Characterizing pediatric surgical capacity in the Eastern Democratic Republic of Congo: results of a pilot study.

Pediatr Surg Int 2018 Mar 20;34(3):343-351. Epub 2017 Nov 20.

Department of Pediatric Surgery, John R Oshei Children's Hospital, 1001 Main Street, Buffalo, NY, 14202, USA.

Purpose: Characterize pediatric surgical capacity in the eastern Democratic Republic of Congo (DRC) to identify areas of potential improvement.

Methods: The Pediatric Personnel, Infrastructure, Procedures, Equipment, and Supplies (PediPIPES) survey was used in two representative eastern DRC provinces to assess existing surgical infrastructure and capacity. We compared our results to previously published reports from other sub-Saharan African countries.

Results: Fourteen hospitals in the eastern DRC and 37 in 19 sub-Saharan African (SSA) countries were compared. The average PediPIPES index for the DRC was 7.7 compared to 13.5 for SSAs. The greatest disparities existed in the areas of personnel and infrastructure. Running water was reportedly available to 57.1% of the hospitals in the DRC, and the majority of hospitals (78.6%) were dependent on generators and solar panels for electricity. Only two hospitals in the DRC (14.3%) reported a pediatric surgeon equivalent on staff, compared to 86.5% of facilities sampled in SSA reporting ≥ 1 pediatric surgeon.

Conclusions: Significant barriers in personnel, infrastructure, procedures, equipment, and supplies impede the provision of adequate surgical care to children. Further work is needed to assess allocation and utilization of existing resources, and to enhance training of personnel with specific attention to pediatric surgery.

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http://dx.doi.org/10.1007/s00383-017-4215-zDOI Listing
March 2018
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References

(Supplied by CrossRef)

R Gosselin et al.
World J Surg 2013

C McCord et al.
Int J Gynaecol Obstet 2003

D Ozgediz et al.
PLoS Med 2008

JD Forrester et al.
JAMA Surg 2016

L Malemo Kalisya et al.
PLoS One 2015

OL Ahuka et al.
East Afr Med J 2006

JG Meara et al.
Lancet Glob Health 2015

AT Fuller et al.
World J Surg 2015

R Groen et al.
SpringerLink. World J Surg 2012

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