Jamie E Anderson1,2,3, Aliyu Baba Ndajiwo1, Susuti Aaron Nuhu1,4, Olubunmi Aiyedun Lawal1,5, Joseph O Amedu1,4, Emmanuel A Ameh6,7. 1. Nigeria National Surgical, Obstetric, Anesthesia, Nursing Plan Committee, Abuja, Nigeria. 2. Harvard Medical School Program for Global Surgery and Social Change, Boston, MA, USA. 3. Department of Surgery, University of California, Davis, Sacramento, CA, USA. 4. Department of Hospital Services, Federal Ministry of Health, Abuja, Nigeria. 5. National Association of Nigerian Paediatric Nurses, Abuja, Nigeria. 6. Nigeria National Surgical, Obstetric, Anesthesia, Nursing Plan Committee, Abuja, Nigeria. eaameh@yahoo.co.uk. 7. Division of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria. eaameh@yahoo.co.uk.
Abstract
BACKGROUND: This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS: In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were surveyed using a modified World Health Organization Hospital Assessment Tool and a qualitative semi-structured hospital interview tool of the medical Director (MdD). This project received approval from the Nigeria Federal Ministry of Health and the FCT Department of Health and Human Services. RESULTS: The number of inpatient beds ranged from 35 to 140, and the number of admissions ranged from 1200 to 6400 patients per year. The mean number of surgeries performed in 2016 by these hospitals was 783 (range 235-1601). Cesarean section was the most common surgical procedure at each hospital. Only five hospitals regularly performed laparotomies. Only three hospitals regularly performed fixation of open fractures. Of 152 surgical, obstetric, and anesthesia providers, all hospitals had at least one consultant obstetrician, but only four hospitals had a general surgeon and three hospitals had a consultant anesthesiologist. Deficient physical space for inpatient admissions was the most common concern of MdDs. CONCLUSIONS: The FCT reaches the target for 2-h access, with 80% of patients (on average) reaching the hospital within 2 h. However, SAO provider density, surgical volume, and tracking of the perioperative mortality rate were low. Data were lacking to comment on protection against impoverishing and catastrophic expenditures.
BACKGROUND: This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS: In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were surveyed using a modified World Health Organization Hospital Assessment Tool and a qualitative semi-structured hospital interview tool of the medical Director (MdD). This project received approval from the Nigeria Federal Ministry of Health and the FCT Department of Health and Human Services. RESULTS: The number of inpatient beds ranged from 35 to 140, and the number of admissions ranged from 1200 to 6400 patients per year. The mean number of surgeries performed in 2016 by these hospitals was 783 (range 235-1601). Cesarean section was the most common surgical procedure at each hospital. Only five hospitals regularly performed laparotomies. Only three hospitals regularly performed fixation of open fractures. Of 152 surgical, obstetric, and anesthesia providers, all hospitals had at least one consultant obstetrician, but only four hospitals had a general surgeon and three hospitals had a consultant anesthesiologist. Deficient physical space for inpatient admissions was the most common concern of MdDs. CONCLUSIONS: The FCT reaches the target for 2-h access, with 80% of patients (on average) reaching the hospital within 2 h. However, SAO provider density, surgical volume, and tracking of the perioperative mortality rate were low. Data were lacking to comment on protection against impoverishing and catastrophic expenditures.
Authors: Gregory C Knapp; Olusegun I Alatise; Olalekan O Olasehinde; Ademola Adeyeye; Omobolaji O Ayandipo; Martin R Weiser; T Peter Kingham Journal: J Glob Oncol Date: 2019-06
Authors: Justina O Seyi-Olajide; Jamie E Anderson; Omolara M Williams; Omolara Faboya; Joseph O Amedu; Stanley Nc Anyanwu; Abraham Bethuel-Kasimu; Olubunmi A Lawal; Opubo B da Lilly-Tariah; Bisola Onajin-Obembe; Diana L Farmer; Emmanuel A Ameh Journal: Bull World Health Organ Date: 2021-09-28 Impact factor: 9.408