A resource planning analysis of district hospital surgical services in the Democratic Republic of the Congo

Global Health, Science and Practice
Melanie SionMeena Cherian

Abstract

The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). Data on the availability of anesthesia and surgical services were gathered from 12 DRC district hospitals using the World Health Organization's (WHO's) Emergency and Essential Surgical Care Situation Analysis Tool. We complemented these data with an analysis of the costs of surgical services in a Congolese norms-based district hospital as well as in 2 of the 12 hospitals in which we conducted the situational analysis (Demba and Kabare District Hospitals). For the cost analysis, we used WHO's integrated Healthcare Technology Package tool. Of the 32 surgical interventions surveyed, only 2 of the 12 hospitals provided all essential services. The deficits in procedures varied from no deficits to 17 services that could not be provided, with an average of 7 essential procedures unavailable. Many of the hospitals did not have basic infrastructure such as running water and electricity; 9 of 12 had no or interrupted water and 7 of 12 h...Continue Reading

References

Oct 3, 2006·Lancet·Carine RonsmansUNKNOWN Lancet Maternal Survival Series steering group

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Citations

Jan 30, 2016·World Journal of Surgery·Rachel A HadlerAdam L Kushner
Nov 4, 2016·The Journal of Bone and Joint Surgery. American Volume·Kiran J Agarwal-HardingGeorge S M Dyer

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Methods Mentioned

BETA
circumcision
sedation

Software Mentioned

iHTP

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