ArticleAnnals of global health2023
Surgical Capacity in Public and Private Health Facilities After a Five-Year Strategic Plan Implementation in Ethiopia: A Cross Sectional Study.
Article in Annals of global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Progress and Prospects in Otorhinolaryngology-Head and Neck Surgery in Ethiopia.World journal of otorhinolaryngology - head and neck surgery · 2026Article
- The role of context in strategic human resource management within private hospitals in Ethiopia, compared to public hospitals.Frontiers in health services · 2026Article
- Assessment of surgical capacity and productivity in high-volume Ethiopian hospitals: mixed method study.BMC health services research · 2025Article
- Adherence to Enhanced Recovery After Surgery (ERAS) With Bellwether Surgical Procedures in Ethiopia: A Retrospective Study.World journal of surgery · 2025Article
- Towards Establishing a National Perioperative Quality Improvement Network in LMICs: Implementation Experiences From Ethiopia.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Expansion of national surgical, obstetric, and anaesthesia plans in Latin America: can Brazil be next?Lancet regional health. Americas · 2024Review
- Perioperative capacity and contextual challenges in teaching hospitals of southern Ethiopia: explanatory sequential mixed-methods research.Perioperative medicine (London, England) · 2024Article
- Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents.PLOS global public health · 2023Article
- The Persistent Preference for Traditional Bonesetting in Ethiopia: Risk Factors and Missed Opportunities.JB & JS open accessArticle
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13 authors.
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Abstract
Background: Surgical capacity is critical for ensuring optimum access to safe, affordable, and timely emergency and essential surgical care (EESC) in low- and middle-income countries (LMICs) like Ethiopia. A five-year strategic plan has been implemented during 2016-2020 in Ethiopia to improve surgical capacity. Objectives: This study aims to evaluate the impact of the five-year strategy in surgical capacity in the country. Methods: A cross sectional survey was conducted in 172 health care facilities in Ethiopia from December 30, 2020, to June 10, 2021. Descriptive statistical analysis was done using STATA statistical software Version 15. Findings: A total of 2,312 surgical workforces were available and, the surgical workforce to population ratio ranged from 1.13:100,000 for public specialized hospitals to 10.8:100,000 for health centre operation room (OR) blocks. Surgical bed to population ratio was 0.03:1000 population, and the average numbers of OR tables per facility were 34. Nearly 25% and 10% of OR tables were not functional in public primary hospitals and private hospitals, respectively. The average surgical volume to population ratio was 189:100,000. Conclusions: Following the implementation of surgical care strategy, the surgical workforce density has increased. However, the study revealed that there is still a huge unmet gap in surgical capacity. The improvement in surgical volume is very low compared to the increment in the surgical workforce density. In addition to the investment being made to build surgical capacity, emphasis needs to be put on surgical system design and strengthening surgical system efficiency.
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