Introduction
Methods
Definitions
Analysis
Results
Distribution and density
Variable | No. (%)a
| ||||
---|---|---|---|---|---|
All | Specialist | Physician | Nurse | Associate clinician | |
164.4 (35.6) | 86.0 (52.3) | 6.2 (3.8) | 13.8 (8.4) | ||
Organizational level | |||||
Clinic | 17.9 (10.9) | 9.4 (16.1) | 3.3 (3.9) | 2.1 (35.1) | 3 (21.8) |
District hospital | 75.7 (46.0) | 19.2 (32.9) | 43.7 (50.8) | 2 (32.4) | 10.7 (78.2) |
Referral hospital | 70.8 (43.1) | 29.8 (51.0) | 39 (45.3) | 2 (32.4) | 0 (–) |
Owner | |||||
Governmental | 76.3 (46.4) | 21.3 (36.3) | 50.1 (58.2) | 2 (32.4) | 3 (21.8) |
Private non-profit | 71.8 (43.7) | 26.4 (45.2) | 32.6 (37.9) | 4.1 (66.2) | 8.8 (63.6) |
Private for-profit | 16.2 (9.9) | 10.8 (18.5) | 3.3 (3.9) | 0.1 (1.4) | 2 (14.5) |
Urban/rural | |||||
Urban | 123.6 (75.2) | 53.2 (90.9) | 60.6 (70.4) | 4.1 (66.2) | 5.8 (41.8) |
Rural | 40.8 (24.8) | 5.3 (9.1) | 25.4 (29.6) | 2.1 (33.8) | 8 (58.2) |
Districtb
| |||||
Bo | 11 (6.7) | 6.1 (10.4) | 3.3 (3.9) | 0.1 (1.4) | 1.5 (10.9) |
Bombali | 12.4 (7.5) | 2.4 (4.1) | 6 (7.0) | 1 (16.2) | 3 (21.8) |
Kailahun | 6 (3.6) | 0 (–) | 4 (4.7) | 1 (16.2) | 1 (7.3) |
Kambia | 3.1 (1.9) | 0 (–) | 2.1 (2.4) | 0 (–) | 1 (7.3) |
Kenema | 7.4 (4.5) | 2.3 (4.0) | 5 (5.8) | 0.1 (1.4) | 0 (–) |
Koinadugu | 1.2 (0.7) | 0.2 (0.3) | 1 (1.2) | 0 (–) | 0 (–) |
Kono | 3 (1.8) | 0 (–) | 3 (3.6) | 0 (–) | 0 (–) |
Moyamba | 2 (1.2) | 0 (–) | 2 (2.3) | 0 (–) | 0 (–) |
Port Loko | 10.4 (6.3) | 1.3 (2.3) | 7.1 (8.2) | 0 (–) | 2 (14.5) |
Pujehun | 5 (3.0) | 1 (1.7) | 4 (4.7) | 0 (–) | 0 (–) |
Tonkolili | 7.6 (4.6) | 0.3 (0.6) | 3.3 (3.8) | 0 (–) | 4 (29.1) |
Western Areac
| 95.3 (58.0) | 44.8 (76.6) | 45.3 (52.6) | 4 (64.8) | 1.25 (9.1) |
Nationality | |||||
Domestic | 125.2 (76.1) | 39.3 (67.2) | 66 (76.7) | 6.2 (100) | 13.8 (100) |
Foreign | 39.2 (23.8) | 19.2 (32.8) | 20 (23.3) | 0 (–) | 0 (–) |
Density | |||
---|---|---|---|
National | Urban | Rural | |
Cadres | |||
Specialist | 0.97 | 3.21 | 0.12 |
Physician | 1.42 | 3.65 | 0.58 |
Nurse | 0.10 | 0.25 | 0.05 |
Associate clinician | 0.23 | 0.35 | 0.18 |
Nationality | |||
Domestic | 2.07 | 5.78 | 0.68 |
Foreign | 0.65 | 1.68 | 0.26 |
All surgical providers | 2.72 | 7.45 | 0.93 |
Scope of practice
Procedure | No. (%)a
| ||||
---|---|---|---|---|---|
All | Specialist | Physician | Nurse | Associate clinician | |
