Advertisement
Research Article

Human Resource and Funding Constraints for Essential Surgery in District Hospitals in Africa: A Retrospective Cross-Sectional Survey

  • Margaret E. Kruk mail,

    mkruk@columbia.edu

    Affiliation: Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, United States of America

    X
  • Andreas Wladis,

    Affiliation: Department of Surgery, Söder Hospital, Karolinska Institute, Stockholm, Sweden

    X
  • Naboth Mbembati,

    Affiliation: Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

    X
  • S. Khady Ndao-Brumblay,

    Affiliation: Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America

    X
  • Renee Y. Hsia,

    Affiliation: Department of Emergency Medicine, University of California, San Francisco, California, United States of America

    X
  • Moses Galukande,

    Affiliation: Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda

    X
  • Sam Luboga,

    Affiliation: Department of Anatomy, College of Health Sciences, Makerere University, Kampala, Uganda

    X
  • Alphonsus Matovu,

    Affiliation: Department of Surgery, Kamuli Mission Hospital, Kamuli, Uganda

    X
  • Helder de Miranda,

    Affiliation: School of Medicine, Catholic University of Mozambique, Beira, Mozambique

    X
  • Doruk Ozgediz,

    Affiliation: Division of Pediatric Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

    X
  • Ana Romàn Quiñones,

    Affiliation: Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, United States of America

    X
  • Peter C. Rockers,

    Affiliation: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America

    X
  • Johan von Schreeb,

    Affiliation: Division of International Health (IHCAR), Karolinska Institute, Stockholm, Sweden

    X
  • Fernando Vaz,

    Affiliation: Higher Institute of Health Sciences, Maputo, Mozambique

    X
  • Haile T. Debas,

    Affiliation: University of California, San Francisco, Global Health Sciences, San Francisco, California, United States of America

    X
  • Sarah B. Macfarlane

    Affiliation: University of California, San Francisco, Global Health Sciences, San Francisco, California, United States of America

    X
  • Published: March 09, 2010
  • DOI: 10.1371/journal.pmed.1000242

About the Authors

Margaret E. Kruk, Ana Romàn Quiñones
Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, United States of America
Andreas Wladis
Department of Surgery, Söder Hospital, Karolinska Institute, Stockholm, Sweden
Naboth Mbembati
Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
S. Khady Ndao-Brumblay
Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America
Renee Y. Hsia
Department of Emergency Medicine, University of California, San Francisco, California, United States of America
Moses Galukande
Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda
Sam Luboga
Department of Anatomy, College of Health Sciences, Makerere University, Kampala, Uganda
Alphonsus Matovu
Department of Surgery, Kamuli Mission Hospital, Kamuli, Uganda
Helder de Miranda
School of Medicine, Catholic University of Mozambique, Beira, Mozambique
Doruk Ozgediz
Division of Pediatric Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Peter C. Rockers
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America
Johan von Schreeb
Division of International Health (IHCAR), Karolinska Institute, Stockholm, Sweden
Fernando Vaz
Higher Institute of Health Sciences, Maputo, Mozambique
Haile T. Debas, Sarah B. Macfarlane
University of California, San Francisco, Global Health Sciences, San Francisco, California, United States of America

Corresponding Author

Email: mkruk@columbia.edu

Competing Interests

The authors have declared that no competing interests exist.

Author Contributions

ICMJE criteria for authorship read and met: MEK AW NM SKNB RYH MG SL AM HdM DO ARQ PCR JvS FV HTD SBM. Agree with the manuscript's results and conclusions: MEK AW NM SKNB RYH MG SL AM HdM DO ARQ PCR JvS FV HTD SBM. Designed the experiments/the study: MEK AW MG DO JvS SBM. Analyzed the data: MEK AW SKNB RYH MG HdM DO PCR SBM. Collected data/did experiments for the study: AW NM SL AM DO ARQ. Wrote the first draft of the paper: NM RYH. Contributed to the writing of the paper: MEK AW NM SKNB RYH MG SL AM HdM DO ARQ PCR JvS FV HTD SBM. Collected data from the Ugandan hospitals; contributed to final data collection tool: MG. Responsible for data integrity: ARQ. Responsible for Mozambique data integrity: FV. Helped initiate the studies to provide evidence for our efforts to advocate for increased access to essential surgery in resource-constrained settings in sub-Saharan Africa: HTD. Jointly responsible for overall program design and implementation: SBM.