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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A tool and index to assess surgical capacity in low income countries: An initial implementation in Sierra Leone
World Journal of Surgery, Volume 36, No. 8, Year 2012
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Description
Background: A first step toward improving surgical care in many low and middle income countries is to document the need. To facilitate the collection and analysis of surgical capacity data and measure changes over time, Surgeons OverSeas (SOS) developed a tool and index based on personnel, infrastructure, procedures, equipment, and supplies (PIPES). Methods: A follow-up assessment of 10 government hospitals in Sierra Leone was completed 42 months after an initial survey in 2008 using the PIPES tool. An index based on number of operating rooms, personnel, infrastructure, procedures, equipment, and supplies was calculated. An index was also calculated, using the 2008 data for comparison. Results: Most hospitals demonstrated an increased index that correlated with site visits that verified improved conditions. Connaught Hospital in Sierra Leone had the highest score (9.2), consistent with its being the best equipped and staffed Ministry of Health and Sanitation facility. Makeni District Hospital had the greatest increase, from 3.8 to 7.5, consistent with a newly constructed facility. Discussion The PIPES tool was easily administered at hospitals in Sierra Leone and an index was found useful. Surgical capacity in Sierra Leone improved between 2008 and 2011, as demonstrated by an increase in the overall PIPES indices. © Société Internationale de Chirurgie 2012.
Authors & Co-Authors
Groen, Reinou Sybrecht
United States, New York
Surgeons Overseas Sos
Netherlands, Amsterdam
Royal Tropical Institute - Kit
Kamara, Thaim Buya
Sierra Leone, Freetown
Connaught Hospital
Dixon-Cole, Richmond
Sierra Leone, Freetown
Connaught Hospital
Kwon, Steve
United States, Seattle
University of Washington
Kingham, Thomas Peter
United States, New York
Surgeons Overseas Sos
United States, New York
Memorial Sloan-kettering Cancer Center
Kushner, Adam L.
United States, New York
Surgeons Overseas Sos
United States, New York
Columbia University
Statistics
Citations: 86
Authors: 6
Affiliations: 6
Identifiers
Doi:
10.1007/s00268-012-1591-3
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Environmental
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Sierra Leone