23,693 | 11,172 (47.2) | 9328 (39.8) | 1574 (6.6) | 1619 (6.8) | |
General surgery | |||||
Hernia repair | 5127 | 1709 (33.3) | 2511 (49.0) | 240 (4.7) | 667 (13.0) |
Appendectomy | 1599 | 460 (28.8) | 1105 (69.1) | 7 (0.4) | 27 (1.7) |
Laparotomy | 1009 | 439 (43.5) | 477 (47.3) | 23 (2.3) | 70 (6.9) |
General surgery other | 2329 | 1327 (57.0) | 736 (31.6) | 87 (3.7) | 179 (7.7) |
Malignancy surgical | 173 | 156 (90.2) | 15 (8.7) | 0 (–) | 2 (1.2) |
Obstetric and gynecology | |||||
Cesarean delivery | 4737 | 1822 (38.5) | 2458 (51.9) | 118 (2.5) | 339 (7.2) |
Obgyn other | 743 | 311 (41.9) | 413 (55.6) | 6 (0.8) | 13 (1.7) |
Dilatation and curettage | 606 | 293 (48.3) | 240 (39.6) | 5 (0.8) | 68 (11.2) |
Hysterectomy | 474 | 217 (45.8) | 216 (45.6) | 6 (1.3) | 35 (7.4) |
Incision and drainage abscess | 370 | 168 (45.4) | 124 (33.5) | 6 (1.6) | 72 (19.5) |
Obstetric fistula repair | 264 | 171 (64.8) | 93 (35.2) | 0 (–) | 0 (–) |
Salpingectomy ectopic pregnancy | 172 | 93 (54.1) | 74 (43.0) | 1 (0.6) | 4 (2.3) |
Manual placenta removal | 121 | 21 (17.4) | 81 (66.9) | 0 (–) | 19 (15.7) |
Orthopedic surgery | |||||
Orthopedic surgery other | 1169 | 752 (64.3) | 334 (28.6) | 8 (0.7) | 75 (6.4) |
Fracture operative | 897 | 725 (80.8) | 170 (19.0) | 0 (–) | 2 (0.2) |
Amputation lower limb | 203 | 115 (56.7) | 68 (33.5) | 1 (0.5) | 19 (9.4) |
Fracture conservative | 154 | 82 (53.2) | 69 (44.8) | 0 (–) | 3 (1.9) |
Ophthalmic surgery | 2304 | 1580 (68.6) | 0 (–) | 724 (31.4) | 0 (–) |
Otherb
| 306 | 211 (69.0) | 70 (22.9) | 7 (2.3) | 18 (5.9) |
Unknown procedure | 936 | 521 (55.6) | 74 (7.9) | 335 (35.8) | 7 (0.7) |
Productivity
Variable | No. (P) | ||||
---|---|---|---|---|---|
All | Specialist | Physician | Nurse | Associate clinician | |
Organizational level | |||||
Clinic | 4012 (4.3) | 2852 (5.8) | 198 (1.1) | 669 (5.9) | 293 (1.9) |
District hospital | 11,743 (3.0) | 3796 (3.8) | 6123 (2.7) | 498 (4.8) | 1326 (2.4) |
Referral hospital | 7938 (2.2) | 4524 (2.9) | 3007 (1.5) | 407 (3.9) | 0 (–) |
Owner | |||||
Governmental | 9408 (2.4) | 3091 (2.8) | 5700 (2.2) | 406 (3.9) | 211 (1.4) |
Private non-profit | 12,749 (3.4) | 6999 (5.1) | 3481 (2.1) | 1148 (5.4) | 1121 (2.5) |
Private for-profit | 1536 (1.8) | 1082 (1.9) | 147 (0.8) | 20 (4.6) | 287 (2.8) |
Total | 23,693 (2.8) | 11,172 (3.7) | 9328 (2.1) | 1574 (4.9) | 1619 (2.3) |