Open Access
Subscription or Fee Access
SURGICAL OUTPUT IN KIBAALE DISTRI ET, UGANDA
Abstract
Background: The output of major surgeries in eastern Africa i: i low and varies considerably
between hospitals and regions. This study in rural Uganda rela1 es surgical output to number
of hospital beds, number of in-patient admissions, number of ne? v out-patient visits, estimated
catchment area population and number of doctorsand nurses. Th is was to facilitate comparison
between institutions and areas and to determine surgical resoul ce needs.
Objectives: To describe the quantitative output of surgery ir a Ugandan district and to
demonstrate the use of standardised indicators for the purpost of comparison, monitoring,
resource needs assessment and planning.
Data sources: Retrospective review and analysis of inpatiem and outpatient records at
Kagadi district hospital, Kibaale district, Western Uganda, :he only hospital providing
major surgery in the district.
Study selection: Data on all recorded major and minor surgic;~l operations in the hospital
during two complete calendar years, 1996 and 1997.
Data synthesis: In 1996 and 1997 there were 331 and 309 major operations performed
respectively in Kagadi hospital, Kibaale district. This output cor responded to 3.3 and 3.1 per
100 beds; 270 and 270 per 1,000 in-patient admissions; 328 and :!ti7 per year per 10,000 new
out-patient visits; 166 and 155 per 100,000 catchment area population; 83 and 77 per doctor;
27.6 and 25.8per nurse. Minor surgery output at the same hospik11 in 19% and 1997 were 185
and 190 respectively. This corresponded to 183 and 164 per 10,01H) new outpatient visits and
93 and 95 operations per 100,000 catchment area population.
Conclusions: The output of surgery in the district was very low ~n comparison with Europe
and North America but within the range common in Eastern Africa. For planning and
performance review purposes the most useful indicators are surg ~cal output per 100 beds per
year; per 1000 inpatient admissions; per doctor and per nurse per year because they measure
workloadagainstavaiYable resources. Output per 100,000estimatec I catchment area population
is useful in relating output toneed. These indicators are recommc:nded to be incorporated in
district and hospital performance reviews and in annual report:
between hospitals and regions. This study in rural Uganda rela1 es surgical output to number
of hospital beds, number of in-patient admissions, number of ne? v out-patient visits, estimated
catchment area population and number of doctorsand nurses. Th is was to facilitate comparison
between institutions and areas and to determine surgical resoul ce needs.
Objectives: To describe the quantitative output of surgery ir a Ugandan district and to
demonstrate the use of standardised indicators for the purpost of comparison, monitoring,
resource needs assessment and planning.
Data sources: Retrospective review and analysis of inpatiem and outpatient records at
Kagadi district hospital, Kibaale district, Western Uganda, :he only hospital providing
major surgery in the district.
Study selection: Data on all recorded major and minor surgic;~l operations in the hospital
during two complete calendar years, 1996 and 1997.
Data synthesis: In 1996 and 1997 there were 331 and 309 major operations performed
respectively in Kagadi hospital, Kibaale district. This output cor responded to 3.3 and 3.1 per
100 beds; 270 and 270 per 1,000 in-patient admissions; 328 and :!ti7 per year per 10,000 new
out-patient visits; 166 and 155 per 100,000 catchment area population; 83 and 77 per doctor;
27.6 and 25.8per nurse. Minor surgery output at the same hospik11 in 19% and 1997 were 185
and 190 respectively. This corresponded to 183 and 164 per 10,01H) new outpatient visits and
93 and 95 operations per 100,000 catchment area population.
Conclusions: The output of surgery in the district was very low ~n comparison with Europe
and North America but within the range common in Eastern Africa. For planning and
performance review purposes the most useful indicators are surg ~cal output per 100 beds per
year; per 1000 inpatient admissions; per doctor and per nurse per year because they measure
workloadagainstavaiYable resources. Output per 100,000estimatec I catchment area population
is useful in relating output toneed. These indicators are recommc:nded to be incorporated in
district and hospital performance reviews and in annual report:
Refbacks
- There are currently no refbacks.
