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Electricity and generator availability in LMIC hospitals: improving access to safe surgery
Sagar Chawla1, Shaheen Kurani2, Sherry M Wren3
1Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.
The Journal of Surgical Research
|February 14, 2018
Summary
Reliable electricity is crucial for safe surgery in low- and middle-income countries (LMICs). This study found that only 59.1% of hospitals have continuous electricity, highlighting a critical gap in healthcare infrastructure.
Area of Science:
- Global Health
- Healthcare Infrastructure
- Energy Access
Background:
- Reliable energy access is a global priority, essential for healthcare delivery.
- United Nations Sustainable Goal 7 emphasizes energy access, crucial for safe surgical care.
- The availability of electricity in hospitals in low- and middle-income countries (LMICs) is not well-documented.
Purpose of the Study:
- To systematically review surgical capacity literature.
- To document electricity and generator availability in LMIC hospitals.
- To assess the current state of electrical infrastructure for surgical care in LMICs.
Main Methods:
- Systematic literature search using PRISMA guidelines.
- Searched MEDLINE, PubMed, and WHO Global Health Library for surgical capacity assessments.
- Extracted data on electricity and generator availability; calculated country-specific percentages.
Main Results:
- 21 articles reported on 528 hospitals; 59.1% had continuous electricity.
- Generator availability was reported in 72.4% of surveyed hospitals.
- Continuous electricity availability varied from 0% (Sierra Leone, Malawi) to 100% (Iran).
Conclusions:
- Less than two-thirds of hospitals in 21 LMICs have reliable electricity or generators.
- Improvements in hospital electricity infrastructure are vital for safe surgical care.
- Future research should investigate energy's impact on surgical outcomes and explore novel power solutions.
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