- Surgical need & capacity in low and middle income countries
- Award date
- 5 November 2013
- Number of pages
- Document type
- PhD thesis
- Faculty of Medicine (AMC-UvA)
The intent of this thesis is to lay a foundation for evidence-based methodology and approaches to the improvement of surgical health care delivery systems in underserved countries. The initial focus has been on the development of survey tools to evaluate the need for surgical care and to quantitate as best as possible the available resources in a country, using Sierra Leone as the main subject of our studies. To validate the methods we also examined the use of the survey in Rwanda and relied on available literature, scant as it is. The first part of this thesis discusses the surgical need in Sierra Leone as indicated by this newly developed survey tool, called Surgeons OverSeas Assessment of Surgical need (SOSAS), which has now been used in Sierra Leone and in Rwanda. For the available surgical resource quantification the PIPES survey (Personnel, Infrastructure, Procedures, Equipment and Supplies) was developed and used in Sierra Leone. This and related research on surgical capacity is explored in part two of this thesis.
- Research conducted at: Universiteit van Amsterdam
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