An audit of licensed Zimbabwean radiology equipment resources as a measure of healthcare access and equity
Pan Afr. med. j
;
34(60)2019.
Artículo
en Inglés
| AIM
| ID: biblio-1268612
ABSTRACT
Introduction:
approximately two-thirds of the world's population has no access to diagnostic imaging. Basic radiological services should be integral to universal health coverage. The World Health Organization postulates that one basic X-ray and ultrasound unit for every 50000 people will meet 90% of global imaging needs. However, there are limited country-level data on radiological resources, and little appreciation of how such data reflect access and equity within a healthcare system. The aim of this study was a detailed analysis of licensed Zimbabwean radiological equipment resources.Methods:
the equipment database of the Radiation Protection Authority of Zimbabwe was interrogated. Resources were quantified as units/million people and compared by imaging modality, geographical region and healthcare sector. Zimbabwean resources were compared with published South African and Tanzanian data.Results:
public-sector access to X-ray units (11/106 people) is approximately half the WHO recommendation (20/106 people), and there exists a 5-fold disparity between the least- and best-resourced regions. Private-sector exceeds public-sector access by 16-fold. More than half Zimbabwe's radiology equipment (215/380 units, 57%) is in two cities, serving one-fifth of the population. Almost two-thirds of all units (243/380, 64%) are in the private sector, routinely accessible by approximately 10% of the population. Southern African country-level public-sector imaging resources broadly reflect national per capita healthcare expenditure.Conclusion:
there exists an overall shortfall in basic radiological equipment resources in Zimbabwe, and inequitable distribution of existing resources. The national radiology equipment register can reflect access and equity in a healthcare system, while providing medium-term radiological planning data
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Índice:
AIM (África)
Asunto principal:
Radiología
/
Zimbabwe
/
Calidad, Acceso y Evaluación de la Atención de Salud
/
Equidad en Salud
/
Auditoría Médica
Tipo de estudio:
Guía de Práctica Clínica
País/Región como asunto:
Africa
Idioma:
Inglés
Revista:
Pan Afr. med. j
Año:
2019
Tipo del documento:
Artículo
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