ArticleBMJ open2015
Survey of the capacity for essential surgery and anaesthesia services in Papua New Guinea.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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
12 citing papers in PubMed.
- Structures, processes and outcomes between first referral and referral hospitals in low-income and middle-income countries: a secondary preplanned analysis of the FALCON and ChEETAh randomised trials.BMJ global health · 2024Trial
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Physiologic changes in microgravity may lead to unpredictable effects of spinal anesthesia.Frontiers in physiology · 2026Review
- Reducing global inequities in medical oxygen access: the Lancet Global Health Commission on medical oxygen security.The Lancet. Global health · 2025Review
- A cross-sectional study of essential surgical, obstetric, and anaesthesia care capacity in the public sector in Fiji.PLOS global public health · 2025Article
- Barriers to accessing appendectomy in the public sector health system in the Western Cape Province, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Delivery of Safe Pediatric Anesthesia Care in the First 8000 days: Realities, Challenges, and Solutions in Low- and Middle-Income Countries.World journal of surgery · 2023Review
- Assessment of essential surgical and anaesthesia care capacity: a cross-sectional study in five Pacific Island Countries.The Lancet regional health. Western Pacific · 2023Article
- Readiness of health facilities to provide emergency obstetric care in Papua New Guinea: evidence from a cross-sectional survey.BMJ open · 2022Article
- Barriers to healthcare for female patients in Papua New Guinea.BMJ case reports · 2018Article
- Anaesthesia in austere environments: literature review and considerations for future space exploration missions.NPJ microgravity · 2018Review
- The Case for Oxygen in Global Surgical Care.World journal of surgery · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveTo assess capacity to provide essential surgical services including emergency, obstetric and anaesthesia care in Papua New Guinea (PNG) in order to support planning for relevant post-2015 sustainable development goals for PNG.
designCross-sectional survey.
settingHospitals and health facilities in PNG.
participants21 facilities including 3 national/provincial hospitals, 11 district/rural hospitals, and 7 health centres. OUTCOME MEASURES: The WHO Situational Analysis Tool to Assess Emergency and Essential Surgical Care (WHO-SAT) was used to measure each participating facility's capacity to deliver essential surgery and anaesthesia services, including 108 items related to relevant infrastructure, human resources, interventions and equipment.
resultsWhile major surgical procedures were provided at each hospital, fewer than 30% had uninterrupted access to oxygen, and 57% had uninterrupted access to resuscitation bag and mask. Most hospitals reported capacity to provide general anaesthesia, though few hospitals reported having at least one certified surgeon, obstetrician and anaesthesiologist. Access to anaesthetic machines, pulse oximetry and blood bank was severely limited. Many non-hospital health centres providing basic surgical procedures, but almost none had uninterrupted access to electricity, running water, oxygen and basic supplies for resuscitation, airway management and obstetric services.
conclusionsCapacity for essential surgery and anaesthesia services is severely limited in PNG due to shortfalls in physical infrastructure, human resources, and basic equipment and supplies. Achieving post-2015 sustainable development goals, including universal healthcare, will require significant investment in surgery and anaesthesia capacity in PNG.
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