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Table 2 Surgical infrastructure, 30-Day operative volume and case distribution by hospital level

From: Operative volume and surgical case distribution in Uganda’s public sector: a stratified randomized evaluation of nationwide surgical capacity

 

General Hospitals

Regional Referral Hospitals

Total

P-value

Number of Institutions Assessed

8

8

16

1

Total Population Served

2,507,400

22,873,000

25,380,400

< 0.001

Average Age

26.45

27.06

26.92

0.33

Gender Breakdown

< 0.001

 Male

100 (14.8%)

299 (12.8%)

399 (13.2%)

 

 Female

564 (83.3%)

1796 (76.9%)

2360 (78.3%)

 

 Unknown

13 (1.9%)

242 (10.4%)

255 (8.5%)

 

Average Beds / Facility

154.1

360.0

257.1

0.004

Average ORs / Facility

1.38

3.88

2.63

0.003

Bellwether Facilities

2 (22.2%a)

7 (77.8%a)

9 (100.0%a)

0.04

Total SAOs

11 (13.3%a)

72 (86.8%a)

83 (100.0%a)

0.002

Trainee Hospitals

0 (0.0%)

8 (100.0%a)

8 (100.0%a)

< 0.001

Average Cases/100,000 Population/Year

328.5

124.3

144.5

0.03

Case Breakdown (30 Day Operative Log Total)

677 (22.5%a)

2337 (77.5%a)

3014 (100.0%a)

< 0.001

 General Surgery

149 (22.0%)

566 (24.2%)

715 (23.7%)

 

 Ob/Gyn

521 (77.0%)

1560 (66.8%)

2081 (69.0%)

 

 Ortho

7 (1.0%)

113 (4.8%)

120 (4.0%)

 

 Neuro

0 (0.0%)

12 (0.5%)

12 (0.4%)

 

 Surgical Camp

0 (0.0%)

86 (3.7%)

86 (2.9%)

 

Anaesthesia Breakdown

< 0.001

 General Anaesthesia

185 (27.3%)

716 (30.6%)

901 (29.9%)

 

 Spinal Anaesthesia

300 (44.3%)

1425 (61.0%)

1725 (57.2%)

 

 Local Anaesthesia

88 (13.0%)

111 (4.8%)

199 (6.6%)

 

 Sedation

52 (7.7%)

22 (0.9%)

74 (2.4%)

 

 Unknown

52 (7.7%)

63 (2.7%)

115 (3.8%)

 
  1. % reported as a % of total operations within that level of facility except where indicated by a where reported as % of overall total