.2), p = 0.03]. The lower-level facilities were mainly lacking in personnel and procedures. CONCLUSIONS: Surgical and trauma care capacities at healthcare facilities in Haryana, India demonstrate a shortage of surgical resources at lower-level centers. Specifically, the Primary Health Centers were not operating at full capacity. These results can inform resource allocation, including increasing education, across different facility levels in rural India. Ubiquity Press 2021-02-12 /pmc/articles/PMC7879992/ /pubmed/33614421 http://dx.doi.org/10.5334/aogh.3173 Text en Copyright: © 2021 The Author(s) http://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
Bhatia, Manisha B.
Mohan, Srivarshini C.
Blair, Kevin J.
Boeck, Marissa A.
Bhalla, Ashish
Sharma, Sristi
Helenowski, Irene
Tatebe, Leah C.
Nwomeh, Benedict C.
Swaroop, Mamta
Surgical and Trauma Capacity Assessment in Rural Haryana, India
title Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_full Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_fullStr Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_full_unstemmed Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_short Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_sort surgical and trauma capacity assessment in rural haryana, india
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879992/
https://www.ncbi.nlm.nih.gov/pubmed/33614421
http://dx.doi.org/10.5334/aogh.3173
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