Second-phase delay in accessing major elective surgeries from a public tertiary health institution in Nigeria: The role of financial constraints

Nnabugwu, Ikenna I; Ugwumba, Fredrick O; Ede, Jude K

doi:10.4103/ijmh.ijmh_16_19

Cited by 1 publication

(1 citation statement)

References 31 publications

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“…The 55 articles in this cluster investigated patient-reported obstacles or challenges to surgical care and reported ‘costs’ or ‘lack of finances’ as a major reason for not seeking 32 and for not obtaining surgical care (following recommendation) 33 34 and as a reason for experiencing delays in accessing 26 35 or dropping out of the surgical continuum of care. 36 37 In a population-based survey to assess the surgical burden of diseases in Uganda, 66% of the people living with treatable surgical conditions cited cost as the reason for not seeking care.…”

Section: Resultsmentioning

confidence: 99%

Financing of surgery and anaesthesia in sub-Saharan Africa: a scoping review

et al. 2021

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ObjectiveThis study aimed to provide an overview of current knowledge and situational analysis of financing of surgery and anaesthesia across sub-Saharan Africa (SSA).SettingSurgical and anaesthesia services across all levels of care—primary, secondary and tertiary.DesignWe performed a scoping review of scientific databases (PubMed, EMBASE, Global Health and African Index Medicus), grey literature and websites of development organisations. Screening and data extraction were conducted by two independent reviewers and abstracted data were summarised using thematic narrative synthesis per the financing domains: mobilisation, pooling and purchasing.ResultsThe search resulted in 5533 unique articles among which 149 met the inclusion criteria: 132 were related to mobilisation, 17 to pooling and 5 to purchasing. Neglect of surgery in national health priorities is widespread in SSA, and no report was found on national level surgical expenditures or budgetary allocations. Financial protection mechanisms are weak or non-existent; poor patients often forego care or face financial catastrophes in seeking care, even in the context of universal public financing (free care) initiatives.ConclusionFinancing of surgical and anaesthesia care in SSA is as poor as it is underinvestigated, calling for increased national prioritisation and tracking of surgical funding. Improving availability, accessibility and affordability of surgical and anaesthesia care require comprehensive and inclusive policy formulations.

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