Estimating the Specialist Surgical Workforce Density in South Africa

Background: South Africa is an upper middle-income country with inequitable access to healthcare. There is a maldistribution of doctors between the private and public sectors, the latter which serves 86% of the population but has less than half of the human resources. Objective: The objective of thi...

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Autores principales:	Ritika Tiwari, Usuf Chikte, Kathryn M. Chu
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/71c5f95312c14959a8a9db770df66658
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spelling	oai:doaj.org-article:71c5f95312c14959a8a9db770df666582021-12-02T14:55:19ZEstimating the Specialist Surgical Workforce Density in South Africa2214-999610.5334/aogh.3480https://doaj.org/article/71c5f95312c14959a8a9db770df666582021-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3480https://doaj.org/toc/2214-9996Background: South Africa is an upper middle-income country with inequitable access to healthcare. There is a maldistribution of doctors between the private and public sectors, the latter which serves 86% of the population but has less than half of the human resources. Objective: The objective of this study was to estimate the specialist surgical workforce density in South Africa. Methods: This was a retrospective record-based review of the specialist surgical workforce in South Africa as defined by registration with the Health Professionals Council of South Africa for three cadres: 1) surgeons, and 2) anaesthesiologists, and 3) obstetrician/gynaecologists (OBGYN). Findings: The specialist surgical workforce in South Africa doubled from 2004 (N = 2956) to 2019 (N = 6144). As of December 2019, there were 3096 surgeons (50.4%), 1268 (20.6%) OBGYN, and 1780 (29.0%) anaesthesiologists. The specialist surgical workforce density in 2019 was 10.5 per 100,000 population which ranged from 1.8 in Limpopo and 22.8 per 100,000 in Western Cape province. The proportion of females and those classified other than white increased between 2004–2019. Conclusion: South Africa falls short of the minimum specialist workforce density of 20 per 100,000 to provide adequate essential and emergency surgical care. In order to address the current and future burden of disease treatable by surgical care, South Africa needs a robust surgical healthcare system with adequate human resources, to translate healthcare services into improved health outcomes.Ritika TiwariUsuf ChikteKathryn M. ChuUbiquity 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 Ritika Tiwari Usuf Chikte Kathryn M. Chu Estimating the Specialist Surgical Workforce Density in South Africa
description	Background: South Africa is an upper middle-income country with inequitable access to healthcare. There is a maldistribution of doctors between the private and public sectors, the latter which serves 86% of the population but has less than half of the human resources. Objective: The objective of this study was to estimate the specialist surgical workforce density in South Africa. Methods: This was a retrospective record-based review of the specialist surgical workforce in South Africa as defined by registration with the Health Professionals Council of South Africa for three cadres: 1) surgeons, and 2) anaesthesiologists, and 3) obstetrician/gynaecologists (OBGYN). Findings: The specialist surgical workforce in South Africa doubled from 2004 (N = 2956) to 2019 (N = 6144). As of December 2019, there were 3096 surgeons (50.4%), 1268 (20.6%) OBGYN, and 1780 (29.0%) anaesthesiologists. The specialist surgical workforce density in 2019 was 10.5 per 100,000 population which ranged from 1.8 in Limpopo and 22.8 per 100,000 in Western Cape province. The proportion of females and those classified other than white increased between 2004–2019. Conclusion: South Africa falls short of the minimum specialist workforce density of 20 per 100,000 to provide adequate essential and emergency surgical care. In order to address the current and future burden of disease treatable by surgical care, South Africa needs a robust surgical healthcare system with adequate human resources, to translate healthcare services into improved health outcomes.
format	article
author	Ritika Tiwari Usuf Chikte Kathryn M. Chu
author_facet	Ritika Tiwari Usuf Chikte Kathryn M. Chu
author_sort	Ritika Tiwari
title	Estimating the Specialist Surgical Workforce Density in South Africa
title_short	Estimating the Specialist Surgical Workforce Density in South Africa
title_full	Estimating the Specialist Surgical Workforce Density in South Africa
title_fullStr	Estimating the Specialist Surgical Workforce Density in South Africa
title_full_unstemmed	Estimating the Specialist Surgical Workforce Density in South Africa
title_sort	estimating the specialist surgical workforce density in south africa
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/71c5f95312c14959a8a9db770df66658
work_keys_str_mv	AT ritikatiwari estimatingthespecialistsurgicalworkforcedensityinsouthafrica AT usufchikte estimatingthespecialistsurgicalworkforcedensityinsouthafrica AT kathrynmchu estimatingthespecialistsurgicalworkforcedensityinsouthafrica
_version_	1718389329710022656

Estimating the Specialist Surgical Workforce Density in South Africa

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