Interview : Pali Lehohla, Directeur général de Statistics South Africa

Lehohla, Pali

doi:10.18356/5152715c-fr

Cited by 7 publications

(9 citation statements)

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“…As these cases are not amenable to surgical care, the counterfactual CFRs had to be adjusted for differences in proportions reaching the hospital alive. We obtained therefore information by surveying the literature [9–38] and country‐level hospital data (Brazil, United States, South Africa) from a total of 18 countries on the proportion of prehospitalization deaths. We pooled and extrapolated those data to regions where there was no information available by means of Bayesian meta‐regression embedded in the DisMod‐MR program (see Vos et al [7] for details on DisMod‐MR).…”

Section: Methodsmentioning

confidence: 99%

Burden of Injuries Avertable By a Basic Surgical Package in Low‐ and Middle‐Income Regions: A Systematic Analysis From the Global Burden of Disease 2010 Study

et al. 2014

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BackgroundInjuries accounted for 11 % of the global burden of disease in 2010. This study aimed to quantify the burden of injury in low- and middle-income countries (LMICs) that could be averted if basic surgical services were made available and accessible to the entire population.MethodsWe examined all causes of injury from the Global Burden of Disease 2010 Study. We split the disability-adjusted life years (DALYs) for these conditions between surgically “avertable” and “nonavertable” burdens. For estimating the avertable fatal burden, we applied the lowest fatality rates among the 21 epidemiologic regions to each LMIC region, assuming that the differences in death rates between each region and the lowest rates reflect the gap in surgical care. We adjusted for fatal cases that occur prior to reaching hospitals as they are not surgically avertable. Similarly, we applied the lowest nonfatal burden per case to each LMIC region.ResultsOverall, 21 % of the injury burden in LMICs was potentially avertable by basic surgical care (52.3 million DALYs). The avertable proportion was greater for deaths than for nonfatal burden (23 vs. 20 %), suggesting that surgical services for injuries more effectively save lives than ameliorate disability. Sub-Saharan Africa had the largest proportion of potentially avertable burden (25 %). South Asia had the highest total avertable DALYs (17.4 million). Road injury comprised the largest total avertable burden in LMICs (16.1 million DALYs).ConclusionsBasic surgical care has the potential to play a major role in reducing the injury-related burden in LMICs.Electronic supplementary materialThe online version of this article (doi:10.1007/s00268-014-2685-x) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Burden of Injuries Avertable By a Basic Surgical Package in Low‐ and Middle‐Income Regions: A Systematic Analysis From the Global Burden of Disease 2010 Study

et al. 2014

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“…The child mortality rate for children less than 5 years old in South Africa in 2017 was approximately nine times that in the United Kingdom and Australia. For children between 1 month and 5 years old, the rate of admission to the nine tertiary academic ICUs in the study was 0.6 admissions per 1,000 children of this age in the population (12). This compared with an ICU admission rate in 2017 of 3.0 and 3.5 per 1,000 children of this age in England and Wales (13) and Australia, respectively (unpublished data).…”

mentioning

confidence: 88%

Monitoring the Outcome of Children Admitted to Intensive Care in Middle-Income Countries: What Will It Take?*

Slater¹

2021

Pediatric Critical Care Medicine

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You are taking care of a newborn following the arterial switch operation for D-transposition of the great vessels. Several hours into the postoperative course, the patient develops persistent tachycardia, decreased urine output, persistent lactic acidosis, and left atrial hypertension. A point of care echocardiogram reveals moderately depressed global left ventricular systolic function with mild mitral regurgitation. An electrocardiogram shows a normal sinus rhythm, ST segment depression, and diffuse T wave abnormalities in unipolar and bipolar leads. Despite these findings, you are appropriately concerned that coronary artery flow may be impaired.

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“…Accordingly yearly escalations in OPEX was estimated at 6%, the average yearly inflation for South Africa (Lehohla, 2016). The RFP budget prices for CAPEX are listed in Table 3.…”

Section: Expenditures For Case 1 Andmentioning

confidence: 99%