Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana
Background: Most low- and middle-income communities (LMICs) live in rural areas and are served mainly by primary and district hospitals. This study seeks to geographically map these hospitals and measure their surgical care capacity in Botswana. Methods: This 3-month cross-sectional observational st...
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2022-10-01
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| Series: | The Annals of African Surgery |
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| Online Access: | https://www.annalsofafricansurgery.com/assessment-of-surgical-care-capacity |
| _version_ | 1811254994270158848 |
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| author | Mpapho Joseph Motsumi Nkhabe Chinyepi Kagelelo Difela Karabo Ngwako Maranatha Sentsho Unami Chilisa Tefo Leshomo |
| author_facet | Mpapho Joseph Motsumi Nkhabe Chinyepi Kagelelo Difela Karabo Ngwako Maranatha Sentsho Unami Chilisa Tefo Leshomo |
| author_sort | Mpapho Joseph Motsumi |
| collection | DOAJ |
| description | Background: Most low- and middle-income communities (LMICs) live in rural areas and are served mainly by primary and district hospitals. This study seeks to geographically map these hospitals and measure their surgical care capacity in Botswana. Methods: This 3-month cross-sectional observational study was conducted at the Department of Surgery, University of Botswana. Google Map was used to map hospitals geographically. The PIPES (personnel, infrastructure, procedures, equipment, and supplies) tool was used to assess the surgical care capacity of hospitals. This tool was developed by Surgeons Overseas to quantify surgical capacity in low-resource settings. Consent was obtained. Results: Nine districts and ten primary hospitals were assessed. The distance from settlements to the nearest healthcare facility in sparsely populated areas was relatively larger, making timely healthcare access potentially problematic. Intensive care services were unavailable except at three hospitals. None of the hospitals had full blood bank services. X-ray and ultrasound machines and basic supplies were available at over 90% of the hospitals. Conclusion: There was a general lack of surgical care specialists. Hospitals with a full complement of surgical care specialists had relatively higher PIPES indices. We recommend investing in deploying specialized surgical care providers to primary and district hospitals. |
| first_indexed | 2024-04-12T17:16:56Z |
| format | Article |
| id | doaj.art-921a45884f5a47138116a2b716fffa42 |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-04-12T17:16:56Z |
| publishDate | 2022-10-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-921a45884f5a47138116a2b716fffa422022-12-22T03:23:37ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162022-10-01194193199http://dx.doi.org/10.4314/aas.v19i4.6Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in BotswanaMpapho Joseph Motsumi0https://orcid.org/0000-0003-4340-0824Nkhabe Chinyepi1https://orcid.org/0000-0002-4866-4418Kagelelo Difela2https://orcid.org/0000-0003-1038-1970Karabo Ngwako3https://orcid.org/0000-0003-0717-5906Maranatha Sentsho4https://orcid.org/0000-0003-2477-8725Unami Chilisa5https://orcid.org/0000-0001-9062-3102Tefo Leshomo6https://orcid.org/0000-0002-3654-403XFaculty of Medicine, Sir Ketumile Masire Teaching Hospital, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Surgery, Faculty of Medicine, University of Botswana, Gaborone, BotswanaBackground: Most low- and middle-income communities (LMICs) live in rural areas and are served mainly by primary and district hospitals. This study seeks to geographically map these hospitals and measure their surgical care capacity in Botswana. Methods: This 3-month cross-sectional observational study was conducted at the Department of Surgery, University of Botswana. Google Map was used to map hospitals geographically. The PIPES (personnel, infrastructure, procedures, equipment, and supplies) tool was used to assess the surgical care capacity of hospitals. This tool was developed by Surgeons Overseas to quantify surgical capacity in low-resource settings. Consent was obtained. Results: Nine districts and ten primary hospitals were assessed. The distance from settlements to the nearest healthcare facility in sparsely populated areas was relatively larger, making timely healthcare access potentially problematic. Intensive care services were unavailable except at three hospitals. None of the hospitals had full blood bank services. X-ray and ultrasound machines and basic supplies were available at over 90% of the hospitals. Conclusion: There was a general lack of surgical care specialists. Hospitals with a full complement of surgical care specialists had relatively higher PIPES indices. We recommend investing in deploying specialized surgical care providers to primary and district hospitals.https://www.annalsofafricansurgery.com/assessment-of-surgical-care-capacitysurgical care capacitynon-tertiary hospitalsurgical services |
| spellingShingle | Mpapho Joseph Motsumi Nkhabe Chinyepi Kagelelo Difela Karabo Ngwako Maranatha Sentsho Unami Chilisa Tefo Leshomo Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana The Annals of African Surgery surgical care capacity non-tertiary hospital surgical services |
| title | Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana |
| title_full | Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana |
| title_fullStr | Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana |
| title_full_unstemmed | Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana |
| title_short | Assessment of Surgical Care Capacity at Non-Tertiary Hospitals in Botswana |
| title_sort | assessment of surgical care capacity at non tertiary hospitals in botswana |
| topic | surgical care capacity non-tertiary hospital surgical services |
| url | https://www.annalsofafricansurgery.com/assessment-of-surgical-care-capacity |
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