Anderson Jamie E, Ndajiwo Aliyu Baba, Nuhu Susuti Aaron, Lawal Olubunmi Aiyedun, Amedu Joseph O, Ameh Emmanuel A
Nigeria National Surgical, Obstetric, Anesthesia, Nursing Plan Committee, Abuja, Nigeria.
Harvard Medical School Program for Global Surgery and Social Change, Boston, MA, USA.
World J Surg. 2019 Mar;43(3):704-714. doi: 10.1007/s00268-018-4835-z.
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.
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.
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.
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.
这是对联邦首都地区（FCT）外科手术能力的基线评估，为制定国家外科、产科、麻醉和护理计划做准备。
2017年10月，使用经修改的世界卫生组织医院评估工具和医学主任（MdD）的定性半结构化医院访谈工具，对FCT提供外科和/或产科护理的11家二级医院中的10家进行了调查。该项目获得了尼日利亚联邦卫生部以及FCT卫生与公众服务部的批准。
住院床位数在35至140张之间，每年入院人数在1200至6400名患者之间。这些医院在2016年进行的手术平均数量为783例（范围为235 - 1601例）。剖宫产是每家医院最常见的外科手术。只有五家医院定期进行剖腹手术。只有三家医院定期进行开放性骨折固定术。在152名外科、产科和麻醉医护人员中，所有医院至少有一名产科顾问医生，但只有四家医院有一名普通外科医生，三家医院有一名麻醉顾问医生。住院收治的物理空间不足是医学主任们最普遍关心的问题。
FCT达到了2小时就诊的目标，80%的患者（平均）能在2小时内到达医院。然而，外科、产科和麻醉医护人员的密度、手术量以及围手术期死亡率的跟踪情况较低。缺乏数据来评论防止贫困性和灾难性支出的情况。
