Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia
Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was t...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Spiegel, David A. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2010 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2010 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 35(2010), 2 vom: 14. Dez., Seite 272-279 |
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| Übergeordnetes Werk: |
volume:35 ; year:2010 ; number:2 ; day:14 ; month:12 ; pages:272-279 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-010-0904-7 |
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SPR003431975 |
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| 520 | |a Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. | ||
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10.1007/s00268-010-0904-7 doi (DE-627)SPR003431975 (SPR)s00268-010-0904-7-e DE-627 ger DE-627 rakwb eng Spiegel, David A. verfasserin aut Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2010 Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. Health Facility (dpeaa)DE-He213 Physical Resource (dpeaa)DE-He213 Level Facility (dpeaa)DE-He213 Primary Health Facility (dpeaa)DE-He213 Level Health Facility (dpeaa)DE-He213 Choo, Shelly aut Cherian, Meena aut Orgoi, Sergelen aut Kehrer, Beat aut Price, Raymond R. aut Govind, Salik aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 2 vom: 14. Dez., Seite 272-279 (DE-627)SPR003391159 nnns volume:35 year:2010 number:2 day:14 month:12 pages:272-279 https://dx.doi.org/10.1007/s00268-010-0904-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2010 2 14 12 272-279 |
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10.1007/s00268-010-0904-7 doi (DE-627)SPR003431975 (SPR)s00268-010-0904-7-e DE-627 ger DE-627 rakwb eng Spiegel, David A. verfasserin aut Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2010 Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. Health Facility (dpeaa)DE-He213 Physical Resource (dpeaa)DE-He213 Level Facility (dpeaa)DE-He213 Primary Health Facility (dpeaa)DE-He213 Level Health Facility (dpeaa)DE-He213 Choo, Shelly aut Cherian, Meena aut Orgoi, Sergelen aut Kehrer, Beat aut Price, Raymond R. aut Govind, Salik aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 2 vom: 14. Dez., Seite 272-279 (DE-627)SPR003391159 nnns volume:35 year:2010 number:2 day:14 month:12 pages:272-279 https://dx.doi.org/10.1007/s00268-010-0904-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2010 2 14 12 272-279 |
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10.1007/s00268-010-0904-7 doi (DE-627)SPR003431975 (SPR)s00268-010-0904-7-e DE-627 ger DE-627 rakwb eng Spiegel, David A. verfasserin aut Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2010 Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. Health Facility (dpeaa)DE-He213 Physical Resource (dpeaa)DE-He213 Level Facility (dpeaa)DE-He213 Primary Health Facility (dpeaa)DE-He213 Level Health Facility (dpeaa)DE-He213 Choo, Shelly aut Cherian, Meena aut Orgoi, Sergelen aut Kehrer, Beat aut Price, Raymond R. aut Govind, Salik aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 2 vom: 14. Dez., Seite 272-279 (DE-627)SPR003391159 nnns volume:35 year:2010 number:2 day:14 month:12 pages:272-279 https://dx.doi.org/10.1007/s00268-010-0904-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2010 2 14 12 272-279 |
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10.1007/s00268-010-0904-7 doi (DE-627)SPR003431975 (SPR)s00268-010-0904-7-e DE-627 ger DE-627 rakwb eng Spiegel, David A. verfasserin aut Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2010 Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. Health Facility (dpeaa)DE-He213 Physical Resource (dpeaa)DE-He213 Level Facility (dpeaa)DE-He213 Primary Health Facility (dpeaa)DE-He213 Level Health Facility (dpeaa)DE-He213 Choo, Shelly aut Cherian, Meena aut Orgoi, Sergelen aut Kehrer, Beat aut Price, Raymond R. aut Govind, Salik aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 2 vom: 14. Dez., Seite 272-279 (DE-627)SPR003391159 nnns volume:35 year:2010 number:2 day:14 month:12 pages:272-279 https://dx.doi.org/10.1007/s00268-010-0904-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2010 2 14 12 272-279 |
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10.1007/s00268-010-0904-7 doi (DE-627)SPR003431975 (SPR)s00268-010-0904-7-e DE-627 ger DE-627 rakwb eng Spiegel, David A. verfasserin aut Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2010 Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. Health Facility (dpeaa)DE-He213 Physical Resource (dpeaa)DE-He213 Level Facility (dpeaa)DE-He213 Primary Health Facility (dpeaa)DE-He213 Level Health Facility (dpeaa)DE-He213 Choo, Shelly aut Cherian, Meena aut Orgoi, Sergelen aut Kehrer, Beat aut Price, Raymond R. aut Govind, Salik aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 2 vom: 14. Dez., Seite 272-279 (DE-627)SPR003391159 nnns volume:35 year:2010 number:2 day:14 month:12 pages:272-279 https://dx.doi.org/10.1007/s00268-010-0904-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 35 2010 2 14 12 272-279 |
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Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia |
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| title_full |
Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia |
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Spiegel, David A. |
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World Journal of Surgery |
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World Journal of Surgery |
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eng |
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2010 |
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272 |
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Spiegel, David A. Choo, Shelly Cherian, Meena Orgoi, Sergelen Kehrer, Beat Price, Raymond R. Govind, Salik |
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35 |
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Elektronische Aufsätze |
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Spiegel, David A. |
| doi_str_mv |
10.1007/s00268-010-0904-7 |
| title_sort |
quantifying surgical and anesthetic availability at primary health facilities in mongolia |
| title_auth |
Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia |
| abstract |
Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. © Société Internationale de Chirurgie 2010 |
| abstractGer |
Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. © Société Internationale de Chirurgie 2010 |
| abstract_unstemmed |
Background Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia’s population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. Methods A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Results Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. Conclusions This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals. © Société Internationale de Chirurgie 2010 |
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Quantifying Surgical and Anesthetic Availability at Primary Health Facilities in Mongolia |
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Choo, Shelly Cherian, Meena Orgoi, Sergelen Kehrer, Beat Price, Raymond R. Govind, Salik |
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