Compliance with the World Health Organization’s surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia

Table 1 Surgical safety checklist completeness during an emergency and elective surgeries in public and private health facilities in Ethiopia, December 2020 to May 2021

Facilities evaluated by level of Health care		Number of surgical patient chart		Surgeries that utilized SSC		Completeness or correctness of SSC
Level of care^a	Facilities. N(%)	Chart selected	Charts reviewed	Yes, N (%)	No, N (%)	Yes, N (%)	No, N (%)
Public Specialized Hospitals	16 (9.3%)	160	160 (100%)	136 (85%)	24 (15%)	80 (58.8%)	56 (41.2%)
Public General Hospitals	38 (22.1%)	380	370 (97.4%)	275 (74.3%)	95 (25.7%)	159 (57.8%)	116 (42.2%)
Public Primary Hospitals	86 (50%)	860	800 (93%)	609 (76.1%)	191 (23.9%)	382 (62.7%)	227 (37.3%)
Private Hospitals	32 (18.6%)	320	273 (85.3%)	63 (23.1%)	210 (76.9%)	38 (60.3%)	25 (39.7%)
Total	172 (100%)	1720	1603 (93.2%)	1083 (67.6%)	520 (32.4%)	659 (60.8%)	424 (39.2%)
1720 (100%)			1603 (100%)		1083 (100%)

^aSpecialized hospital: tertiary level of care that serves 3.5 to 5.0 million people. General hospital: secondary level of care that serves 1 to 1.5 million people. Primary hospital: primary level of care that serves 60,000–100,000 people with an average inpatient capacity of 35 beds and has direct referral linkage with nearby primary care units (health centers and health posts). Health center (a.k.a. operation room blocks): primary level of care facility that typically has the capacity for providing emergency obstetric delivery services, and furnished by Ministry of Health to provide additional emergency and essential surgical care (primarily the Bellwether surgical procedures, i.e., Cesarean section, laparotomy, and open fracture management. (Ministry of Health. Health Sector Transformation Plan (2015/16–2019/20). Federal Democratic Republic of Ethiopia Ministry of Health. Addis Ababa; 2015)

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