The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals
Background: Access to surgical equipment is critical to providing safe and equitable operative care. This is the first nationwide study to provide data on the availability of surgical equipment in Kenya. Methods: This cross-sectional study collected data from May to July 2018 on the availability of...
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Surgical Society of Kenya
2025-01-01
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| Series: | The Annals of African Surgery |
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| Online Access: | https://www.annalsofafricansurgery.com/surgical-capacity-of-kenya-equipment-and-infrastructure |
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| author | Sara Chaker Jaymie Ang Henry Ya-Ching Hung Mariam Saad Elizabeth Slater SriGita Krishna Madiraju Patrick Mwai Pankaj Jani Kevin Lan Peter Nthumba |
| author_facet | Sara Chaker Jaymie Ang Henry Ya-Ching Hung Mariam Saad Elizabeth Slater SriGita Krishna Madiraju Patrick Mwai Pankaj Jani Kevin Lan Peter Nthumba |
| author_sort | Sara Chaker |
| collection | DOAJ |
| description | Background: Access to surgical equipment is critical to providing safe and equitable operative care. This is the first nationwide study to provide data on the availability of surgical equipment in Kenya. Methods: This cross-sectional study collected data from May to July 2018 on the availability of non-pharmaceutical equipment, patient care, intra-operative, and anesthesia supplies in level 4 hospitals. Information regarding infrastructure such as the number of functional operating rooms, sterilization capacity, and sources of water and electricity was also collected. Results: The availability of intra-operative and anesthesia equipment was 44.5% and 47%, respectively. Nearly 60% of facilities had general patient care supplies. Over 80% of the facilities had running water in maternity wards (83.1%). Sterilization equipment was present in about half of the facilities (range: 42.6–68.3%). Additionally, 79.1% had a generator as a backup source of electricity. Only 35% of facilities always had an X-ray on-site, and 52.6% of the facilities obtained blood from the national or a regional center. Conclusion: This study provides data on the availability of surgical equipment and infrastructure in level 4 hospitals in Kenya. Availability of radiology services and blood supply was lower than that in other sub-Saharan African countries, highlighting the need for improved surgical care resources in these community-based facilities. |
| format | Article |
| id | doaj-art-5615fbc78fad4572806e8e56b13cda86 |
| institution | Kabale University |
| issn | 1999-9674 2523-0816 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj-art-5615fbc78fad4572806e8e56b13cda862025-01-28T15:03:24ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162025-01-01221412http://dx.doi.org/10.4314/aas.v22i1.2The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public HospitalsSara Chaker0https://orcid.org/0000-0002-5259-0941Jaymie Ang Henry1https://orcid.org/0000-0003-3331-8704Ya-Ching Hung2https://orcid.org/0000-0003-1061-4252Mariam Saad3https://orcid.org/0009-0009-2010-3174Elizabeth Slater4https://orcid.org/0000-0002-3644-1591SriGita Krishna Madiraju5https://orcid.org/0009-0002-2570-3610Patrick Mwai6https://orcid.org/0000-0002-7425-2740Pankaj Jani7https://orcid.org/0000-0001-5845-4644Kevin Lan8https://orcid.org/0009-0006-3409-9805Peter Nthumba9https://orcid.org/0000-0002-0468-9357Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADivision of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TX, USA; International Collaboration for Essential Surgery, New York, NY, USADepartment of General Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USADepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Urology, University of Toledo Medical Center, OH, USAInternational Collaboration for Essential Surgery, New York, NY, USA; College of Surgeons of East, Central and Southern Africa, Arusha, TanzaniaCollege of Surgeons of East, Central and Southern Africa, Arusha, TanzaniaVirginia Commonwealth University, School of Pharmacy, Richmond, VA, USADepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania; AIC Kijabe Hospital, Kijabe, Kenya Background: Access to surgical equipment is critical to providing safe and equitable operative care. This is the first nationwide study to provide data on the availability of surgical equipment in Kenya. Methods: This cross-sectional study collected data from May to July 2018 on the availability of non-pharmaceutical equipment, patient care, intra-operative, and anesthesia supplies in level 4 hospitals. Information regarding infrastructure such as the number of functional operating rooms, sterilization capacity, and sources of water and electricity was also collected. Results: The availability of intra-operative and anesthesia equipment was 44.5% and 47%, respectively. Nearly 60% of facilities had general patient care supplies. Over 80% of the facilities had running water in maternity wards (83.1%). Sterilization equipment was present in about half of the facilities (range: 42.6–68.3%). Additionally, 79.1% had a generator as a backup source of electricity. Only 35% of facilities always had an X-ray on-site, and 52.6% of the facilities obtained blood from the national or a regional center. Conclusion: This study provides data on the availability of surgical equipment and infrastructure in level 4 hospitals in Kenya. Availability of radiology services and blood supply was lower than that in other sub-Saharan African countries, highlighting the need for improved surgical care resources in these community-based facilities.https://www.annalsofafricansurgery.com/surgical-capacity-of-kenya-equipment-and-infrastructurekenyanational surgical capacitysurgical equipmentsurgical infrastructure |
| spellingShingle | Sara Chaker Jaymie Ang Henry Ya-Ching Hung Mariam Saad Elizabeth Slater SriGita Krishna Madiraju Patrick Mwai Pankaj Jani Kevin Lan Peter Nthumba The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals The Annals of African Surgery kenya national surgical capacity surgical equipment surgical infrastructure |
| title | The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals |
| title_full | The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals |
| title_fullStr | The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals |
| title_full_unstemmed | The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals |
| title_short | The Kenya Surgical Capacity Study: An Audit of Surgical Equipment/Infrastructure in Level 4 Public Hospitals |
| title_sort | kenya surgical capacity study an audit of surgical equipment infrastructure in level 4 public hospitals |
| topic | kenya national surgical capacity surgical equipment surgical infrastructure |
| url | https://www.annalsofafricansurgery.com/surgical-capacity-of-kenya-equipment-and-infrastructure |
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