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Review
. 2012 Mar;17(3):397-401.
doi: 10.1111/j.1365-3156.2011.02909.x. Epub 2011 Oct 31.

Scarcity of healthcare worker protection in eight low- and middle-income countries: surgery and the risk of HIV and other bloodborne pathogens

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Free article
Review

Scarcity of healthcare worker protection in eight low- and middle-income countries: surgery and the risk of HIV and other bloodborne pathogens

Jeffrey J Leow et al. Trop Med Int Health. 2012 Mar.
Free article

Abstract

Objective: In view of the substantial incidence of bloodborne diseases and risk to surgical healthcare workers in low- and middle-income countries (LMICs), we evaluated the availability of eye protection, aprons, sterile gloves, sterilizers and suction pumps.

Methods: Review of studies using the WHO Tool for the Situational Analysis of Access to Emergency and Essential Surgical Care.

Results: Eight papers documented data from 164 hospitals: Afghanistan (17), Gambia (18), Ghana (17), Liberia (16), Mongolia (44), Sierra Leone (12), Solomon Islands (9) and Sri Lanka (31). No country had a 100% supply of any item. Eye protection was available in only one hospital in Sri Lanka (4%) and most abundant in Liberia (56%). The availability of sterile gloves ranged from 24% in Afghanistan to 94% in Ghana.

Conclusion: Substantial deficiencies of basic protective supplies exist in low- and middle-income countries.

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