Table 3.
Data before and after the development team’s interventions. UH, university hospital
| Objectives | Pre-intervention (year 2018) | Post-intervention (year 2023) |
|---|---|---|
| Infrastructure, equipment, and maintenance (in UH Bobo-Dioulasso) | ||
| Operating theaters | 4 shared operating theaters where both, adults and children are operated | Five operating theaters including one dedicated to pediatric surgery |
| Infrastructure | 28-bed hospital wing | 44-bed hospital wing |
| Equipment | Restricted equipment | 40 environment-adapted pediatric biomedical equipment for optimal functioning the operating theater and wards |
| Maintenance | Non-existing maintenance system |
700 equipment has been collected, sorted, and recycled 1 hospital maintenance plan created 1000 equipment inventoried using a computerized maintenance management system software (CMMS) 5 staff trained in CMMS and 25 departments sensitized |
| Pediatric surgery Personnel |
1 pediatric surgeon 5 anesthesiologists 0 scrub nurses 8 ward nurses |
5 pediatric surgeons 5 anesthesiologists trained as trainers in pediatric anesthesia 8 scrub nurses 23 ward nurses |
| Patients | 849 children admitted to surgery | 1327 children admitted to surgery |
| Quality of care (in UH Bobo-Dioulasso and UHCDG) | ||
| Quality measures and clinical database | No systematic use and monitoring of quality measures of the UH of Bobo-Dioulasso |
Use of the following tools (monthly rate for 12/2023): 73% for surgical checklist 52% for swab count Implementation of informed consent form for parents, admission document before hospitalization, monitoring form, written post-operative instructions 25 indicators collected monthly (number of operations, types of operation, lengths of hospital stay, etc.) 18 additional care protocols (ongoing) |
| Workforce (nationwide) | ||
| Pediatric surgeons | 11 pediatric surgeons | 25 pediatric surgeons trained in specific pathologies through various training modules |
| Anesthetists and nurse anesthetists | 6 anesthetists and 0 nurse anesthetists trained in pediatric care | 136 anesthesiologists and nurse anesthetists trained in pediatric care through the course Safer Anesthesia from Education (SAFE) |
| Scrub nurses | 0 scrub nurses trained in pediatric care | 95 scrub nurses trained in pediatric surgical care through a new on-site training module |
| Ward nurses | 0 nurses trained in pediatric surgical care | 350 nurses trained in pediatric surgical care through a new on-site training module |
| Midwives | 0 midwives trained in congenital malformations | 310 midwives trained in congenital malformations through a new on-site training module |
| Community awareness (nationwide with pilots at the regional level) | ||
| Traditional healers | No traditional healers trained in pediatric fracture and burn management | 700 traditional healers sensitized in pediatric fracture and burn management |
| Families | No existing projects on domestic accidents in rural areas among children |
212 trained community health workers in domestic accidents 100′000 people sensitized in rural areas |
| Research | ||
| Data and communication | Few data on pediatric surgery at the national level |
4 scientific studies, co-managed by the Geneva University Hospitals and the Ouagadougou Institute for Health Research 6 abstracts and oral communications at 3 pediatric surgery conferences 3 master's and thesis projects |
| Advocacy for pediatric surgery (nationwide) | ||
| Policy | No baseline assessment of the hospital surgical capacities in the country |
160 indicators on the hospital surgical capacities analyzed 10 meetings with the Ministry of Health and communities of concern 7 communications through formal national media (TV, print media, radio) 20 additional pediatric surgeons to be recruited by 2025 within the advanced pediatric surgery diploma program |