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- W2416754875 abstract "Background: Medical officers and specialists based in rural hospitalsmust have skills and knowledge to handle the most common emergency andelective surgical problems in their catchment population. The aim ofthis study was to assess the common surgical problems faced by medicalofficers in rural hospitals in Kenya and Tanzania that are supported byAMREF specialist outreach services and CCM-Comitato CollaborazioneMedica surgeons and to assess how such training may be provided.Methods: This study covered 31 rural district, Church, NGO andovernment Hospitals in East Africa. A cross-sectional survey usingself-administered open-ended questionnaire was used. Forty-twoquestionnaires were administered to medical officers in charge of thehospitals. The data received was entered in EPlNFO and analysed usingSPSS to show the frequency of distribution of different variables.Results: Of the 31 hospitals, 84% had 50 - 200 beds and 1-3 doctors;40% had less than two : Most (80%) had outpatients load of 10,000-30,000 per year and inpatients load of 3,000-10,000 per year;79% ofthe hospital carried out 500-2000 deliveries per year. A third (35%) ofthe hospitals had no anaesthetist. Between 200-400 patients per yearrequired emergency and elective surgery in 50% of hospitals. Commonemergency surgical conditions and procedures were Ectopic pregnancy,Caesarean section, strangulated hernia, appendectomy and bowelresection. Hernia repair, Hydrocelectomy, Hysterectomy, prostatectomyand appendectomy were the commonest elective procedures. A total of 79%of rural based medical officers preferred a combination of on-the-jobtraining by visiting specialists and training at a referral facility asthe best method to improve their surgical skills so as to competentlydeal with major surgical problems in their area. The majority (85%) ofthe respondents preferred that training should take 6-12 months.Medical officers, supported by periodic visits by specialists toperform complicated elective surgery and refresher training, canadequately manage majority of surgical problems in' rural areas.Conclusion: 1. There is need for a critical review of the currentinstitution-based surgical training for rural based medical officers.2. There is shortage of health workers who can administer safeanaesthesia in rural hospitals 3. Medical officers prefer combinedapproach to surgical training, on-the-job training by visitingspecialist and institution-based training for a short period 6-12months." @default.
- W2416754875 created "2016-06-24" @default.
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- W2416754875 date "2004-01-01" @default.
- W2416754875 modified "2023-09-24" @default.
- W2416754875 title "Assessment of common surgical conditions encountered by cal oficers based in rural hospitals in east Africa" @default.
- W2416754875 hasPublicationYear "2004" @default.
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