Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau
Introduction: The weaknesses of Guinea-Bissau’s health system have long been highlighted. The purpose of this study is to contribute with evidence for decision-making on the reform of the country’s healthcare map, by analyzing the availability and readiness of services at the facilities that may be...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2020-02-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11178 |
| _version_ | 1828727145892937728 |
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| author | André Beja Van Hanegem Menezes Moreira Augusta Biai Agostinho N’Dumbá Clotilde Neves Paulo Ferrinho |
| author_facet | André Beja Van Hanegem Menezes Moreira Augusta Biai Agostinho N’Dumbá Clotilde Neves Paulo Ferrinho |
| author_sort | André Beja |
| collection | DOAJ |
| description |
Introduction: The weaknesses of Guinea-Bissau’s health system have long been highlighted. The purpose of this study is to contribute with evidence for decision-making on the reform of the country’s healthcare map, by analyzing the availability and readiness of services at the facilities that may become part of a Hospital Complex in Bissau, proposed in the National Health Development Plan.
Material and Methods: We analyzed 13 public and private facilities with inpatient capacity, located in Bissau and Biombo. Service Availability and Readiness Assessment (SARA) tools were used for data collection, treatment and analysis.
Results: A comprehensive overview of these facilities has been provided, describing their general capacity to provide care and their readiness to implement it, along with the availability and readiness of specific services: diagnosis, family planning, mother and child health, obstetrics, communicable and non communicable diseases, blood transfusion and surgery. We observed a greater concentration of beds and professionals in the facilities of public sector, the only that provides all the specific services analyzed. Private sector services with agreements to supply the public sector have higher readiness levels and the private sector has the lowest operating capacity.
Discussion: Findings reflect the lack of equipment, infrastructure and resources, the predominance of the public sector and the growth of the private for-profit and non-profit sectors, as well as inadequacies in planning and regulation. Similarities and differences between our findings and those described in the literature for other African countries are identified.
Conclusion: This study reinforces the relevance of developing integrated and rational responses of health services and provides evidence for this.
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| first_indexed | 2024-04-12T13:53:36Z |
| format | Article |
| id | doaj.art-f9dfd2419e40443eb1205c335e28a4c3 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T13:53:36Z |
| publishDate | 2020-02-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-f9dfd2419e40443eb1205c335e28a4c32022-12-22T03:30:26ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582020-02-0133210.20344/amp.111784978Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-BissauAndré Beja0Van Hanegem Menezes Moreira1Augusta Biai2Agostinho N’Dumbá3Clotilde Neves4Paulo Ferrinho5Global Health and Tropical Medicine/Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisboa.Direção-Geral de Administração do Sistema de Saúde. Ministério da Saúde Pública. Bissau.Ministério da Saúde Pública. Bissau.Direção Geral de Planeamento e Políticas de Saúde. Ministério da Saúde Pública. Bissau.Inspeção Geral da Administração da Saúde. Ministério da Saúde Pública. Bissau.Global Health and Tropical Medicine/Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisboa. Introduction: The weaknesses of Guinea-Bissau’s health system have long been highlighted. The purpose of this study is to contribute with evidence for decision-making on the reform of the country’s healthcare map, by analyzing the availability and readiness of services at the facilities that may become part of a Hospital Complex in Bissau, proposed in the National Health Development Plan. Material and Methods: We analyzed 13 public and private facilities with inpatient capacity, located in Bissau and Biombo. Service Availability and Readiness Assessment (SARA) tools were used for data collection, treatment and analysis. Results: A comprehensive overview of these facilities has been provided, describing their general capacity to provide care and their readiness to implement it, along with the availability and readiness of specific services: diagnosis, family planning, mother and child health, obstetrics, communicable and non communicable diseases, blood transfusion and surgery. We observed a greater concentration of beds and professionals in the facilities of public sector, the only that provides all the specific services analyzed. Private sector services with agreements to supply the public sector have higher readiness levels and the private sector has the lowest operating capacity. Discussion: Findings reflect the lack of equipment, infrastructure and resources, the predominance of the public sector and the growth of the private for-profit and non-profit sectors, as well as inadequacies in planning and regulation. Similarities and differences between our findings and those described in the literature for other African countries are identified. Conclusion: This study reinforces the relevance of developing integrated and rational responses of health services and provides evidence for this. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11178Guinea-BissauHealth Services Needs and DemandHospitalizationPatient Admission |
| spellingShingle | André Beja Van Hanegem Menezes Moreira Augusta Biai Agostinho N’Dumbá Clotilde Neves Paulo Ferrinho Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau Acta Médica Portuguesa Guinea-Bissau Health Services Needs and Demand Hospitalization Patient Admission |
| title | Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau |
| title_full | Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau |
| title_fullStr | Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau |
| title_full_unstemmed | Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau |
| title_short | Availability and Readiness Assessment of Facilities with Hospital Admission Capacity in Two Regions of Guinea-Bissau |
| title_sort | availability and readiness assessment of facilities with hospital admission capacity in two regions of guinea bissau |
| topic | Guinea-Bissau Health Services Needs and Demand Hospitalization Patient Admission |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11178 |
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