An audit of licensed Zimbabwean radiology equipment resources as a measure of healthcare access and equity
| dc.contributor.author | Maboreke, Tashinga | en_ZA |
| dc.contributor.author | Banhwa, Josephat | en_ZA |
| dc.contributor.author | Pitcher, Richard D. | en_ZA |
| dc.date.accessioned | 2021-10-20T07:04:54Z | |
| dc.date.available | 2021-10-20T07:04:54Z | |
| dc.date.issued | 2019-10-01 | |
| dc.description | CITATION: Maboreke, T.; Banhwa, J. & Pitcher, R. D. 2019. An audit of licensed Zimbabwean radiology equipment resources as a measure of healthcare access and equity. Pan African Medical Journal, 34. doi:10.11604/pamj.2019.34.60.18935 | |
| dc.description | The original publication is available at https://www.panafrican-med-journal.com/ | |
| dc.description.abstract | Introduction: approximately two-thirds of the world's population has no access to diagnostic imaging. Basic radiological services should be integral to universal health coverage. The World Health Organization postulates that one basic X-ray and ultrasound unit for every 50000 people will meet 90% of global imaging needs. However, there are limited country-level data on radiological resources, and little appreciation of how such data reflect access and equity within a healthcare system. The aim of this study was a detailed analysis of licensed Zimbabwean radiological equipment resources. Methods: the equipment database of the Radiation Protection Authority of Zimbabwe was interrogated. Resources were quantified as units/million people and compared by imaging modality, geographical region and healthcare sector. Zimbabwean resources were compared with published South African and Tanzanian data. Results: public-sector access to X-ray units (11/106 people) is approximately half the WHO recommendation (20/106 people), and there exists a 5-fold disparity between the least- and best-resourced regions. Private-sector exceeds public-sector access by 16-fold. More than half Zimbabwe's radiology equipment (215/380 units, 57%) is in two cities, serving one-fifth of the population. Almost two-thirds of all units (243/380, 64%) are in the private sector, routinely accessible by approximately 10% of the population. Southern African country-level public-sector imaging resources broadly reflect national per capita healthcare expenditure. Conclusion: there exists an overall shortfall in basic radiological equipment resources in Zimbabwe, and inequitable distribution of existing resources. The national radiology equipment register can reflect access and equity in a healthcare system, while providing medium-term radiological planning data. | en_ZA |
| dc.description.uri | https://panafrican-med-journal.com/content/article/34/60/full/ | |
| dc.description.version | Publisher’s version | |
| dc.format.extent | 10 pages | |
| dc.identifier.citation | Maboreke, T.; Banhwa, J. & Pitcher, R. D. 2019. An audit of licensed Zimbabwean radiology equipment resources as a measure of healthcare access and equity. Pan African Medical Journal, 34. doi:10.11604/pamj.2019.34.60.18935 | |
| dc.identifier.issn | 1937-8688 (online) | |
| dc.identifier.other | doi:10.11604/pamj.2019.34.60.18935 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/123264 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Pan African Medical Journal | |
| dc.rights.holder | Authors retain rights | |
| dc.subject | Radiology equipment industry -- Zimbabwe | en_ZA |
| dc.subject | National health insurance -- Zimbabwe | en_ZA |
| dc.subject | Health services accessibility -- Zimbabwe | en_ZA |
| dc.subject | Medical radiology -- Zimbabwe | en_ZA |
| dc.title | An audit of licensed Zimbabwean radiology equipment resources as a measure of healthcare access and equity | en_ZA |
| dc.type | Article | en_ZA |