Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries
This article was published in BMJ Open by BMJ Journals [© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: https://doi.org/10.1136/bmjopen-2020-038842 The Journa...
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BMJ Journals
2022
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| Rochtain ar líne: | http://hdl.handle.net/10361/16642 http://dx.doi.org/10.1136/bmjopen-2020-038842 |
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10361-166422022-05-23T08:29:28Z Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries Gupta, Neil Coates, Matthew M Bekele, Abebe Dupuy, Roodney Fénelon, Darius Leopold Gage, Anna D Getachew, Theodros Karmacharya, Biraj Man Kwan, Gene F Lulebo, Aimée M Masiye, Jones K Mayige, Mary Theodory Mbaye, Maïmouna Ndour Mridha, Malay Kanti Park, Paul H Dagnaw, Wubaye Walelgne Wroe, Emily B Bukhman, Gene Brac James P. Grant School of Public Health Asthma Cardiology Diabetes & Endocrinology Health policy Surgery Tropical medicine This article was published in BMJ Open by BMJ Journals [© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: https://doi.org/10.1136/bmjopen-2020-038842 The Journal's website is at: https://bmjopen.bmj.com/content/10/10/e038842 Context and objectives: Non-communicable diseases and injuries (NCDIs) comprise a large share of mortality and morbidity in low-income countries (LICs), many of which occur earlier in life and with greater severity than in higher income settings. Our objective was to assess availability of essential equipment and medications required for a broad range of acute and chronic NCDI conditions. Design: Secondary analysis of existing cross-sectional survey data. Setting: We used data from Service Provision Assessment surveys in Bangladesh, the Democratic Republic of the Congo, Ethiopia, Haiti, Malawi, Nepal, Senegal and Tanzania, focusing on public first-referral level hospitals in each country. Outcome measures: We defined sets of equipment and medications required for diagnosis and management of four acute and nine chronic NCDI conditions and determined availability of these items at the health facilities. Results: Overall, 797 hospitals were included. Medication and equipment availability was highest for acute epilepsy (country estimates ranging from 40% to 95%) and stage 1-2 hypertension (28%-83%). Availability was low for type 1 diabetes (1%-70%), type 2 diabetes (3%-57%), asthma (0%-7%) and acute presentations of diabetes (0%-26%) and asthma (0%-4%). Few hospitals had equipment or medications for heart failure (0%-32%), rheumatic heart disease (0%-23%), hypertensive emergencies (0%-64%) or acute minor surgical conditions (0%-5%). Data for chronic pain were limited to only two countries. Availability of essential medications and equipment was lower than previous facility-reported service availability. Conclusions: Our findings demonstrate low availability of essential equipment and medications for diverse NCDIs at first-referral level hospitals in eight LICs. There is a need for decentralisation and integration of NCDI services in existing care platforms and improved assessment and monitoring to fully achieve universal health coverage. Published 2022-05-22T05:22:52Z 2022-05-22T05:22:52Z 2020 2020-10-10 Journal Article Gupta, N., Coates, M. M., Bekele, A., Dupuy, R., Fénelon, D. L., Gage, A. D., Getachew, T., Karmacharya, B. M., Kwan, G. F., Lulebo, A. M., Masiye, J. K., Mayige, M. T., Ndour Mbaye, M., Mridha, M. K., Park, P. H., Dagnaw, W. W., Wroe, E. B., & Bukhman, G. (2020). Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: a cross-sectional analysis of service provision assessments in eight low-income countries. BMJ open, 10(10), e038842. https://doi.org/10.1136/bmjopen-2020-038842 http://hdl.handle.net/10361/16642 http://dx.doi.org/10.1136/bmjopen-2020-038842 en_US https://bmjopen.bmj.com/content/10/10/e038842 BMJ Open application/pdf BMJ Journals |
| institution |
Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
Asthma Cardiology Diabetes & Endocrinology Health policy Surgery Tropical medicine |
| spellingShingle |
Asthma Cardiology Diabetes & Endocrinology Health policy Surgery Tropical medicine Gupta, Neil Coates, Matthew M Bekele, Abebe Dupuy, Roodney Fénelon, Darius Leopold Gage, Anna D Getachew, Theodros Karmacharya, Biraj Man Kwan, Gene F Lulebo, Aimée M Masiye, Jones K Mayige, Mary Theodory Mbaye, Maïmouna Ndour Mridha, Malay Kanti Park, Paul H Dagnaw, Wubaye Walelgne Wroe, Emily B Bukhman, Gene Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| description |
This article was published in BMJ Open by BMJ Journals [© Author(s) (or their
employer(s)) 2020. Re-use
permitted under CC BY-NC. No
commercial re-use. See rights
and permissions. Published by
BMJ.] and the definite version is available at: https://doi.org/10.1136/bmjopen-2020-038842 The Journal's website is at: https://bmjopen.bmj.com/content/10/10/e038842 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Gupta, Neil Coates, Matthew M Bekele, Abebe Dupuy, Roodney Fénelon, Darius Leopold Gage, Anna D Getachew, Theodros Karmacharya, Biraj Man Kwan, Gene F Lulebo, Aimée M Masiye, Jones K Mayige, Mary Theodory Mbaye, Maïmouna Ndour Mridha, Malay Kanti Park, Paul H Dagnaw, Wubaye Walelgne Wroe, Emily B Bukhman, Gene |
| format |
Journal Article |
| author |
Gupta, Neil Coates, Matthew M Bekele, Abebe Dupuy, Roodney Fénelon, Darius Leopold Gage, Anna D Getachew, Theodros Karmacharya, Biraj Man Kwan, Gene F Lulebo, Aimée M Masiye, Jones K Mayige, Mary Theodory Mbaye, Maïmouna Ndour Mridha, Malay Kanti Park, Paul H Dagnaw, Wubaye Walelgne Wroe, Emily B Bukhman, Gene |
| author_sort |
Gupta, Neil |
| title |
Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| title_short |
Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| title_full |
Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| title_fullStr |
Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| title_full_unstemmed |
Availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: A cross-sectional analysis of service provision assessments in eight low-income countries |
| title_sort |
availability of equipment and medications for non-communicable diseases and injuries at public first-referral level hospitals: a cross-sectional analysis of service provision assessments in eight low-income countries |
| publisher |
BMJ Journals |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16642 http://dx.doi.org/10.1136/bmjopen-2020-038842 |
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