This page provides details as to Nyaya Health's surgical services.  See HospitalPlanning for details as to how surgical services fit within the overall operations of the hospital.

Data Monitoring Prior to Operative Services

In cooperation with the Brigham and Women's Hospital Center for Surgery and Public Health (CSPH), we will conduct pre-program baseline data and concurrent program data to plan and continuously improve our services.

-WHO Needs Assessment and Evaluation Form for Resource Limited Health Care Facility (Essential Emergency and Anesthesia)

-Modified WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care

-Clinical Staff Skills Assessment

Since the opening of Bayalpata Hospita, we are using a local database system to transmit the following data over secure Internet:

(1) Mortality and morbidity monthly data

(2) Intraoperative events

(3) Postoperative events within 30 days

(4) Cases returned to OR within 24 hours

(5) Cases referred to another hospital for operation

(6) Cases referred to another hospital after surgical procedure

(7) Cases served

Links 

The structure of emergency obstetrical services in the hospital facility:

• Abreu E, Potter D. Recommendations for renovating an operating theater at an emergency obstetric care facility. International Journal of Gynecology and Obstetrics. 2001;75(3): 287-94.
• Dwivedi H, Mavalankar D, Abreu E, Srinivasan V. Planning and implementing a program of renovations of emergency obstetric care facilities: experiences in Rajasthan, India. International Journal of Gynecology and Obstetrics. 2002; 78: 283-291.
• Gill Z, Ahmed JU. Experience from Bangladesh: implementing emergency obstetric care as part of the reproductive health agenda. International Journal of Gynecology and Obstetrics. 2004; 85: 213-220.
• Gill Z, Bailey PE, Waxman R, Smith JB. A Tool for Assessing ‘Readiness’ in Emergency Obstetric Care: The Room-by-Room ‘Walk Through’. International Journal of Gynecology and Obstetrics. 2005; 89:191-199.

The approach we take towards emergency obstetrical services:

http://www.amddprogram.org/index.php?sub=4

Excellent article on the need for scaling up surgical capacity in resource-denied areas:  http://www.springerlink.com/content/e5k57877wvl23840/fulltext.html

Editorial on the need for surgical efforts to combat maternal mortality: http://www.washingtonpost.com/wp-dyn/content/article/2008/05/09/AR2008050902041.html

Another nice editorial on the need for surgical services:

http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0050121&ct=1

http://www.who.int/surgery/globalinitiative/en/

http://globalsurgeryresearch.com/

Management approaches for health systems and hospitals:

http://www.who.int/management/en/ (see readings)