Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era

dc.contributor.authorSikakulya, Franck K
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorLongombe, Albert Ahoha Ona
dc.contributor.authorOkedi, X Francis
dc.contributor.authorIlumbulumbu, Michel Kalongo
dc.contributor.authorValimungighe, Moise Muhindo
dc.contributor.authorFuraha, Nzanzu Blaise Pascal
dc.contributor.authorVahwere, Bienfait Mumbere
dc.contributor.authorMambo, Simon Binezero
dc.contributor.authorMulumba, Yusuf
dc.contributor.authorMuyisa, Anderson Muhindo Muhasa
dc.contributor.authorSonia, Fatuma Djuma
dc.contributor.authorSekabira, John
dc.contributor.authorFualal, Jane O
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2022-04-27T13:19:39Z
dc.date.available2022-04-27T13:19:39Z
dc.date.issued2021
dc.description.abstractObjective This study aimed to assess health facilities’ readiness to provide safe surgical care during Ebola and COVID-19 era in Uganda and in the Eastern DR Congo. Methods A cross-sectional study was conducted in selected national, regional referral and general hospital facilities in Uganda and in the eastern part of DR Congo from 1st August 2020 to 30th October 2020. Data was analysed using Stata version 15. Results The participation rate was of 37.5 % (72/192) for both countries. None of the hospitals fulfilled the readiness criteria for safe surgical care provision in both countries. The mean bed capacity of participating health facilities (HF) was 184 in Eastern DR Congo and 274 in Uganda with an average surgical ward bed capacity of 22.3 % (41/184) and 20.4 % (56/274) respectively. The mean number of operating rooms was 2 and 3 in Eastern DR Congo and Uganda respectively. Nine hospitals (12.5 %) reported being able to test for Ebola and 25 (34.7 %) being able to test for COVID-19. Postponing of elective surgeries was reported by 10 (13.9) participating hospitals. Only 7 (9.7 %) hospitals reported having a specific operating room for suspect or confirmed cases of Ebola or COVID-19. Appropriate Personal Protection Equipment (PPE) was reported to be available in 60 (83.3 %) hospitals. Most of the staff had appropriate training on donning and doffing of PPE 40 (55.6 %). Specific teams and protocols for safe surgical care provision were reported to be present in 61 (84.7 %) and 56 (77.8 %) respectively in Uganda and Eastern DR Congo participating hospitals. Conclusions The lack of readiness to provide safe surgical care during Ebola and COVID-19 era across the participating hospitals in both countries indicate a need for strategies to enhance health facility supplies and readiness for safe surgical provision in resource-limited settings.en_US
dc.identifier.citationSikakulya, F.K., Ssebuufu, R., Longombe, A.A.O., Okedi, X.F., Ilumbulumbu, M.K., Valimungighe, M.M., Pascal, F.N.B., Vahwere, B.M., Mambo, S.B., Mulumba, Y. and Muyisa, A.M.M. (2021). Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era. BMC Health Services Research, 21(1), pp.1-8.en_US
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2977
dc.language.isoenen_US
dc.publisherBMC , Campus, 4 Crinan St, London, England, N1 9XWen_US
dc.relation.ispartofseriesBMC Health Services Research;21(1)
dc.subjectHealth facilitiesen_US
dc.subjectSafe surgical care provisionen_US
dc.subjectReadinessen_US
dc.subjectEbolaen_US
dc.subjectCOVID-19en_US
dc.titleHealth facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 eraen_US
dc.typeArticleen_US

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