| Minor surgery at hospitals and clinics in a Kenyan district. | |
| | |
MedLine Citation:
|
PMID: 11682940 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Minor surgical operations are performed at almost all hospitals, health centres and dispensaries in Africa. A large proportion of the operations are urgent, prompted by injuries and acute infections. They are rarely recorded and reported systematically, and rates and patterns are poorly known. OBJECTIVE: To describe of all minor surgery performed on a rural African population during one year. DESIGN: Prospective recording and analysis of minor surgical procedures and of the patients undergoing the same procedures. SETTING: Hospitals, health centres, dispensaries and mission clinics in Meru district, Kenya. RESULTS: Out of 26,858 minor operations performed (2,066/100,000 people/year) 22,838 were done at the five hospitals in the district while 2,510 were done at 49 mission clinics (4.3/clinic/month), 764 at ten health centres (6.4/health centre/month) and 620 at 29 dispensaries (1.8/dispensary/month). The most common operations were episiotomy, tooth extraction, wound suture and incision and drainage of abscess. More minor surgery is done on women than on men, and the difference is related to obstetrical procedures. CONCLUSIONS: Relatively few operations were performed at health centres, dispensaries and mission clinics. Possible explanations include perceived quality of care, staff motivation, poor service access outside office hours and service charges. |
| | |
Authors:
|
E Nordberg; I Mwobobia; E Muniu |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: East African medical journal Volume: 78 ISSN: 0012-835X ISO Abbreviation: East Afr Med J Publication Date: 2001 Feb |
Date Detail:
|
Created Date: 2001-10-30 Completed Date: 2001-12-04 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372766 Medline TA: East Afr Med J Country: Kenya |
Other Details:
|
Languages: eng Pagination: 102-6 Citation Subset: IM |
Affiliation:
|
African Medical and Research Foundation, P.O. Box 30125, Nairobi, Kenya. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Distribution Aged Ambulatory Surgical Procedures / utilization* Attitude to Health Child Child, Preschool Emergencies Female Health Care Surveys Health Services Accessibility / standards Hospitals, Public / utilization Hospitals, Religious / utilization Hospitals, Rural / utilization* Humans Infant Kenya / epidemiology Male Middle Aged Prospective Studies Quality of Health Care Sex Distribution Surgical Procedures, Operative / methods, utilization* Utilization Review |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An update on human ehrlichioses.
Next Document: Meckel's diverticulitis due to Taenia saginata: case report.