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Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey

Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey Håkon A. Bolkan Chairman – Capa Care 19. June 2014. The project. Baseline study - Aim. Establish a baseline for surgical and obstetrical activity in Sierra Leone in 2012

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Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey

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  1. Status of surgical activity in Sierra Leone in 2012 Results from a country wide survey Håkon A. Bolkan Chairman – CapaCare 19. June 2014

  2. The project

  3. Baseline study - Aim • Establish a baseline for surgical and obstetrical activity in Sierra Leone in 2012 • Comprehensive mapping of nationwide major surgical activity • Identify training resources (Hosp/organisations) Bolkan, et al - Submitted 2014

  4. Methodology -selection of institutions (1) Facilities performing one or more of the comprehensive surgical procedures listed in the WHO used Service and Readiness Assessment (SARA) tool.

  5. Selection of institutions (2)

  6. Methodology - process • Data collection January – May 2013 • Medical students • Source of data • OperationTheatreLogbooks • Delivery log books • Anesthesia log books Duplicates removed

  7. Results

  8. Major surgeries in SL in 2012: 24 152

  9. Results: Nationwide Surgical volume by district and sector N = 24 152

  10. Major surgeries/100 000 population X 30 National average

  11. Surgical activity by sector 54,0% 39,6% 6,4%

  12. Results

  13. Surgical HR • Full Time Equivalent (FTE) • Only staff performing surgery counted

  14. Surgical HR - Who

  15. HR – FTE per provider and sector

  16. HR – Surgical activity by healthcare provider and sector

  17. HR – Surgical activity by healthcare provider nationality and sector

  18. Major surgical procedures by 100 000 population

  19. Conclusion • Large unmet need for major surgery in Sierra Leone • Large discrepancies between urban and rural areas • Physician constrains in District hospitals • Private Non Profit is a major surgical service provider • Surgery and obstetrics – developed as one service

  20. Aim: Increase surgical capacity and activity in Sierra Leone Goal: 100% increase Goal: 30 Monitoring Quality DH Service provision Training Baseline study - Nationwide Housemanship Training program 2012 2016 2011 2013 2014 2015 2017

  21. www.capacare.org

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