Surgical Capacity in Zimbabwean Public Hospitals

April 6, 2024 updated by: Dennis Mazingi, Parirenyatwa Hospital

Comprehensive Analysis of Emergency and Essential Surgical Capacity in Zimbabwean Public Hospitals: A National Cross-sectional Survey

This study aimed to understand how ready Zimbabwe's public hospitals are to perform essential surgeries, which are critical for treating a wide range of health issues from emergencies like car accidents to planned procedures such as childbirth by caesarean section. The researchers looked at hospitals across Zimbabwe to see what kind of surgery facilities, equipment, and specialists were available.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Abstract Background: Access to surgical care is an essential component of universal health coverage, but surgical capacity is lacking in many low- and middle-income countries. Surgical capacity in Zimbabwe, a lower-middle income country, is undocumented. The objective of this study was to assess surgical capacity in public hospitals in Zimbabwe.

Methods: A national hospital survey was performed in 2019 using a validated surgical situational analysis tool. the investigators included district, provincial and central hospitals in the public sector across all 10 provinces of Zimbabwe. Data was collected from key informants using an online survey. information gathered included an inventory of infrastructural components required to perform essential surgical services, a survey of healthcare workers involved in surgical care (the Surgical Anaesthetic and Obstetric workforce); a submission of the number of surgical procedures including bellwether procedures performed over the course of the last year and also surgical sundries and consumables required to perform surgical services.

Study Type

Observational

Enrollment (Actual)

80

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Zimbabwe
      • Harare, Zimbabwe
        • Parirenyatwa Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

public hospitals in zimbabwe

Description

Inclusion Criteria:

  • Hospitals were considered eligible if there was any major or minor surgical activity occurring in the facility

Exclusion Criteria:

  • hospitals dedicated to a non-surgical pursuit
  • private hospitals

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Bellwether procedures
Time Frame: in 1 calendar year
number of bellwether procedures performed in each hospital
in 1 calendar year
Procedures
Time Frame: in 1 calendar year
number of other procedures performed in each hospital
in 1 calendar year
SAO density
Time Frame: in 1 calendar year
Number of surgical anesthetic and obstetric practitioners per 100 000 population
in 1 calendar year
Infrastructure
Time Frame: in 1 calendar year
Availability of basic and specific infrastructure in each hospital
in 1 calendar year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Parirenyatwa Hospital

Investigators

  • Study Director: Shingai Nyaguse-Chiurunge, Parirenyatwa

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 24, 2019

Primary Completion (Actual)

February 25, 2024

Study Completion (Actual)

March 15, 2024

Study Registration Dates

First Submitted

March 29, 2024

First Submitted That Met QC Criteria

April 6, 2024

First Posted (Actual)

April 10, 2024

Study Record Updates

Last Update Posted (Actual)

April 10, 2024

Last Update Submitted That Met QC Criteria

April 6, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • ESC001

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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