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. 2012 Feb 3;2(1):e000369. doi: 10.1136/bmjopen-2011-000369

Table 1.

Results of Situational Analysis Tool


C I N
General and congenital
Blood bank 29 48 23
 Personnel Electricity 44 52 4
  General physician performing surgery 113 Emergency guidelines 25 13 63
  Non-physicians performing surgery 122 Emergency room 33 15 52
  Paramedics and midwives 4017 Generator 58 2 40
  Physicians trained in surgery (specialist) 64 Haemoglobin and urine analysis 96 4 0
Medical records 98 2 0
 Procedure P Running water 56 35 8
  Appendectomy 69 Surgery guidelines 58 6 35
  Biopsy 81 Cotton wool 77 21 2
  Burn care 90 Adhesive tape 96 4 0
  Cataract repair 35 Apron, plastic, reusable 81 15 4
  Cleft lip repair 25 Bandages sterile 98 2 0
  Congenital hernia repair 71 Batteries for flashlight 58 33 8
  Cystotomy 63 Bucket, plastic 94 6 0
  Hernia repair 69 Capped bottle, alcohol solution 79 13 8
  Hydrocele 88 Disposable needles # 25, 21, 19 98 2 0
  Incision and drainage 98 Drum for sterile dressings 83 8 8
  Laparotomy 75 Examination table 90 10 0
  Male circumcision 98 Eye protection 40 15 46
  Neonatal surgery 35 Face masks 69 25 6
  Suturing 100 Forceps, Kocher 73 19 8
  Tubal ligation/vasectomy 71 Forceps, artery 81 10 8
  Urethral stricture 46 Gloves (non-sterile) 92 8 0
Gloves (sterile) 90 10 0
Kidney dishes, stainless steel 88 13 0
Light source (lamp and flashlight) 73 17 10
Nail brush, scrubbing 85 10 5
Nasogastric tubes 10 to 16 FG 71 17 13
Needle holder 90 10 0
Needles, cutting and round 94 6 0
Retractors 77 17 6
Scalpel handle with blade 94 4 2
Scissors blunt 14 cm 83 15 2
Scissors straight 12 cm 77 21 2
Sharps disposal container 98 2 0
Sheeting, plastic for exam table 65 23 13
Soap 98 2 0
Sterile gauze dressing 96 4 0
Steriliser 85 13 2
Suction pump (manual or electric) 96 4 0
Suture, synthetic absorbable 90 10 0
Syringes 10 ml 100 0 0
Syringes 2 ml 100 0 0
Thermometer 96 4 0
Towel cloth 85 13 2
Urinary catheter disposable #12, 14, 18 58 33 8
Wash basin 94 4 2
Waste disposal container 98 2 0
Anaesthesiology/airway management
Anaesthesia guidelines 27 4 69
 Personnel Anaesthesia machine 67 0 33
  General practitioners performing anaesthesia 16 Blood pressure measuring equipment 98 2 0
  Non-physicians performing anaesthesia 176 Cricothyroidotomy set 27 21 52
  Physicians trained in anaesthesiology (specialist) 11 Endotracheal tubes, cuffed sizes 5.5 to 9 65 8 27
Endotracheal tubes, uncuffed sizes 3.0 to 5.0 54 19 27
 Procedure P IV cannula sizes 18, 22, 24 92 8 0
  Airway foreign body 83 IV infusion set 90 10 0
  Cricothyroidotomy 44 IV Infusor bags 73 10 17
  General anaesthesia 65 Laryngoscope handle 71 15 15
  Ketamine IV 67 Laryngoscope Macintosh blades (adult) 73 15 13
  Regional anaesthesia 42 Laryngoscope Macintosh blades (paediatric) 46 21 33
  Resuscitation 88 Magills forceps (adult) 56 27 17
  Spinal anaesthesia 77 Magills forceps (paediatric) 38 23 40
Mask and tubing to connect to oxygen supply 46 27 27
Oropharyngeal airway (adult) 42 35 23
Oropharyngeal airway (paediatric) 21 23 56
Oxygen concentrator 75 13 13
Oxygen cylinder 33 31 35
Pain management guidelines 25 13 63
Post-operative recovery room 29 10 60
Pulse oximetry 13 4 83
Resuscitator bag valve and mask (adult) 67 15 19
Resuscitator bag valve and mask (paediatric) 38 17 46
Scalp vein infusion set 98 2 0
Spare bulbs and batteries for laryngoscope 44 27 29
Stethoscope 98 2 0
Suction catheter sizes 16 Fr 77 15 8
Tongue depressor, wooden, disposable 83 13 4
Orthopaedics and traumatology
Radiography 33 44 23
 Procedure P Chest tube insertion equipment 54 25 21
  Chest tube placement 63 Splints for arm, leg 63 21 17
  Clubfoot repair 35 Tourniquet 96 4 0
  Contracture release 33
  Debridement 92
  Fracture management, closed 88
  Fracture management, open 61
  Joint dislocation reduction 92
  Limb amputation 65
  Osteomyelitis/septic arthritis 63
Obstetrics/gynaecology
Vaginal speculum 90 10 27
 Personnel
  Physicians trained in OBGYN (specialists) 74
 Procedure P
  Caesarean delivery 67
  Dilation and curettage 77
  Obstetric fistula repair 21

C, % of facilities with consistent access; I, % of facilities with intermittent access; N, % of facilities with no access; P, % of facilities which offer the procedure.