Evidence map›Paper›PMID 34404419›Full record

ArticleBMC health services research2021

Health facilities' readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era.

Franck Katembo Sikakulya, Robinson Ssebuufu, Albert Ahuka Ona Longombe, Xaviour Francis Okedi, Michel Kalongo Ilumbulumbu, Moise Muhindo Valimungighe, Furaha Nzanzu Blaise Pascal, Bienfait Mumbere Vahwere, Simon Binezero Mambo, Yusuf Mulumba and 5 more

Abstract read
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In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Franck Katembo SikakulyaFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda. francksikakulya@gmail.com.
Robinson SsebuufuFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda.
Albert Ahuka Ona LongombeDepartment of General Surgery, Université de Kisangani, Kisangani, Democratic Republic of the Congo.
Xaviour Francis OkediFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda.
Michel Kalongo IlumbulumbuEpidemiological Surveillance, Beni, Democratic Republic of the Congo.
Moise Muhindo ValimungigheFaculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Furaha Nzanzu Blaise PascalFaculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Bienfait Mumbere VahwereFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda.
Simon Binezero MamboYouth Alliance for Reproductive Health, Goma, Democratic Republic of the Congo.
Yusuf MulumbaBiostatistics, Cancer Institute, Makerere University, Kampala, Uganda.
Anderson Muhindo Muhasa MuyisaFaculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Fatuma Djuma SoniaFaculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
John SekabiraDepartment of Surgery, Mulago Hospital, Kampala, Uganda.
Jane O FualalDepartment of Surgery, Mulago Hospital, Kampala, Uganda.
Patrick KyamanywaFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka-Bushenyi, Uganda.

Funding

Safe Surgery in War Zone DRC SSWZ-DRC, Grant Number 2021-02
6 · The paper itself

Abstract

objectiveThis study aimed to assess health facilities' readiness to provide safe surgical care during Ebola and COVID-19 era in Uganda and in the Eastern DR Congo.

methodsA cross-sectional study was conducted in selected national, regional referral and general hospital facilities in Uganda and in the eastern part of DR Congo from 1st August 2020 to 30th October 2020. Data was analysed using Stata version 15.

resultsThe participation rate was of 37.5 % (72/192) for both countries. None of the hospitals fulfilled the readiness criteria for safe surgical care provision in both countries. The mean bed capacity of participating health facilities (HF) was 184 in Eastern DR Congo and 274 in Uganda with an average surgical ward bed capacity of 22.3 % (41/184) and 20.4 % (56/274) respectively. The mean number of operating rooms was 2 and 3 in Eastern DR Congo and Uganda respectively. Nine hospitals (12.5 %) reported being able to test for Ebola and 25 (34.7 %) being able to test for COVID-19. Postponing of elective surgeries was reported by 10 (13.9) participating hospitals. Only 7 (9.7 %) hospitals reported having a specific operating room for suspect or confirmed cases of Ebola or COVID-19. Appropriate Personal Protection Equipment (PPE) was reported to be available in 60 (83.3 %) hospitals. Most of the staff had appropriate training on donning and doffing of PPE 40 (55.6 %). Specific teams and protocols for safe surgical care provision were reported to be present in 61 (84.7 %) and 56 (77.8 %) respectively in Uganda and Eastern DR Congo participating hospitals.

conclusionsThe lack of readiness to provide safe surgical care during Ebola and COVID-19 era across the participating hospitals in both countries indicate a need for strategies to enhance health facility supplies and readiness for safe surgical provision in resource-limited settings.

Indexed as

COVID-19Hemorrhagic Fever, EbolaCross-Sectional StudiesDemocratic Republic of the CongoHealth FacilitiesHumansSARS-CoV-2UgandaCOVID-19EbolaHealth facilitiesReadinessSafe surgical care provision

Identifiers

PMID34404419
PMCPMC8370832

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.