Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool

被引：79

作者：

Choo, Shelly ^{[1
]}

Perry, Henry ^{[2
]}

Hesse, Afua A. J. ^{[3
]}

Abantanga, Francis ^{[4
]}

Sory, Elias ^{[5
]}

Osen, Hayley ^{[1
]}

Fleischer-Djoleto, Charles ^{[6
]}

Moresky, Rachel ^{[7
]}

McCord, Colin W. ^{[8
]}

Cherian, Meena ^{[9
]}

Abdullah, Fizan ^{[1
]}

机构：

[1] Johns Hopkins Univ, Dept Surg, Baltimore, MD 21205 USA

[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA

[3] Korle Bu Teaching Hosp, Dept Surg, Accra, Ghana

[4] Komfo Anokye Teaching Hosp, Dept Surg, Kumasi, Ghana

[5] Ghana Hlth Serv, Accra, Ghana

[6] World Hlth Org Country Off, Accra, Ghana

[7] Columbia Univ, Med Ctr, Dept Med, New York, NY USA

[8] Columbia Univ, Med Ctr, Dept Surg, New York, NY USA

[9] World Hlth Org Headquarters, Dept Essential Hlth Technol Hlth Syst & Serv, Emergency & Essential Surg Care Program, Geneva, Switzerland

来源：

TROPICAL MEDICINE & INTERNATIONAL HEALTH | 2010年 / 15卷 / 09期

关键词：

Ghana; surgery; anaesthesia; obstetrics; Africa; ASSISTANT MEDICAL OFFICERS; SURGICAL WORKFORCE; HEALTH; CARE;

D O I：

10.1111/j.1365-3156.2010.02589.x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

P>Objectives To survey infrastructure characteristics, personnel, equipment and procedures of surgical, obstetric and anaesthesia care in 17 hospitals in Ghana. Methods The assessment was completed by WHO country offices using the World Health Organization Tool for Situational Analysis to Assess Emergency and Essential Surgical Care, which surveyed infrastructure, human resources, types of surgical interventions and equipment in each facility. Results Overall, hospitals were well equipped with general patient care and surgical supplies. The majority of hospitals had a basic laboratory (100%), running water (94%) and electricity (82%). More than 75% had the basic supplies needed for general patient care and basic intra-operative care, including sterilization. Almost all hospitals were able to perform major surgical procedures such as caesarean sections (88%), herniorrhaphy (100%) and appendectomy (94%), but formal training of providers was limited: a few hospitals had a fully qualified surgeon (29%) or obstetrician (36%) available. Conclusions The greatest barrier to improving surgical care at district hospitals in Ghana is the shortage of adequately trained medical personnel for emergency and essential surgical procedures. Important future steps include strengthening their number and qualifications.

引用

页码：1109 / 1115

页数：7

共 22 条

[1] Human resources for health: overcoming the crisis [J].

Chen, L ;

Evans, T ;

Anand, S ;

Boufford, JI ;

Brown, H ;

Chowdhury, M ;

Cueto, M ;

Dare, L ;

Dussault, G ;

Elzinga, G ;

Fee, E ;

Habte, D ;

Hanvoravongchai, P ;

Jacobs, M ;

Kurowski, C ;

Michael, S ;

Pablos-Mendez, A ;

Sewankambo, N ;

Solimano, G ;

Stilwell, B ;

de Waal, A ;

Wibulpolprasert, S .

LANCET, 2004, 364 (9449) :1984-1990

[2] Task shifting for emergency obstetric surgery in district hospitals in Senegal [J].

De Brouwere, Vincent ;

Dieng, Thierno ;

Diadhiou, Mohamed ;

Witter, Sophie ;

Denerville, Ernest .

REPRODUCTIVE HEALTH MATTERS, 2009, 17 (33) :32-44

[3]

Debas HT, 2006, DISEASE CONTROL PRIORITIES IN DEVELOPING COUNTRIES, 2ND EDITION, P1245

[4] Building surgical research capacity in Africa: The Ptolemy Project [J].

Derbew, Miliard ;

Beveridge, Massey ;

Howard, Andrew ;

Byrne, Niall .

PLOS MEDICINE, 2006, 3 (07) :977-979

[5]

Desai S., 2006, EXPANDING EMERGENCY

[6] Where there is no obstetrician - increasing capacity for emergency obstetric care in rural India: An evaluation of a pilot program to train general doctors [J].

Evans, Cherrie Lynn ;

Maine, Deborah ;

McCloskey, Lois ;

Feeley, Frank G. ;

Sanghvi, Harshad .

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2009, 107 (03) :277-282

[7]

*GHAN MOH, 2007, HUM RES HLTH DEV

[8] Anaesthesia services in developing countries: defining the problems [J].

Hodges, S. C. ;

Mijumbi, C. ;

Okello, M. ;

McCormick, B. A. ;

Walker, I. A. ;

Wilson, I. H. .

ANAESTHESIA, 2007, 62 (01) :4-11

[9] Quantifying Surgical Capacity in Sierra Leone A Guide for Improving Surgical Care [J].

Kingham, T. Peter ;

Kamara, Thaim B. ;

Cherian, Meena N. ;

Gosselin, Richard A. ;

Simkins, Meghan ;

Meissner, Chris ;

Foray-Rahall, Lynda ;

Daoh, Kisito S. ;

Kabia, Soccoh A. ;

Kushner, Adam L. .

ARCHIVES OF SURGERY, 2009, 144 (02) :122-127

[10] The general surgery workforce [J].

Kwakwa, F ;

Jonasson, O .

AMERICAN JOURNAL OF SURGERY, 1997, 173 (01) :59-62

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