Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool
Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool
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DOI：
10.1111/j.1365-3156.2010.02589.x
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发表时间：
2010-09-01
影响因子：
3.3
通讯作者：
Abdullah, Fizan
中科院分区：
文献类型：
--
作者：
Choo, Shelly;Perry, Henry;Abdullah, Fizan
目的调查加纳17家医院外科、产科和麻醉护理的基础设施特点、人员、设备和程序。方法世卫组织国家办事处使用世界卫生组织紧急和基本外科护理情景分析评估工具完成了评估，该工具调查了每个设施的基础设施、人力资源、手术干预类型和设备。结果总体而言，医院的一般病人护理和手术用品配备良好。大多数医院有基本实验室（100%）、自来水（94%）和电（82%）。75%以上的医院拥有一般病人护理和基本术中护理（包括绝育）所需的基本用品。几乎所有医院都能进行大的外科手术，如剖腹产（88%）、疝修补术（100%）和阑尾切除术（94%），但对提供者的正式培训有限：少数医院有完全合格的外科医生（29%）或产科医生（36%）。结论改善加纳地区医院外科护理的最大障碍是缺乏训练有素的急救和基本外科手术医务人员。未来重要的步骤包括加强他们的人数和资格。
P>ObjectivesTo survey infrastructure characteristics, personnel, equipment and procedures of surgical, obstetric and anaesthesia care in 17 hospitals in Ghana.MethodsThe 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.ResultsOverall, 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.ConclusionsThe 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.