Table 3.
Available essential equipment and medications by level of healthcare facility in Sindh Pakistan
| Primary care health facilities, n (%) |
Secondary care health facilities, n (%) | Tertiary care health facilities, n (%) |
|||
|---|---|---|---|---|---|
| Essential equipment for trauma care (% category) |
BHUs (n=67) |
RHCs (n=14) |
THQs/DHQs (n=9) |
Private hospitals (n=12) |
Teaching hospitals (n=3) |
| Airway equipment (%) | |||||
| ≥80 | NA | 0 (0.0) | 1 (11.1) | 7 (58.3) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 3 (33.3) | 2 (16.7) | 0 (0.0) | |
| <60 | 14 (100.0) | 5 (55.6) | 3 (25) | 0 (0.0) | |
| Number of total essential equipment | 5 | 7 | 7 | 7 | |
| Breathing equipment (%) | |||||
| ≥80 | 67 (100.0) | 0 (0.0) | 1 (11.1) | 7 (58.3) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 4 (44.4) | 1 (8.3) | 0 (0.0) |
| <60 | 0 (0.0) | 14 (100.0) | 4 (44.4) | 4 (33.3) | 0 (0.0) |
| Number of total essential equipment | 1 | 6 | 6 | 6 | 6 |
| Circulation equipment (%) | |||||
| ≥80 | 45 (67.2) | 5 (35.7) | 2 (22.2) | 5 (41.7) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 6 (42.9) | 5 (55.6) | 5 (41.7) | 0 (0.0) |
| <60 | 22 (32.8) | 3 (21.4) | 2 (22.2) | 2 (16.7) | 0 (0.0) |
| Number of total essential equipment | 2 | 4 | 6 | 6 | 6 |
| Neck injury equipment (%) | |||||
| ≥80 | 22 (32.8) | 5 (35.7) | 0 (0.0) | 2 (16.7) | 2 (66.7) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| <60 | 45 (67.2) | 9 (64.3) | 9 (100.0) | 10 (83.3) | 1 (33.3) |
| Number of total essential equipment | 1 | 1 | 2 | 2 | 2 |
| Abdominal injury equipment (%) | |||||
| ≥80 | NA | NA | 0 (0.0) | 4 (33.3) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
| <60 | 9 (100.0) | 8 (66.7) | 0 (0.0) | ||
| Number of total essential equipment | 2 | 2 | 2 | ||
| Extremity injury equipment (%) | |||||
| ≥80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (25) | 0 (0.0) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 1 (8.3) | 3 (100.0) |
| <60 | 67 (100.0) | 14 (100.0) | 9 (100.0) | 8 (66.7) | 0 (0.0) |
| Number of total essential equipment | 2 | 3 | 8 | 8 | 8 |
| Spinal injury equipment (%) | |||||
| ≥80 | NA | 1 (7.1) | 0 (0.0) | 5 (41.7) | 2 (66.7) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
| <60 | 13 (92.9) | 9 (100.0) | 7 (58.3) | 1 (33.3) | |
| Number of total essential equipment | 1 | 1 | 1 | 1 | |
| Burns and wound equipment (%) | |||||
| ≥80 | NA | 4 (28.6) | 4 (44.4) | 7 (58.3) | 3 (100.0) |
| 60–<80 | 6 (42.9) | 4 (44.4) | 5 (41.7) | 0 (0.0) | |
| <60 | 4 (28.6) | 1 (11.1) | 0 (0.0) | 0 (0.0) | |
| Number of total essential equipment | 3 | 4 | 4 | 4 | |
| Safety equipment for healthcare personnel (%) | |||||
| ≥80 | 0 (0.0) | 1 (7.1) | 1 (11.1) | 9 (75.0) | 1 (33.3) |
| 60–<80 | 20 (29.9) | 0 (0.0) | 4 (44.4) | 2 (16.7) | 2 (66.7) |
| <60 | 47 (70.1) | 13 (92.9) | 4 (44.4) | 1 (8.3) | 0 (0.0) |
| Number of total essential equipment | 3 | 4 | 4 | 4 | 4 |
| Diagnosis and monitoring equipment (%) | |||||
| ≥80 | 52 (77.6) | 0 (0.0) | 1 (11.1) | 2 (16.7) | 0 (0) |
| 60–<80 | 0 (0.0) | 11 (78.6) | 8 (88.9) | 10 (83.3) | 3 (100.0) |
| <60 | 15 (22.4) | 3 (21.4) | 0 (0.0) | 0 (0.0) | 0 (0) |
| Number of total essential equipment | 2 | 3 | 3 | 3 | 3 |
| Radiological equipment (%) | |||||
| ≥80 | NA | NA | 1 (11.1) | 2 (16.7) | 0 (0.0) |
| 60–<80 | 0 (0.0) | 0 (0.0) | 0 (0) | ||
| <60 | 8 (88.9) | 10 (83.3) | 3 (100.0) | ||
| Number of total essential equipment | 2 | 2 | 2 | ||
| Laboratory test (%) | |||||
| ≥80 | NA | 5 (35.7) | 2 (22.2) | 4 (33.3) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 5 (55.6) | 3 (25.0) | 0 (0.0) | |
| <60 | 9 (64.3) | 2 (22.2) | 5 (41.7) | 0 (0.0) | |
| Number of total essential equipment | 2 | 3 | 3 | 3 | |
| General equipment (%) | |||||
| ≥80 | 0 (0.0) | 3 (21.4) | 6 (66.7) | 6 (50.0) | 3 (100.0) |
| 60–<80 | 0 (0.0) | 7 (50.0) | 3 (33.3) | 6 (50.0) | 0 (0.0) |
| <60 | 67 (100.0) | 4 (28.6) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Number of total essential equipment | 2 | 3 | 3 | 3 | 3 |
| All equipments (%) | |||||
| ≥80 | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (25.0) | 3 (100.0) |
| 60–<80 | 25 (37.3) | 1 (7.1) | 2 (22.2) | 2 (16.7) | 0 (0.0) |
| <60 | 42 (62.7) | 13 (92.9) | 7 (77.8) | 7 (58.3) | 0 (0.0) |
| Number of total essential equipment | 13 | 35 | 51 | 51 | 51 |
| All essential medicines (%) | |||||
| ≥80 | 8 (11.9) | 0 (0.0) | 0 (0.0) | 3 (25.0) | 0 (0.0) |
| 60–<80 | 0 (0.0) | 4 (28.6) | 2 (22.2) | 4 (33.3) | 0 (0.0) |
| <60 | 59 (88.1) | 10 (71.4) | 7 (77.8) | 5 (41.7) | 3 (100.0) |
| Number of total essential medicines | 2 | 25 | 34 | 34 | 34 |
BHU, basic health unit; RHC, rural health centre.
THQ/DHQ, Taluka Headquarter Hospital/District Headquarter Hospital.