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A geospatial analysis of two-hour surgical access to district hospitals in South Africa

dc.contributor.authorChu, Kathryn M.en_ZA
dc.contributor.authorDell, Angela J.en_ZA
dc.contributor.authorMoultrie, Harryen_ZA
dc.contributor.authorDay, Candyen_ZA
dc.contributor.authorNaidoo, Meganen_ZA
dc.contributor.authorVan Straten, Stephanieen_ZA
dc.contributor.authorRayne, Sarahen_ZA
dc.date.accessioned2020-09-07T09:04:28Z
dc.date.available2020-09-07T09:04:28Z
dc.date.issued2020-08-13
dc.identifier.citationChu, K. M., et al. 2020. A geospatial analysis of two-hour surgical access to district hospitals in South Africa. BMC Health Services Research, 20:744, doi:10.1186/s12913-020-05637-0
dc.identifier.issn1472-6963 (online)
dc.identifier.otherdoi:10.1186/s12913-020-05637-0
dc.identifier.urihttp://hdl.handle.net/10019.1/108800
dc.descriptionCITATION: Chu, K. M., et al. 2020. A geospatial analysis of two-hour surgical access to district hospitals in South Africa. BMC Health Services Research, 20:744, doi:10.1186/s12913-020-05637-0.
dc.descriptionThe original publication is available at https://bmchealthservres.biomedcentral.com
dc.description.abstractBackground: In a robust health care system, at least 80% of a country’s population should be able to access a district hospital that provides surgical care within 2 hours. The objective was to identify the proportion of the population living within 2 hours of a district hospital with surgical capacity in South Africa. Methods: All government hospitals in the country were identified. Surgical district hospitals were defined as district hospitals with a surgical provider, a functional operating theatre, and the provision of at least one caesarean section annually. The proportion of the population within two-hour access was estimated using service area methods. Results: Ninety-eight percent of the population had two-hour access to any government hospital in South Africa. One hundred and thirty-eight of 240 (58%) district hospitals had surgical capacity and 86% of the population had two-hour access to these facilities. Conclusion: Improving equitable surgical access is urgently needed in sub-Saharan Africa. This study demonstrated that in South Africa, just over half of district hospitals had surgical capacity but more than 80% of the population had two-hour access to these facilities. Strengthening district hospital surgical capacity is an international mandate and needed to improve access.
dc.description.urihttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05637-0
dc.format.extent5 pages
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.subjectGlobal surgery
dc.titleA geospatial analysis of two-hour surgical access to district hospitals in South Africaen_ZA
dc.typeArticle
dc.date.updated2020-08-16T03:20:43Z
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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