Kristin Ojomo MD
Arthur Tracy
Cabot Research Fellow / Henry Ellis Warren Fellow
Center for Surgery and Public Health
Brigham and Women’s Hospital
PGY3
Baseline Hospital Assessments in Rwanda
My time in Rwanda is also dedicated to working with the
Ministry of Health to form a National Surgical Plan. An estimated 58.7% of Rwandans currently do not
have access to timely, safe, and affordable surgical and anaesthesia care.
Whereas surgery has traditionally been a neglected part of health care
worldwide, recent research and evidence demonstrate that surgery must become a
priority in strengthening health systems. During the 2015 World Health
Assembly, Rwanda took an active role in drafting Resolution 68.15 to prioritize
emergency and essential surgical care and anaesthesia as a part of universal
heal In 2013, The Lancet initiated a
process to convene experts in surgery and anaesthesia, researchers, economists,
and policymakers to address the state of surgery worldwide and to provide
concrete recommendations for its improvement. The Lancet Commission on Global
Surgery culminated in the release of the seminal report, Global Surgery 2030. This
report included startling findings: 5 billion people do not have access to
safe, affordable, and timely surgical and anaesthesia care. 143 million
additional procedures are needed worldwide to meet the gap between available
and necessary procedures. At least a
quarter of patients who do receive surgery are financially impoverished as a
result. Economic losses from burden of surgical illness amounted to almost 2%
of the GDP of low and middle-income economies. The work of the Commission
showed that investing in surgery and anaesthesia is a critical component of
sound economic growth. Additionally, the Commission recommended a pathway for
countries to be able to scale-up surgical access and services in a coordinated
and effective manner. This pathway,
called the National Surgical Plan framework, presents concrete recommendations
in the five essential domains of an effective and resilient surgical system:
(1) infrastructure (2) workforce (3) service delivery (4) information
management and (5) financing.
The
Republic of Rwanda is a low-income country in sub-Saharan Africa. It has the
highest population density in East Africa (total 11.5 million), with most
people living in rural areas. In 2015,
the average life expectancy in Rwanda was 66.7 years, and maternal mortality
was 210 per 100,000 live births (DHS 2015). The Rwandan government spends 7.5%
of its GDP on health expenditures (World Bank 2014). As of 2014, there
are 478 health centers, 35 district hospitals, 4 provincial hospitals, and 8
national referral hospitals (Annual Health Statistics Booklet 2014). Out of the 35 district hospitals, only a
small minority are currently able to provide emergency and essential surgical
services, as described by Disease Control Priorities, Third Edition (DCP3).
Working
with the Rwanda Surgical Society, and the Program for Global Surgery and Social
Change (Boston Children’s Hospital) we have started the process of drafting a
national surgical plan. The first step in this process is baseline hospital
assessments to be able to define the current landscape of surgical care. Along
with 10 residents from the University of Kigali, I helped carry out hospital assessments
of all 42 district hospitals. We are currently undergoing the analysis and will
present our findings to the Ministry of Health to further guide the priorities
of the National Surgical Plan. This
week, I will be traveling back to Rwanda to continue this process by holding a
NSP workshop where all the major stakeholders for the country will get together
to start discussing different aspects of the NSOAP including workforce,
infrastructure, service delivery, information and management, and financing.
Our plan is to complete a draft of the plan by the end of May.
Residents visiting a district hospital to carry out a surgical hospital assessment. |
God bless Dr. USELU for his marvelous work in my life, I was diagnosed of HERPES SIMPLEX VIRUS since 2018 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. USELU , how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine within 3 days. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES contact him via email (dr.uselucaregiver@gmail.com) once again thanks to you Dr. USELU cure the flowing virus, contact his email or add him on whatsapp (+2349019328641) cancer cure
ReplyDeletediabetes cure
ringing ear
herpes cure
warts cure
HPV cure
HIV cure
get your ex back
pregnancy herbal medicine
Hepatitis