Bulletin of the World Health Organization

Emergency, anaesthetic and essential surgical capacity in the Gambia

Adam Iddriss, Nestor Shivute, Stephen Bickler, Ramou Cole-Ceesay, Bakary Jargo, Fizan Abdullah & Meena Cherian

Volume 89, Number 8, August 2011, 565-572

Table 4. Percentage availability of general surgery, trauma and anaesthesia procedures in the Gambia, 2009

Procedure Total Public Private P
(n = 18) (n = 12) (n = 6)
General surgery and trauma
Abscess incision and drainage 100.0 100.0 100.0 1
Male circumcision 100.0 100.0 100.0 1
Foreign body 93.8 100.0 80.0 0.313
Acute burns 82.4 91.7 60.0 0.191
Appendectomy 58.8 41.7 100.0 0.044
Caesarean section 58.8 41.7 100.0 0.044
Hernia repair 58.8 41.7 100.0 0.044
Laparotomy 56.3 45.5 80.0 0.308
Amputation 44.4 33.3 66.7 0.321
Cricothyroidotomy/tracheostomy 41.2 41.7 40.0 1
Closed fracture 41.2 41.7 40.0 1
Skin grafting 38.9 27.3 66.7 0.141
Chest tube insertion 33.3 27.3 60.0 0.299
Open fracture 29.4 25.0 50.0 0.344
Obstetric fistula 29.4 16.7 60.0 0.117
Anaesthesia
Ketamine 82.4 75.0 100.0 0.515
Regional 76.5 75.0 80.0 1
Spinal 72.2 58.3 100.0 0.114
General inhalational 72.2 66.7 83.3 0.615