ArticleWorld journal of surgery2015
Strategic Assessment of Trauma Care Capacity in Ghana.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments.BMJ global health · 2021Pooled it
- Feasibility of a randomized controlled trial of enteral vs intravenous resuscitation for adults with major burn injuries in Nepal.Burns : journal of the International Society for Burn Injuries · 2025Trial
- Pediatric road traffic accident - related head injury: a retrospective multicenter cohort study in Ghana.BMC emergency medicine · 2026Article
- Hepato-pancreato-biliary surgery in West Africa: a timely capacity assessment.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2024Article
- The National Ambulance Service of Ghana: Changes in capacity and utilization over 20 years.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Emergency preparedness capacity of a university hospital in Ghana: a cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Affordability impacts therapeutic intensity of acute management of severe traumatic brain injury patients: An exploratory study in Tanzania.Brain & spine · 2023Article
- The state of surgery, obstetrics, trauma, and anaesthesia care in Ghana: a narrative review.Global health action · 2022Review
- Factors Contributing to and Reducing Delays in the Provision of Adequate Care in Ghana: A Qualitative Study of Trauma Care Providers.World journal of surgery · 2022Article
- Achievement of Key Performance Indicators in Initial Assessment and Care of Injured Patients in Ghanaian Non-tertiary Hospitals: An Observational Study.World journal of surgery · 2022Observational
- Designing and conducting initial application of a performance assessment model for in-hospital trauma care.BMC health services research · 2022Article
- Trauma Care in Low- and Middle-Income Countries.Surgery journal (New York, N.Y.) · 2021Review
- Identifying Hospitals in Nepal for Acute Burn Care and Stabilization Capacity Development: Location-Allocation Modeling for Strategic Service Delivery.Journal of burn care & research : official publication of the American Burn Association · 2021Article
- Incidence of childhood burn injuries and modifiable household risk factors in rural Ghana: A cluster-randomized, population-based, household survey.Burns : journal of the International Society for Burn Injuries · 2021Article
- Article
- Injured and broke: The impacts of the Ghana National Health Insurance Scheme (NHIS) on service delivery and catastrophic health expenditure among seriously injured children.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Assessment of local supply chains and stock management practices for trauma care resources in Ghana: a comparative small sample cross-sectional study.BMC health services research · 2021Article
- Unintentional falls among children in rural Ghana and associated factors: a cluster-randomized, population-based household survey.The Pan African medical journal · 2021Article
- National health insurance and surgical care for injured people, Ghana.Bulletin of the World Health Organization · 2020Article
- Population-based rates of hernia surgery in Ghana.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThis study aimed to assess availability of trauma care technology in Ghana. In addition, factors contributing to deficiencies were evaluated. By doing so, potential solutions to inefficient aspects of health systems management and maladapted technology for trauma care in low- and middle-income countries (LMICs) could be identified.
methodsThirty-two items were selected from the World Health Organization's Guidelines for Essential Trauma Care. Direct inspection and structured interviews with administrative, clinical, and biomedical engineering staff were used to assess the challenges and successes of item availability at 40 purposively sampled district, regional, and tertiary hospitals.
resultsHospital assessments demonstrated marked deficiencies. Some of these were low cost, such as basic airway supplies, chest tubes, and cervical collars. Item non-availability resulted from several contributing factors, namely equipment absence, lack of training, frequent stock-outs, and technology breakage. A number of root causes for these factors were identified, including ineffective healthcare financing by way of untimely national insurance reimbursements, procurement and stock-management practices, and critical gaps in local biomedical engineering and trauma care training. Nonetheless, local examples of successfully overcoming deficiencies were identified (e.g., public-private partnering, ensuring company engineers trained technicians on-the-job during technology installation or servicing).
conclusionWhile availability of several low-cost items could be better supplied by improvements in stock-management and procurement policies, there is a critical need for redress of the national insurance reimbursement system and trauma care training of district hospital staff. Further, developing local service and technical support capabilities is more and more pressing as technology plays an increasingly important role in LMIC healthcare systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.