Table 1

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.