Evidence map›Paper›PMID 41960477›Full record

ArticleBioinformation2026

Access and barriers to safe anesthesia in primary health care settings in India.

Manish Kumar Dwivedi, Divas Sinha, Pramod Kumar Verma

Abstract read
In one paragraph

Article in Bioinformation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Manish Kumar DwivediDepartment of Anaesthesiology, GMC Singrauli, Singrauli, Madhya Pradesh, India.
Divas SinhaDepartment of Anaesthesiology, Ram Krishna Medical College and Research Centre, Bhopal, Madhya Pradesh, India.
Pramod Kumar VermaDepartment of Community Medicine, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The availability of safe anesthesia services is an essential part of necessary surgical care, but it is a pressing issue that has been poorly considered in the primary health care environment in low and middle-income countries. Therefore, it is of interest to assess the availability of safe anesthesia services, their accessibility, and obstacles of these services in primary health care in three Indian states. Between January 2022 and August 2022, 156 primary health centres (PHCs) and 312 anesthesia providers were surveyed by using structured questionnaires and facility assessment tools. Findings showed that not all PHCs had operational anesthesia processes (38.5 percent), and not all PHCs had trained anesthesia staff (62.8 percent). The major obstacles were identified as the lack of proper infrastructure (71.2%), lack of skilled labour (68.6%), unavailability of necessary drugs (54.5%), and lack of standard procedures (47.4%). Rural amenities had much worse access than urban centres (p<0.001).

Indexed as

access to careAnesthesia servicesbarriersIndiapatient safetyprimary health carerural health

Identifiers

PMID41960477
PMCPMC13058389

What OpenQuestion holds

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Registered trials

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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.