Harvard Medical School, Boston, MA, USA.
Department of Cultures, Societies and Global Studies, Northeastern University, College of Social Sciences and Humanities, Integrated Initiative for Global Health, Boston, MA, USA.
Glob Health Sci Pract. 2022 Feb 28;10(1). doi: 10.9745/GHSP-D-21-00500.
Surgery, anesthesia, and obstetric (SAO) care is quickly being recognized for its critical role in cost-effectively improving global morbidity and mortality. Six core indicators for SAO capacity were established in 2015 by the Lancet Commission on Global Surgery (LCoGS) and include: SAO provider density, population proximity to surgery-ready facilities, annual national operative volume, a system to track perioperative mortality rate, and protection from impoverishing and catastrophic expenditures. The surgical capacity of Kenya, a lower-middle-income country, has not been evaluated using this framework. Our goal was to review published literature on surgery in Kenya to assess the country's surgical capacity and system strength. A narrative review of the relevant literature provided estimates for each LCoGS indicator. While progress has been made in expanding access to care across the country, key steps remain in the effort to provide equitable, affordable, and timely care to Kenya's population through universal health coverage. Additional investment into training SAO providers, operative infrastructure, and accessibility are recommended through a national surgery, obstetric, and anesthesia plan.
外科手术、麻醉和产科（SAO）护理正在迅速被公认为是一种具有成本效益的改善全球发病率和死亡率的关键手段。2015 年，柳叶刀全球外科学委员会（LCoGS）确定了 SAO 能力的六个核心指标，包括：SAO 提供者密度、人口与手术准备设施的接近程度、国家年度手术量、一个跟踪围手术期死亡率的系统，以及免受贫困和灾难性支出的保护。肯尼亚是一个中低收入国家，尚未使用这一框架来评估其外科手术能力。我们的目标是审查肯尼亚外科手术的相关文献，以评估该国的外科手术能力和系统实力。对相关文献的叙述性回顾提供了每个 LCoGS 指标的估计值。尽管在扩大全国医疗服务可及性方面取得了进展，但仍需在通过全民健康覆盖为肯尼亚人民提供公平、负担得起和及时的护理方面采取关键步骤。建议通过国家外科手术、产科和麻醉计划，对 SAO 提供者培训、手术基础设施和可及性进行额外投资。
