230 likes | 315 Views
Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey Håkon A. Bolkan Chairman – Capa Care 19. June 2014. The project. Baseline study - Aim. Establish a baseline for surgical and obstetrical activity in Sierra Leone in 2012
E N D
Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey Håkon A. Bolkan Chairman – CapaCare 19. June 2014
Baseline study - Aim • Establish a baseline for surgical and obstetrical activity in Sierra Leone in 2012 • Comprehensive mapping of nationwide major surgical activity • Identify training resources (Hosp/organisations) Bolkan, et al - Submitted 2014
Methodology -selection of institutions (1) Facilities performing one or more of the comprehensive surgical procedures listed in the WHO used Service and Readiness Assessment (SARA) tool.
Methodology - process • Data collection January – May 2013 • Medical students • Source of data • OperationTheatreLogbooks • Delivery log books • Anesthesia log books Duplicates removed
Results: Nationwide Surgical volume by district and sector N = 24 152
Major surgeries/100 000 population X 30 National average
Surgical activity by sector 54,0% 39,6% 6,4%
Surgical HR • Full Time Equivalent (FTE) • Only staff performing surgery counted
HR – Surgical activity by healthcare provider nationality and sector
Major surgical procedures by 100 000 population
Conclusion • Large unmet need for major surgery in Sierra Leone • Large discrepancies between urban and rural areas • Physician constrains in District hospitals • Private Non Profit is a major surgical service provider • Surgery and obstetrics – developed as one service
Aim: Increase surgical capacity and activity in Sierra Leone Goal: 100% increase Goal: 30 Monitoring Quality DH Service provision Training Baseline study - Nationwide Housemanship Training program 2012 2016 2011 2013 2014 2015 2017