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实施利比里亚减贫战略:紧急和基本外科护理评估

Implementing Liberia's poverty reduction strategy: An assessment of emergency and essential surgical care.

作者信息

Sherman Lawrence, Clement Peter T, Cherian Meena N, Ndayimirije Nestor, Noel Luc, Dahn Bernice, Gwenigale Walter T, Kushner Adam L

机构信息

Ministry of Health and Social Welfare, Monrovia, Liberia.

出版信息

Arch Surg. 2011 Jan;146(1):35-9. doi: 10.1001/archsurg.2010.285.

DOI:10.1001/archsurg.2010.285
PMID:21242443
Abstract

OBJECTIVE

To document infrastructure, personnel, procedures performed, and supplies and equipment available at all county hospitals in Liberia using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care.

DESIGN

Survey of county hospitals using the World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care.

SETTING

Sixteen county hospitals in Liberia.

MAIN OUTCOME MEASURES

Infrastructure, personnel, procedures performed, and supplies and equipment available.

RESULTS

Uniformly, gross deficiencies in infrastructure, personnel, and supplies and equipment were identified.

CONCLUSIONS

The World Health Organization Tool for Situational Analysis of Emergency and Essential Surgical Care was useful in identifying baseline emergency and surgical conditions for evidenced-based planning. To achieve the Poverty Reduction Strategy and delivery of the Basic Package of Health and Social Welfare Services, additional resources and manpower are needed to improve surgical and anesthetic care.

摘要

目的

使用世界卫生组织紧急和基本外科护理情况分析工具,记录利比里亚所有县级医院的基础设施、人员、开展的程序以及可用的物资和设备。

设计

使用世界卫生组织紧急和基本外科护理情况分析工具对县级医院进行调查。

地点

利比里亚的16家县级医院。

主要观察指标

基础设施、人员、开展的程序以及可用的物资和设备。

结果

一致发现基础设施、人员以及物资和设备存在严重不足。

结论

世界卫生组织紧急和基本外科护理情况分析工具有助于确定基于证据的规划的基线紧急和外科状况。为实现减贫战略并提供基本卫生和社会福利服务包,需要额外的资源和人力来改善外科和麻醉护理。

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