A geospatial analysis of two-hour surgical access to district hospitals in South Africa
dc.contributor.author | Chu, Kathryn M. | en_ZA |
dc.contributor.author | Dell, Angela J. | en_ZA |
dc.contributor.author | Moultrie, Harry | en_ZA |
dc.contributor.author | Day, Candy | en_ZA |
dc.contributor.author | Naidoo, Megan | en_ZA |
dc.contributor.author | Van Straten, Stephanie | en_ZA |
dc.contributor.author | Rayne, Sarah | en_ZA |
dc.date.accessioned | 2020-09-07T09:04:28Z | |
dc.date.available | 2020-09-07T09:04:28Z | |
dc.date.issued | 2020-08-13 | |
dc.date.updated | 2020-08-16T03:20:43Z | |
dc.description | CITATION: Chu, K. M., et al. 2020. A geospatial analysis of two-hour surgical access to district hospitals in South Africa. BMC Health Services Research, 20:744, doi:10.1186/s12913-020-05637-0. | |
dc.description | The original publication is available at https://bmchealthservres.biomedcentral.com | |
dc.description.abstract | Background: In a robust health care system, at least 80% of a country’s population should be able to access a district hospital that provides surgical care within 2 hours. The objective was to identify the proportion of the population living within 2 hours of a district hospital with surgical capacity in South Africa. Methods: All government hospitals in the country were identified. Surgical district hospitals were defined as district hospitals with a surgical provider, a functional operating theatre, and the provision of at least one caesarean section annually. The proportion of the population within two-hour access was estimated using service area methods. Results: Ninety-eight percent of the population had two-hour access to any government hospital in South Africa. One hundred and thirty-eight of 240 (58%) district hospitals had surgical capacity and 86% of the population had two-hour access to these facilities. Conclusion: Improving equitable surgical access is urgently needed in sub-Saharan Africa. This study demonstrated that in South Africa, just over half of district hospitals had surgical capacity but more than 80% of the population had two-hour access to these facilities. Strengthening district hospital surgical capacity is an international mandate and needed to improve access. | en |
dc.description.uri | https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05637-0 | |
dc.description.version | Publisher's version | |
dc.format.extent | 5 pages ; map | |
dc.identifier.citation | Chu, K. M., et al. 2020. A geospatial analysis of two-hour surgical access to district hospitals in South Africa. BMC Health Services Research, 20:744, doi:10.1186/s12913-020-05637-0 | |
dc.identifier.issn | 1472-6963 (online) | |
dc.identifier.other | doi:10.1186/s12913-020-05637-0 | |
dc.identifier.uri | http://hdl.handle.net/10019.1/108800 | |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | BMC (part of Springer Nature) | |
dc.rights.holder | Authors retain copyright | |
dc.subject | Surgery, Global -- South Africa | en_ZA |
dc.subject | Health services accessibility -- South Africa | en_ZA |
dc.subject | Surgery -- South Africa | en_ZA |
dc.subject | Public hospitals -- South Africa | en_ZA |
dc.subject | Geospatial data -- Analysis | en_ZA |
dc.title | A geospatial analysis of two-hour surgical access to district hospitals in South Africa | en_ZA |
dc.type | Article |