ArticleWorld journal of surgery2021
Which Surgical Operations Should be Performed in District Hospitals in East, Central and Southern Africa? Results of a Survey of Regional Clinicians.
Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Retrospective analysis of a surgical service in a rural district hospital in the Eastern Cape.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Investment in family medicine to improve health outcomes in sub-Saharan Africa.African journal of primary health care & family medicine · 2025Article
- Provision of inguinal hernia surgery in first-referral hospitals across low- and middle-income countries: Secondary analysis of an international cohort study.World journal of surgery · 2025Article
- Ethical considerations in surgical research conducted in African LMICs: a comprehensive narrative review.Annals of medicine and surgery (2012) · 2024Review
- First referral hospitals in low- and middle-income countries: the need for a renewed focus.Health policy and planning · 2024Review
- Using participatory action research to empower district hospital staff to deliver quality-assured essential surgery to rural populations in Malawi, Zambia, and Tanzania.Frontiers in public health · 2023Article
- Challenges in the working relationship between professional nurses and clinical associates in selected district hospitals in South Africa.Health SA = SA Gesondheid · 2023Article
- Critical shortage of capacity to deliver safe paediatric surgery in sub-Saharan Africa: evidence from 67 hospitals in Malawi, Zambia, and Tanzania.Frontiers in pediatrics · 2023Article
- Authors' Reply: Which Surgical Operations Should be Performed in District Hospitals in East, Central and Southern Africa? Results of a Survey of Regional Clinicians.World journal of surgery · 2021Article
- A Call to Action: Translating Procedural Baskets into Improved Surgical Capacity at the District Hospital.World journal of surgery · 2021Article
- Pattern of Surgical Emergencies in Rural Southwestern Nigeria.Journal of emergencies, trauma, and shockArticle
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9 authors.
Funding
Abstract
backgroundIn East, Central and Southern Africa (ECSA), district hospitals (DH) are the main source of surgical care for 80% of the population. DHs in Africa must provide basic life-saving procedures, but the extent to which they can offer other general and emergency surgery is debated. Our paper contributes to this debate through analysis and discussion of regional surgical care providers' perspectives.
methodsWe conducted a survey at the College of Surgeons of East, Central and Southern Africa Conference in Kigali in December 2018. The survey presented the participants with 59 surgical and anaesthesia procedures and asked them if they thought the procedure should be done in a district level hospital in their region. We then measured the level of positive agreement (LPA) for each procedure and conducted sub-analysis by cadre and level of experience.
resultsWe had 100 respondents of which 94 were from ECSA. Eighteen procedures had an LPA of 80% or above, among which appendicectomy (98%), caesarean section (97%) and spinal anaesthesia (97%). Twenty-one procedures had an LPA between 31 and 79%. The surgical procedures that fell in this category were a mix of obstetrics, general surgery and orthopaedics. Twenty procedures had an LPA below 30% among which paediatric anaesthesia and surgery.
conclusionOur study offers the perspectives of almost 100 surgical care providers from ECSA on which surgical and anaesthesia procedures should be provided in district hospitals. This might help in planning surgical care training and delivery in these hospitals.
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