Geographical maldistribution of surgical resources in South Africa: A review of the number of hospitals, hospital beds and surgical beds

Dell, Angela; Kahn, Delawir

doi:10.7196/samj.2017.v107i12.12539

Cited by 22 publications

(23 citation statements)

References 8 publications

(9 reference statements)

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“…South Africa had about 3,000 (out of about 7,000) critical care beds available between the public and private healthcare sectors reserved for critical COVID-19 patients [ 13 ]. A study done in 2017 showed that nationally, there was 1 hospital, 187 hospital beds, and 42 surgical beds per 100,000 population [ 14 ]. South Africa had the most number of COVID-19 infections in the whole of Africa, with a total of 2,272 cases as of April 13, 2020.…”

Section: Introductionmentioning

confidence: 99%

Modelling the Potential Impact of Social Distancing on the COVID-19 Epidemic in South Africa

Nyabadza

Chirove

Chukwu

et al. 2020

Computational and Mathematical Methods in Medicine

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The novel coronavirus (COVID-19) pandemic continues to be a global health problem whose impact has been significantly felt in South Africa. With the global spread increasing and infecting millions, containment efforts by countries have largely focused on lockdowns and social distancing to minimise contact between persons. Social distancing has been touted as the best form of response in managing a rapid increase in the number of infected cases. In this paper, we present a deterministic model to describe the impact of social distancing on the transmission dynamics of COVID-19 in South Africa. The model is fitted to data from March 5 to April 13, 2020, on the cumulative number of infected cases, and a scenario analysis on different levels of social distancing is presented. The model shows that with the levels of social distancing under the initial lockdown level between March 26 and April 13, 2020, there would be a projected continued rise in the number of infected cases. The model also looks at the impact of relaxing the social distancing measures after the initial announcement of the lockdown. It is shown that relaxation of social distancing by 2% can result in a 23% rise in the number of cumulative cases whilst an increase in the level of social distancing by 2% would reduce the number of cumulative cases by about 18%. The model results accurately predicted the number of cases after the initial lockdown level was relaxed towards the end of April 2020. These results have implications on the management and policy direction in the early phase of the epidemic.

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Section: Introductionmentioning

confidence: 99%

Modelling the Potential Impact of Social Distancing on the COVID-19 Epidemic in South Africa

Nyabadza

Chirove

Chukwu

et al. 2020

Computational and Mathematical Methods in Medicine

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“…For comparison with available surveillance data, the NICD's TRAC-South Africa passive laboratorybased surveillance programme -which included just 11 public sector hospitals and 85 private sector hospitals -reported 2 172 cases of candidaemia over a 19-month period in 2009 and 2010. [37] However, there are at least 544 hospitals in SA, [88] suggesting that our estimate is reasonable. In the TRAC-South Africa surveillance, approximately a quarter of isolates were from neonatal ICUs, [89] and these were not incorporated into our estimates.…”

Section: Researchmentioning

confidence: 76%

The estimated burden of fungal disease in South Africa

et al. 2019

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Fungal infections are common and diverse in South Africa (SA), driven in large part by the syndemics of HIV, tuberculosis (TB) and poverty. SA has the dubious distinctions of having the largest HIV epidemic, [1] one of the highest incidences of TB, [2] and-by some measures-the most socioeconomic inequity [3] in the world. Each of these conditions on its own or in combination can predispose individuals to fungal disease, but to our knowledge, the burden of such infections in SA has not previously been estimated. Objectives To estimate the prevalence and incidence of fungal infections in SA, excluding cutaneous infections with the sole exception of tinea capitis because of its severity in a significant minority of children. Methods The burden of fungal disease in SA was estimated using the methodologies of LIFE-worldwide.org. [4] Starting estimates for fungal disease or for conditions complicated by fungal disease were obtained This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

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“…South Africa has a two-tier healthcare system, comprising state-funded hospitals that provide healthcare services to individuals who do not have health insurance, and private hospitals that provide healthcare to those who can afford the services or have private health insurance (Young 2016 ). The state-funded hospitals provide healthcare to 80% of the population who reside in rural, urban and unplanned, temporary housing settlements, surrounding the hospitals (Dell & Kahn 2017 ). According to Krugg and Alarcos ( 2017 ), the two-tiered healthcare system is characterised by mal-distribution of resources where private hospitals are generally better equipped in terms of resources, staffing and infrastructure.…”

Section: Methodsmentioning

confidence: 99%

Describing healthcare providers’ perceptions of relational practice with families in the emergency department: A qualitative study

2020

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Background: Emergency departments are regarded as stressful working environments, associated with staff shortages, increased patient numbers and long waiting times. Increased organisational demands for performance can compromise genuine interactions between families and healthcare providers working in emergency departments. A relational practice approach in caring for families can enhance the capability of healthcare providers to simultaneously overcome these difficulties and provide emergency healthcare of high quality.Objectives: The purpose of the study was to describe healthcare providers’ perceptions of relational practice with families in three emergency departments in KwaZulu-Natal, South Africa.Method: Using a qualitative descriptive approach data were collected through semi-structured interviews with healthcare providers working in emergency departments. The data were analysed and categorised using qualitative content analysis.Results: Four categories emerged from data analysis: (1) families and healthcare providers connecting; (2) recognising the uniqueness of families; (3) caring interactions; and (4) taking charge when necessary.Conclusion: The study elicited that healthcare providers working in emergency departments perceived that despite high patient volumes and resource constraints, collaborative relationships with families were important. However, these collaborative relationships cannot be willed into practice, instead training workshops are needed to develop relational skills of healthcare providers which can facilitate family and healthcare professional collaboration.

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Geographical maldistribution of surgical resources in South Africa: A review of the number of hospitals, hospital beds and surgical beds

Cited by 22 publications

References 8 publications

Modelling the Potential Impact of Social Distancing on the COVID-19 Epidemic in South Africa

Modelling the Potential Impact of Social Distancing on the COVID-19 Epidemic in South Africa

The estimated burden of fungal disease in South Africa

Describing healthcare providers’ perceptions of relational practice with families in the emergency department: A qualitative study

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