Cost‐Effectiveness of Two Government District Hospitals in Sub‐Saharan Africa

Grimes, Caris; Law, R.; Dare, Anna J; Day, Nigel; Reshamwalla, Sophie; Murowa, Michael; George, Peter; Kamara, Thaim B.; Mkandawire, Nyengo; Leather, Andrew J M; Lavy, Christopher

doi:10.1007/s00268-017-4007-6

Cited by 7 publications

(2 citation statements)

References 46 publications

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“…Furthermore, there are several gaps in provision of quality surgical care in LMIC [5]. Implications of unmet quality surgical care in timely manner are increased mortality, morbidity and economic losses at macro-economic levels [6]. There is increasing recognition towards a need to address this problem to achieve health equity [7].…”

Section: Introductionmentioning

confidence: 99%

Surgical Unmet Need in a Low‐Income Area of a Metropolitan City in India: A Cross‐Sectional Study

et al. 2020

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Introduction We investigated the burden of surgical conditions, level of unmet needs and reasons for non‐utilization of surgical services in a slum of Ahmedabad, India. Methods A community‐based cross‐sectional study was carried out from August to December 2019. Inclusion criteria was age > 14 years; any type of injury/condition that requires surgery; subject has had surgery in last 1 year, and death information of family members. Data were stored and coded in Microsoft excel and exported to IBM SPSS statistics version 25 software for data analysis. Frequencies and proportions (categorical variable) are used to summarize utilization of surgical services and understanding surgical need. The Surgeons Overseas Assessment of Surgical was used to identify surgical met and unmet needs translated into local language. Open Data Kit software was used to install questionnaire in the “Tablet” to collect information and stress‐free workflow in field. Results Out of 10,330 population in 2066 households, 7914 were more than 14 years of age. 3.46% (n = 274) people needed surgery; 116 did not avail surgery and were categorized in “unmet need.” Fifty percent of individuals with surgical needs had abdominal‐ or extremities‐related problems followed by eyes surgery need (14%); back, chest and breast surgical need was 13.5%. Seventeen percent of participants with surgical needs had wounds related to injury or accident while 63% had wounds that were not related to injury. Almost all participants had gone to a physician to seek healthcare, however 42% did not avail surgical care needed for a variety of reasons. Forty‐six percent of participants needing surgical care underwent major surgical procedure, while 11% had minor procedures. Financial reasons (34.5%) and lack of trust (35.3%) were major reasons for not availing surgical care. Conclusions and Relevance Ahmedabad is a relatively high income metropolitan city, has universally free health care and multiple healthcare facilities. Despite this, we have shown that there is significant unmet need for surgical procedures in the low‐income population. A unique finding was that most patients sought a consultation but approximately 50% did not avail of the free surgical procedures under the universally free health care system in this city. We propose creation of community healthcare workers focused on surgical conditions.

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Section: Introductionmentioning

confidence: 99%

Surgical Unmet Need in a Low‐Income Area of a Metropolitan City in India: A Cross‐Sectional Study

et al. 2020

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“…Surgical care is often thought of as complex and expensive, potentially limiting its application within global health efforts, and the risk of financial hardship for the individual patient following surgery remains high worldwide 56. However, a number of economic evaluations of surgical treatment have shown surgery to be cost-effective,57 including those performed at a regional hospital level 58. Surgical treatments have cost effectiveness comparable to other standard public health interventions, such as oral rehydration treatments or antiretroviral therapy 59 60.…”

Section: Need Access and Qualitymentioning

confidence: 99%

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

Bath

Bashford

Fitzgerald³

2019

BMJ Glob Health

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‘Global surgery’ is the term adopted to describe a rapidly developing multidisciplinary field aiming to provide improved and equitable surgical care across international health systems. Sitting at the interface between numerous clinical and non-clinical specialisms, it encompasses multiple aspects that surround the treatment of surgical disease and its equitable provision across health systems globally. From defining the role of, and need for, optimal surgical care through to identifying barriers and implementing improvement, global surgery has an expansive remit. Advocacy, education, research and clinical components can all involve surgeons, anaesthetists, nurses and allied healthcare professionals working together with non-clinicians, including policy makers, epidemiologists and economists. Long neglected as a topic within the global and public health arenas, an increasing awareness of the extreme disparities internationally has driven greater engagement. Not necessarily restricted to specific diseases, populations or geographical regions, these disparities have led to a particular focus on surgical care in low-income and middle-income countries with the greatest burden and needs. This review considers the major factors defining the interface between surgery, anaesthesia and public health in these settings.

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International cooperation for general surgeons: Results of the national survey about the implication and importance of the Spanish surgery in international cooperation

Fonseca

Vallve-Bernal

Blanc

et al. 2023

Cirugía Española (English Edition)

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Cost‐Effectiveness of Two Government District Hospitals in Sub‐Saharan Africa

Cited by 7 publications

References 46 publications

Surgical Unmet Need in a Low‐Income Area of a Metropolitan City in India: A Cross‐Sectional Study

Surgical Unmet Need in a Low‐Income Area of a Metropolitan City in India: A Cross‐Sectional Study

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

International cooperation for general surgeons: Results of the national survey about the implication and importance of the Spanish surgery in international cooperation

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