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World Journal of Surgery

, Volume 43, Issue 3, pp 704–714 | Cite as

Assessment of Capacity to Meet Lancet Commission on Global Surgery Indicators in the Federal Capital Territory, Abuja, Nigeria

  • Jamie E. Anderson
  • Aliyu Baba Ndajiwo
  • Susuti Aaron Nuhu
  • Olubunmi Aiyedun Lawal
  • Joseph O. Amedu
  • Emmanuel A. AmehEmail author
Surgery in Low and Middle Income Countries

Abstract

Background

This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan.

Methods

In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were surveyed using a modified World Health Organization Hospital Assessment Tool and a qualitative semi-structured hospital interview tool of the medical Director (MdD). This project received approval from the Nigeria Federal Ministry of Health and the FCT Department of Health and Human Services.

Results

The number of inpatient beds ranged from 35 to 140, and the number of admissions ranged from 1200 to 6400 patients per year. The mean number of surgeries performed in 2016 by these hospitals was 783 (range 235–1601). Cesarean section was the most common surgical procedure at each hospital. Only five hospitals regularly performed laparotomies. Only three hospitals regularly performed fixation of open fractures. Of 152 surgical, obstetric, and anesthesia providers, all hospitals had at least one consultant obstetrician, but only four hospitals had a general surgeon and three hospitals had a consultant anesthesiologist. Deficient physical space for inpatient admissions was the most common concern of MdDs.

Conclusions

The FCT reaches the target for 2-h access, with 80% of patients (on average) reaching the hospital within 2 h. However, SAO provider density, surgical volume, and tracking of the perioperative mortality rate were low. Data were lacking to comment on protection against impoverishing and catastrophic expenditures.

Notes

Acknowledgements

The authors thank the Federal Ministry of Health and the Federal Capital Territory Department of Health and Human Services for their assistance in this project. We also thank the National Hospital Abuja for their generous logistical support.

Funding

Dr. Anderson was funded through support from the Ronda Stryker and William Johnston Global Surgery Fellowship Fund at Harvard Medical School.

Compliance with ethical standards

Conflicts of interest

All authors declare that they have no conflict of interest.

Supplementary material

268_2018_4835_MOESM1_ESM.pdf (268 kb)
Supplementary material 1 (PDF 267 kb)
268_2018_4835_MOESM2_ESM.pdf (486 kb)
Supplementary material 2 (PDF 485 kb)

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Copyright information

© Société Internationale de Chirurgie 2018

Authors and Affiliations

  • Jamie E. Anderson
    • 1
    • 2
    • 3
  • Aliyu Baba Ndajiwo
    • 1
  • Susuti Aaron Nuhu
    • 1
    • 4
  • Olubunmi Aiyedun Lawal
    • 1
    • 5
  • Joseph O. Amedu
    • 1
    • 4
  • Emmanuel A. Ameh
    • 1
    • 6
    Email author
  1. 1.Nigeria National Surgical, Obstetric, AnesthesiaNursing Plan CommitteeAbujaNigeria
  2. 2.Harvard Medical School Program for Global Surgery and Social ChangeBostonUSA
  3. 3.Department of SurgeryUniversity of California, DavisSacramentoUSA
  4. 4.Department of Hospital ServicesFederal Ministry of HealthAbujaNigeria
  5. 5.National Association of Nigerian Paediatric NursesAbujaNigeria
  6. 6.Division of Paediatric Surgery, Department of SurgeryNational HospitalAbujaNigeria

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