Surgical and Trauma Capacity Assessment in Rural Haryana, India

Background: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma h...

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Autores principales:	Manisha B. Bhatia, Srivarshini C. Mohan, Kevin J. Blair, Marissa A. Boeck, Ashish Bhalla, Sristi Sharma, Irene Helenowski, Leah C. Tatebe, Benedict C. Nwomeh, Mamta Swaroop
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/1c12dcf12e0e418c88d49785c4c1ff7f
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spelling	oai:doaj.org-article:1c12dcf12e0e418c88d49785c4c1ff7f2021-12-02T13:35:22ZSurgical and Trauma Capacity Assessment in Rural Haryana, India2214-999610.5334/aogh.3173https://doaj.org/article/1c12dcf12e0e418c88d49785c4c1ff7f2021-02-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3173https://doaj.org/toc/2214-9996Background: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma healthcare delivery. Prior to implementing change, the capacities of the rural India healthcare system need to be identified. Objective: The object of this study was to estimate surgical and trauma care capacities of government health facilities in rural Nanakpur, Haryana, India using the Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) and International Assessment of Capacity for Trauma (INTACT) tools. Methods: The PIPES and INTACT tools were administered at eight government health facilities serving the population of Nanakpur in June 2015. Data analysis was performed per tool subsection, and an overall score was calculated. Higher PIPES or INTACT indices correspond to greater surgical or trauma care capacity, respectively. Findings: Surgical and trauma care capacities increased with higher levels of care. The median PIPES score was significantly higher for tertiary facilities than primary and secondary facilities [13.8 (IQR 9.5, 18.2) vs. 4.7 (IQR 3.9, 6.2), p = 0.03]. The lower-level facilities were mainly lacking in personnel and procedures. Conclusions: Surgical and trauma care capacities at healthcare facilities in Haryana, India demonstrate a shortage of surgical resources at lower-level centers. Specifically, the Primary Health Centers were not operating at full capacity. These results can inform resource allocation, including increasing education, across different facility levels in rural India.Manisha B. BhatiaSrivarshini C. MohanKevin J. BlairMarissa A. BoeckAshish BhallaSristi SharmaIrene HelenowskiLeah C. TatebeBenedict C. NwomehMamta SwaroopUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Manisha B. Bhatia Srivarshini C. Mohan Kevin J. Blair Marissa A. Boeck Ashish Bhalla Sristi Sharma Irene Helenowski Leah C. Tatebe Benedict C. Nwomeh Mamta Swaroop Surgical and Trauma Capacity Assessment in Rural Haryana, India
description	Background: Trauma is a major global health problem and majority of the deaths occur in low- and middle-income countries (LMICs), at even higher rates in the rural areas. The three-delay model assesses three different delays in accessing healthcare and can be applied to improve surgical and trauma healthcare delivery. Prior to implementing change, the capacities of the rural India healthcare system need to be identified. Objective: The object of this study was to estimate surgical and trauma care capacities of government health facilities in rural Nanakpur, Haryana, India using the Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) and International Assessment of Capacity for Trauma (INTACT) tools. Methods: The PIPES and INTACT tools were administered at eight government health facilities serving the population of Nanakpur in June 2015. Data analysis was performed per tool subsection, and an overall score was calculated. Higher PIPES or INTACT indices correspond to greater surgical or trauma care capacity, respectively. Findings: Surgical and trauma care capacities increased with higher levels of care. The median PIPES score was significantly higher for tertiary facilities than primary and secondary facilities [13.8 (IQR 9.5, 18.2) vs. 4.7 (IQR 3.9, 6.2), p = 0.03]. The lower-level facilities were mainly lacking in personnel and procedures. Conclusions: Surgical and trauma care capacities at healthcare facilities in Haryana, India demonstrate a shortage of surgical resources at lower-level centers. Specifically, the Primary Health Centers were not operating at full capacity. These results can inform resource allocation, including increasing education, across different facility levels in rural India.
format	article
author	Manisha B. Bhatia Srivarshini C. Mohan Kevin J. Blair Marissa A. Boeck Ashish Bhalla Sristi Sharma Irene Helenowski Leah C. Tatebe Benedict C. Nwomeh Mamta Swaroop
author_facet	Manisha B. Bhatia Srivarshini C. Mohan Kevin J. Blair Marissa A. Boeck Ashish Bhalla Sristi Sharma Irene Helenowski Leah C. Tatebe Benedict C. Nwomeh Mamta Swaroop
author_sort	Manisha B. Bhatia
title	Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_short	Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_full	Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_fullStr	Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_full_unstemmed	Surgical and Trauma Capacity Assessment in Rural Haryana, India
title_sort	surgical and trauma capacity assessment in rural haryana, india
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/1c12dcf12e0e418c88d49785c4c1ff7f
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Surgical and Trauma Capacity Assessment in Rural Haryana, India

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