Results of Situational Analysis Tool
C | I | N | |||
General and congenital | |||||
Blood bank | 29 | 48 | 23 | ||
Personnel | Electricity | 44 | 52 | 4 | |
General physician performing surgery | 113 | Emergency guidelines | 25 | 13 | 63 |
Non-physicians performing surgery | 122 | Emergency room | 33 | 15 | 52 |
Paramedics and midwives | 4017 | Generator | 58 | 2 | 40 |
Physicians trained in surgery (specialist) | 64 | Haemoglobin and urine analysis | 96 | 4 | 0 |
Medical records | 98 | 2 | 0 | ||
Procedure | P | Running water | 56 | 35 | 8 |
Appendectomy | 69 | Surgery guidelines | 58 | 6 | 35 |
Biopsy | 81 | Cotton wool | 77 | 21 | 2 |
Burn care | 90 | Adhesive tape | 96 | 4 | 0 |
Cataract repair | 35 | Apron, plastic, reusable | 81 | 15 | 4 |
Cleft lip repair | 25 | Bandages sterile | 98 | 2 | 0 |
Congenital hernia repair | 71 | Batteries for flashlight | 58 | 33 | 8 |
Cystotomy | 63 | Bucket, plastic | 94 | 6 | 0 |
Hernia repair | 69 | Capped bottle, alcohol solution | 79 | 13 | 8 |
Hydrocele | 88 | Disposable needles # 25, 21, 19 | 98 | 2 | 0 |
Incision and drainage | 98 | Drum for sterile dressings | 83 | 8 | 8 |
Laparotomy | 75 | Examination table | 90 | 10 | 0 |
Male circumcision | 98 | Eye protection | 40 | 15 | 46 |
Neonatal surgery | 35 | Face masks | 69 | 25 | 6 |
Suturing | 100 | Forceps, Kocher | 73 | 19 | 8 |
Tubal ligation/vasectomy | 71 | Forceps, artery | 81 | 10 | 8 |
Urethral stricture | 46 | Gloves (non-sterile) | 92 | 8 | 0 |
Gloves (sterile) | 90 | 10 | 0 | ||
Kidney dishes, stainless steel | 88 | 13 | 0 | ||
Light source (lamp and flashlight) | 73 | 17 | 10 | ||
Nail brush, scrubbing | 85 | 10 | 5 | ||
Nasogastric tubes 10 to 16 FG | 71 | 17 | 13 | ||
Needle holder | 90 | 10 | 0 | ||
Needles, cutting and round | 94 | 6 | 0 | ||
Retractors | 77 | 17 | 6 | ||
Scalpel handle with blade | 94 | 4 | 2 | ||
Scissors blunt 14 cm | 83 | 15 | 2 | ||
Scissors straight 12 cm | 77 | 21 | 2 | ||
Sharps disposal container | 98 | 2 | 0 | ||
Sheeting, plastic for exam table | 65 | 23 | 13 | ||
Soap | 98 | 2 | 0 | ||
Sterile gauze dressing | 96 | 4 | 0 | ||
Steriliser | 85 | 13 | 2 | ||
Suction pump (manual or electric) | 96 | 4 | 0 | ||
Suture, synthetic absorbable | 90 | 10 | 0 | ||
Syringes 10 ml | 100 | 0 | 0 | ||
Syringes 2 ml | 100 | 0 | 0 | ||
Thermometer | 96 | 4 | 0 | ||
Towel cloth | 85 | 13 | 2 | ||
Urinary catheter disposable #12, 14, 18 | 58 | 33 | 8 | ||
Wash basin | 94 | 4 | 2 | ||
Waste disposal container | 98 | 2 | 0 | ||
Anaesthesiology/airway management | |||||
Anaesthesia guidelines | 27 | 4 | 69 | ||
Personnel | Anaesthesia machine | 67 | 0 | 33 | |
General practitioners performing anaesthesia | 16 | Blood pressure measuring equipment | 98 | 2 | 0 |
Non-physicians performing anaesthesia | 176 | Cricothyroidotomy set | 27 | 21 | 52 |
Physicians trained in anaesthesiology (specialist) | 11 | Endotracheal tubes, cuffed sizes 5.5 to 9 | 65 | 8 | 27 |
Endotracheal tubes, uncuffed sizes 3.0 to 5.0 | 54 | 19 | 27 | ||
Procedure | P | IV cannula sizes 18, 22, 24 | 92 | 8 | 0 |
Airway foreign body | 83 | IV infusion set | 90 | 10 | 0 |
Cricothyroidotomy | 44 | IV Infusor bags | 73 | 10 | 17 |
General anaesthesia | 65 | Laryngoscope handle | 71 | 15 | 15 |
Ketamine IV | 67 | Laryngoscope Macintosh blades (adult) | 73 | 15 | 13 |
Regional anaesthesia | 42 | Laryngoscope Macintosh blades (paediatric) | 46 | 21 | 33 |
Resuscitation | 88 | Magills forceps (adult) | 56 | 27 | 17 |
Spinal anaesthesia | 77 | Magills forceps (paediatric) | 38 | 23 | 40 |
Mask and tubing to connect to oxygen supply | 46 | 27 | 27 | ||
Oropharyngeal airway (adult) | 42 | 35 | 23 | ||
Oropharyngeal airway (paediatric) | 21 | 23 | 56 | ||
Oxygen concentrator | 75 | 13 | 13 | ||
Oxygen cylinder | 33 | 31 | 35 | ||
Pain management guidelines | 25 | 13 | 63 | ||
Post-operative recovery room | 29 | 10 | 60 | ||
Pulse oximetry | 13 | 4 | 83 | ||
Resuscitator bag valve and mask (adult) | 67 | 15 | 19 | ||
Resuscitator bag valve and mask (paediatric) | 38 | 17 | 46 | ||
Scalp vein infusion set | 98 | 2 | 0 | ||
Spare bulbs and batteries for laryngoscope | 44 | 27 | 29 | ||
Stethoscope | 98 | 2 | 0 | ||
Suction catheter sizes 16 Fr | 77 | 15 | 8 | ||
Tongue depressor, wooden, disposable | 83 | 13 | 4 | ||
Orthopaedics and traumatology | |||||
Radiography | 33 | 44 | 23 | ||
Procedure | P | Chest tube insertion equipment | 54 | 25 | 21 |
Chest tube placement | 63 | Splints for arm, leg | 63 | 21 | 17 |
Clubfoot repair | 35 | Tourniquet | 96 | 4 | 0 |
Contracture release | 33 | ||||
Debridement | 92 | ||||
Fracture management, closed | 88 | ||||
Fracture management, open | 61 | ||||
Joint dislocation reduction | 92 | ||||
Limb amputation | 65 | ||||
Osteomyelitis/septic arthritis | 63 | ||||
Obstetrics/gynaecology | |||||
Vaginal speculum | 90 | 10 | 27 | ||
Personnel | |||||
Physicians trained in OBGYN (specialists) | 74 | ||||
Procedure | P | ||||
Caesarean delivery | 67 | ||||
Dilation and curettage | 77 | ||||
Obstetric fistula repair | 21 |
C, % of facilities with consistent access; I, % of facilities with intermittent access; N, % of facilities with no access; P, % of facilities which offer the procedure.