Surgical Capacity in Zimbabwean Public Hospitals

Surgery Clinical Trial

Official title:

Comprehensive Analysis of Emergency and Essential Surgical Capacity in Zimbabwean Public Hospitals: A National Cross-sectional Survey

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06358183
• Other study ID #: ESC001
• Status: Completed
• Start date: April 24, 2019
• Est. completion date: March 15, 2024

Study information

• Verified date: April 2024
• Source: Parirenyatwa Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study aimed to understand how ready Zimbabwe's public hospitals are to perform essential surgeries, which are critical for treating a wide range of health issues from emergencies like car accidents to planned procedures such as childbirth by caesarean section. The researchers looked at hospitals across Zimbabwe to see what kind of surgery facilities, equipment, and specialists were available.

Description:

Abstract Background: Access to surgical care is an essential component of universal health coverage, but surgical capacity is lacking in many low- and middle-income countries. Surgical capacity in Zimbabwe, a lower-middle income country, is undocumented. The objective of this study was to assess surgical capacity in public hospitals in Zimbabwe.

Methods: A national hospital survey was performed in 2019 using a validated surgical situational analysis tool. the investigators included district, provincial and central hospitals in the public sector across all 10 provinces of Zimbabwe. Data was collected from key informants using an online survey. information gathered included an inventory of infrastructural components required to perform essential surgical services, a survey of healthcare workers involved in surgical care (the Surgical Anaesthetic and Obstetric workforce); a submission of the number of surgical procedures including bellwether procedures performed over the course of the last year and also surgical sundries and consumables required to perform surgical services.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: March 15, 2024
• Est. primary completion date: February 25, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Hospitals were considered eligible if there was any major or minor surgical activity occurring in the facility

Exclusion Criteria:

• hospitals dedicated to a non-surgical pursuit

• private hospitals

Related Conditions & MeSH terms

• Anesthesia
• Surgery

Intervention

Other:
• No intervention
no intervention used

Locations

Country	Name	City	State
Zimbabwe	Parirenyatwa Hospital	Harare

Sponsors (1)

Lead Sponsor	Collaborator
Parirenyatwa Hospital

Country where clinical trial is conducted

Zimbabwe, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Bellwether procedures	number of bellwether procedures performed in each hospital	in 1 calendar year
Primary	Procedures	number of other procedures performed in each hospital	in 1 calendar year
Primary	SAO density	Number of surgical anesthetic and obstetric practitioners per 100 000 population	in 1 calendar year
Primary	Infrastructure	Availability of basic and specific infrastructure in each hospital	in 1 calendar year