Anesthesia Capacity in 22 Low and Middle Income Countries
Daniel Vo1, Meena Nathan Cherian2, Shannon Bianchi1, Luc Noël2, Ganbold Lundeg3, Asadullah Taqdeer2, Bakary Tijan Jargo2, Margaret Okello-Nyeko4, Athula Kahandaliyanage2, Olive Sentumbwe-Mugisa2, Andrew Ochroch E1, David Okello2, Jack Abdoulie2, Olayinka O. Ayankogbe5, Olaitan Alice Soyannwo6, Patrick Hoekman7, Paul Bossyn7, Rachid Sani8, Mary Thompson9, Stephen Mwinga9, Shyam Prasad10, Masasabi Wekesa11, Opar Toliva12, Pascience Kibatala13 and Maureen McCunn1
5University of Lagos, College of Medicine, Department of Community Health & Primary Care Association of General & Private Medical Practitioners of Nigeria, National Chairman, Research & Data Committee, Lagos, Nigeria
- *Corresponding Author:
- Maureen McCunn
University of Pennsylvania
Department of Anesthesiology and Critical Care
3400 Spruce Street, Dulles 6, Philadelphia, PA, USA 1910
E-mail: [email protected]
Received date: March 24, 2012; Accepted date: April 20, 2012; Published date: April 25, 2012
Citation: Daniel Vo, Cherian MN, Bianchi S, Noël L, Lundeg G, et al. (2012) Anesthesia Capacity in 22 Low and Middle Income Countries. J Anesth Clin Res 3:207. doi: 10.4172/2155-6148.1000207
Copyright: © 2012 Daniel Vo, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: A high mortality rate is associated with anesthesia in low and middle income countries. The provision of basic and emergency surgical services in developing countries includes safe anesthetic care. We sought to determine the resources available to deliver anesthesia care in low and middle income countries. Methods: A standard World Health Organization tool was used to collect data from 34 Low and Middle-Income Countries (LMICs) regarding infrastructure and capacity of facilities. We then performed a database query to extract information on anesthesia-related capacity. Findings: Twelve countries were excluded for providing data on less than four facilities, leaving 22 countries in our results, with a total of 590 facilities surveyed. Thirty five percent of hospitals had no access to oxygen and 40% had no anaesthesia machines; despite this, 58.5% of hospitals offered general inhalational anesthesia. All facilities reported presence of an anaesthesia provider: a nurse or clinical assistant was present in all 590 facilities. Hospitals with > 200 beds reported a range of 2-10 providers; the average number of anesthesia physicians increased from one to four as the hospital size increased from less than to greater than 300 beds. The majority of facilities were district/rural/community hospitals (34.7%), followed by health centres (23.2%), private/NGO/missions hospitals (16.6%), provincial hospitals (11.7%), and general hospitals (13.1%). Conclusion: The delivery of anesthesia is limited by deficiencies in human resources, equipment availability and system capacity in many low and middle income countries.