Adam Gyedu1, Lynette Lester2, Barclay Stewart3, Kwabena A Danso4, Emmanuella L Salia1, Robert Quansah1, Peter Donkor1, Charles Mock3,5,6. 1. Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. 2. New York University School of Medicine, New York, NY, USA. 3. Department of Surgery, University of Washington, Seattle, WA, USA. 4. Department of Obstetrics and Gynecology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. 5. Harborview Injury Prevention & Research Center, Seattle, WA, USA. 6. Department of Global Health, University of Washington, Seattle, WA, USA.
Abstract
OBJECTIVE: To estimate the annual rate of obstetric and gynecologic (ObGyn) operations performed in Ghana and establish a baseline for tracking the expansion of Ghana's surgical capacity. METHODS: Data were obtained for ObGyn operations performed in Ghana between 2014 and 2015 from a nationally representative sample of hospitals and scaled up for national estimates. Operations were classified as "essential" or "other" according to The World Bank's Disease Control Priorities Project. Data were used to calculate cesarean-to-total-operation ratio (CTR) and estimate the rate of cesarean deliveries based on the number of live births in 2014. RESULTS: A total of 90 044 (95% uncertainty interval [UI] 69 461-110 628) ObGyn operations were performed nationally over the 1-year period, yielding an annual national ObGyn operation rate of 881/100 000 females aged 12 years and over (95% UI 679-1082). Eighty-seven percent were essential procedures, 80% of which were cesarean deliveries. District hospitals performed 71% of ObGyn operations. The national rate of cesarean deliveries was 7.2% and the CTR was 0.27. CONCLUSION: The cesarean delivery rate of 7.2% suggests inadequate access to obstetric care. The CTR of 0.27 suggests inadequate overall surgical capacity. These measures, along with estimates of distribution of procedures by hospital level, provide useful baseline data to support surgical capacity building efforts in Ghana and similar countries.
OBJECTIVE: To estimate the annual rate of obstetric and gynecologic (ObGyn) operations performed in Ghana and establish a baseline for tracking the expansion of Ghana's surgical capacity. METHODS: Data were obtained for ObGyn operations performed in Ghana between 2014 and 2015 from a nationally representative sample of hospitals and scaled up for national estimates. Operations were classified as "essential" or "other" according to The World Bank's Disease Control Priorities Project. Data were used to calculate cesarean-to-total-operation ratio (CTR) and estimate the rate of cesarean deliveries based on the number of live births in 2014. RESULTS: A total of 90 044 (95% uncertainty interval [UI] 69 461-110 628) ObGyn operations were performed nationally over the 1-year period, yielding an annual national ObGyn operation rate of 881/100 000 females aged 12 years and over (95% UI 679-1082). Eighty-seven percent were essential procedures, 80% of which were cesarean deliveries. District hospitals performed 71% of ObGyn operations. The national rate of cesarean deliveries was 7.2% and the CTR was 0.27. CONCLUSION: The cesarean delivery rate of 7.2% suggests inadequate access to obstetric care. The CTR of 0.27 suggests inadequate overall surgical capacity. These measures, along with estimates of distribution of procedures by hospital level, provide useful baseline data to support surgical capacity building efforts in Ghana and similar countries.
Authors: Reinou S Groen; Thaim B Kamara; Richmond Dixon-Cole; Steven Kwon; T Peter Kingham; Adam L Kushner Journal: World J Surg Date: 2012-08 Impact factor: 3.352
Authors: Charles N Mock; Peter Donkor; Atul Gawande; Dean T Jamison; Margaret E Kruk; Haile T Debas Journal: Lancet Date: 2015-02-05 Impact factor: 79.321
Authors: Christopher D Hughes; Craig D McClain; Lars Hagander; Jean Hamiltong Pierre; Reinou S Groen; Adam L Kushner; John G Meara Journal: World J Surg Date: 2013-07 Impact factor: 3.352
Authors: Jessica H Beard; Lawrence B Oresanya; Larry Akoko; Ally Mwanga; Charles A Mkony; Rochelle A Dicker Journal: World J Surg Date: 2014-06 Impact factor: 3.352
Authors: Shelly Choo; Henry Perry; Afua A J Hesse; Francis Abantanga; Elias Sory; Hayley Osen; Charles Fleischer-Djoleto; Rachel Moresky; Colin W McCord; Meena Cherian; Fizan Abdullah Journal: Trop Med Int Health Date: 2010-07-14 Impact factor: 2.622
Authors: Rele Ologunde; Joshua P Vogel; Meena N Cherian; Mariam Sbaiti; Mario Merialdi; James Yeats Journal: Am J Obstet Gynecol Date: 2014-05-17 Impact factor: 8.661
Authors: Moses Galukande; Sam Kaggwa; Patrick Sekimpi; Othman Kakaire; Achilles Katamba; Ian Munabi; Francis Mwesigye Runumi; Ed Mills; Amy Hagopian; Geoffrey Blair; Scott Barnhart; Sam Luboga Journal: BMC Health Serv Res Date: 2013-08-01 Impact factor: 2.655
Authors: Wisdom Klutse Azanu; Joseph Osarfo; Roderick Emil Larsen-Reindorf; Evans Kofi Agbeno; Edward Dassah; Anthony Ofori Amanfo; Anthony Kwame Dah; Gifty Ampofo Journal: PLoS One Date: 2022-05-25 Impact factor: 3.752
Authors: Kajal Mehta; Hana Arega; Natalie L Smith; Kathleen Li; Emma Gause; Joohee Lee; Barclay Stewart Journal: Am J Surg Date: 2021-07-24 Impact factor: 2.565