Background: Cancellation of scheduled surgery leads to operating theatre under-occupancy and is recognised as a major cause of emotional trauma to patients and their families. This study aimed to assess the incidence of elective surgery cancellation in order to make proposals for healthcare improvement. Methods: A prospective study was undertaken on cancellation of scheduled surgery in the general surgery service. Cancellation is considered to have occurred when planned surgery did not take place on the day it was scheduled and recognised as 'final' when it was no longer considered at a later date. Cancellations were classed as 'avoidable' or 'unavoidable' . Results: A total of 103 surgeries were scheduled for patients with an average age of 41.1 years. Abdominal surgery (36.9%) dominated and 63.1% (n = 65) of the operations were scheduled. Some 36.9% (n = 38) of interventions were delayed, of which 9.7% (n = 10) were definitively cancelled and 27.2% (n = 28) were carried forward. Half of the cancellations (47.4%) were related to equipment and 31.6% related to patient factors. Hospital-related cancellation accounted for 63.9%. Cancellation was avoidable in 68.5% of cases. A financial cause was relevant for 16.6% (n = 6) and 2.6% of cancellations were due to a 'long preceding intervention' . Conclusion: The impact of cancellation is high and better organisation and communication between relevant role players within the operating theatre should reduce unnecessary cancellation.

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Cet article analyse le rôle du crédit et de l’éducation dans les différences de productivité du maïs entre femmes et hommes au Burkina Faso. La décomposition d’Oaxaca et Blinder a été utilisée sur un échantillon de 2421 ménages, producteurs de maïs. Les résultats montrent que l’accès des femmes au crédit agricole réduit les différences de productivité d’environ 8,44%. Par ailleurs, la faible dotation en équipements agricoles ainsi que la faible participation des femmes aux organisations paysannes les privent d’énormes opportunités qui augmenteraient leur productivité. Le lien entre l’éducation et les écarts de productivité agricole entre les sexes n’a cependant pas été établi et nous l’avons expliqué par une possible inadéquation entre les programmes éducatifs formels et les réalités des zones rurales. Les résultats suggèrent de renforcer les politiques de distribution du crédit avec des taux d’intérêt préférentiels, et la mise en place d’un dispositif de suivi des fonds.

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