Nicaraguan Surgical and Anesthesia Infrastructure: Survey of Ministry of Health Hospitals

Solís, Carolina; Leon, Pablo Mendes de; Sánchez, Nora; Burdic, MacKenzie; Johnson, Logan; Warren, Hannah; Iddriss, Adam; McQueen, Kelly

doi:10.1007/s00268-013-2112-8

Cited by 25 publications

(17 citation statements)

References 27 publications

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“…Of these, 19 reports described water availability at hospitals in a LMIC ( Figure 1). 23,[29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] LMICs with at least one report of water availability spanned 5 continents: Africa (11 reports; 58% of reports); Asia (4; 21%); South America (2; 11%); North and Central America (1; 5%); and Oceania (1; 5%). Reports from 3 countries, Afghanistan, Somalia, and Ghana, did not include hospital-specific data regarding water availability.…”

Section: Search Resultsmentioning

confidence: 99%

Water availability at hospitals in low- and middle-income countries: implications for improving access to safe surgical care

Chawla

Gupta

Onchiri

et al. 2016

Journal of Surgical Research

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Section: Search Resultsmentioning

confidence: 99%

Water availability at hospitals in low- and middle-income countries: implications for improving access to safe surgical care

Chawla

Gupta

Onchiri

et al. 2016

Journal of Surgical Research

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“…Therefore, committed attention to improve essential item availability to this keystone of LMIC referral systems is urgently needed. 31 , 32 , 33 , 34 …”

Section: Discussionmentioning

confidence: 99%

Availability of resources for emergency care at a second-level hospital in Ghana: A mixed methods assessment

Japiong

Asiamah

Owusu‐Dabo

et al. 2016

African Journal of Emergency Medicine

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IntroductionEmergency care is an essential component of health systems, particularly in low- and middle-income countries. We sought to assess the availability of resources to provide emergency care at a second-level hospital in Ghana. By doing so, deficits that could guide development of targeted intervention strategies to improve emergency care could be identified.MethodsA qualitative and quantitative assessment of capacity for care of emergency patients was performed at the Emergency Centre of the Police Hospital, a second-level hospital in Accra, Ghana. Direct inspection and job-specific survey of clinical, orderly, administrative and ambulance staff was performed. Responses to quantitative questions were described. Qualitative responses were examined by content analysis.ResultsAssessment revealed marked deficiencies in many essential items and services. However, several successes were identified, such as laboratory capacity. Among the unavailable essential items, some were of low-cost, such as basic airway supplies, chest tubes and several emergency medications. Themes from staff responses when asked how to improve emergency care included: provide periodic training, increase bed numbers in the emergency unit, ensure availability of essential items and make personal protective equipment available for all staff caring for patients.ConclusionThis study identified opportunities to improve the care of patients with emergency conditions at the Police Hospital in Ghana. Low-cost improvements in training, organization and planning could improve item and service availability, such as: developing a continuing education curriculum for staff in all areas of the emergency centre; holding in-service training on existing protocols for triage and emergency care; adding checklists to guide appropriate triage and safe transfer of patients; and perform a root cause analysis of item non-availability to develop targeted interventions.

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“…Comparisons can be made between Guyana and other LMICs in the WHO Americas region where this survey has been completed [ 6 ]. Nicaragua has 580 OB/GYN, 1040 non-OB/GYN surgeons, and 250 anaesthesiologists [ 4 ]. Nicaragua’s national referral hospitals perform 7776 surgeries annually and all but six (out of 28 surveyed) of their primary hospitals provide surgical services.…”

Section: Discussionmentioning

confidence: 99%

“…This surgical and anaesthesia infrastructure survey was previously completed in Guatemala [ 3 ], Nicaragua [ 4 ], Bolivia [ 5 ], and Guyana. Guyana serves as the headquarters for the Caribbean Community (CARICOM).…”

Section: Introductionmentioning

confidence: 99%

Anaesthesia, surgery, obstetrics, and emergency care in Guyana

Vansell¹,

Schlesinger²,

Harvey³

et al. 2014

JEGH

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The surgical and anaesthesia needs of low-income countries are mostly unknown due to the lack of data on surgical infrastructure and human resources. The goal of this study is to assess the surgical and anaesthesia capacity in Guyana. A survey tool adapted from the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was used to survey nine regional and district hospitals within the Ministry of Health system in Guyana. In nine hospitals across Guyana, there were an average of 0.7 obstetricians/gynaecologists, 3.5 non-OB surgeons, and 1 anaesthesiologist per hospital. District and regional hospitals performed an annual total of 1520 and 10,340 surgical cases, respectively. All but 2 district hospitals reported the ability to perform surgery. An average hospital has two operating rooms; 6 out of 9 hospitals reported routine medication shortages, and 4 out of 9 hospitals reported routine water or electricity shortages. Amongst the three regional hospitals, 16.1% of pregnancies resulted in Caesarean section. Surgical capacity varies by hospital type, with district hospitals having the least surgical capacity and surgical volume. District level hospitals routinely do not perform surgery due to lack of basic infrastructure and human resources.

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Nicaraguan Surgical and Anesthesia Infrastructure: Survey of Ministry of Health Hospitals

Cited by 25 publications

References 27 publications

Water availability at hospitals in low- and middle-income countries: implications for improving access to safe surgical care

Water availability at hospitals in low- and middle-income countries: implications for improving access to safe surgical care

Availability of resources for emergency care at a second-level hospital in Ghana: A mixed methods assessment

Anaesthesia, surgery, obstetrics, and emergency care in Guyana

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