Country level estimates of all-age population and children under 15 years within travel time of 30 min, 1 hour and 2 hours (catchment) of surgery at a national level in sub-Saharan Africa
Country | Estimated 2015 population (in millions) | No of hospitals with potential surgical capacity | Hospital to population ratio per 1 00 000 population | Average catchment Euclidean distance (km) | Proportion of women of childbearing age | Proportion of children under 15 years | Proportion (mean) of people 30 min of a surgical facility | Proportion (mean) of people 1 hour of a surgical facility | Proportion (mean) of people 2 hours of a surgical facility | Estimated burden of surgery in all-age population (in millions) within 30 min | Estimated burden of surgery in all-age population (in millions) within 1 hour | Estimated burden of surgery in all-age population (in millions) within 2 hours | Estimated burden of surgery in children (<15 years, in millions) within 30 min | Estimated burden of surgery in children (<15 years in millions) within 1 hour | Estimated burden of surgery in children (<15 years; in millions) within 2 hours | Estimated burden of surgery in all-age population (in millions) outside of 2 hours catchment (mean in millions) |
Angola | 24.91 | 150.00 | 0.60 | 37.27 | 0.22 | 0.48 | 0.41 | 0.55 | 0.73 | 2.84–3.25 | 3.8–4.35 | 5.13–5.86 | 1.37–1.57 | 1.84–2.1 | 2.48–2.83 | 6.61 |
Benin | 10.88 | 48.00 | 0.44 | 24.39 | 0.20 | 0.51 | 0.91 | 0.98 | 1.00 | 2.77–3.16 | 2.99–3.42 | 3.05–3.48 | 1.42–1.62 | 1.53–1.75 | 1.56–1.79 | 0.00 |
Botswana | 2.26 | 29.00 | 1.28 | 68.39 | 0.28 | 0.33 | 0.65 | 0.76 | 0.90 | 0.41–0.47 | 0.48–0.55 | 0.57–0.65 | 0.14–0.16 | 0.16–0.18 | 0.19–0.21 | 0.24 |
Burkina Faso | 18.09 | 62.00 | 0.34 | 30.07 | 0.22 | 0.47 | 0.66 | 0.87 | 0.98 | 3.35–3.83 | 4.39–5.01 | 4.95–5.66 | 1.58–1.81 | 2.07–2.36 | 2.34–2.67 | 0.40 |
Burundi | 11.09 | 49.00 | 0.44 | 10.68 | 0.23 | 0.48 | 0.82 | 0.99 | 1.00 | 2.55–2.91 | 3.07–3.51 | 3.1–3.55 | 1.21–1.38 | 1.46–1.67 | 1.48–1.69 | 0.01 |
Central African Republic | 4.85 | 20.00 | 0.09 | 66.79 | 0.24 | 0.45 | 0.59 | 0.77 | 0.94 | 0.8–0.92 | 1.05–1.2 | 1.28–1.46 | 0.36–0.41 | 0.47–0.54 | 0.57–0.66 | 0.28 |
Cameroon | 23.32 | 184.00 | 38.56 | 28.25 | 0.22 | 0.46 | 0.74 | 0.88 | 0.98 | 4.81–5.5 | 5.78–6.6 | 6.38–7.29 | 2.2–2.52 | 2.65–3.02 | 2.92–3.34 | 0.52 |
Cape Verde | 0.48 | 9.00 | 0.19 | 11.34 | – | – | 0.94 | 0.96 | 0.96 | 0.13–0.14 | 0.13–0.15 | 0.13–0.15 | – | – | – | 0.02 |
Chad | 13.99 | 78.00 | 0.56 | 38.15 | 0.21 | 0.50 | 0.46 | 0.64 | 0.80 | 1.8–2.06 | 2.52–2.88 | 3.13–3.58 | 0.9–1.03 | 1.26–1.44 | 1.57–1.79 | 2.81 |
Congo Republic | 4.57 | 25.00 | 0.55 | 47.09 | 0.26 | 0.44 | 0.65 | 0.79 | 0.93 | 0.83–0.95 | 1–1.15 | 1.19–1.36 | 0.37–0.42 | 0.44–0.51 | 0.53–0.6 | 0.31 |
Cote d’Ivoire | 22.70 | 100.00 | 0.44 | 32.02 | 0.24 | 0.44 | 0.80 | 0.95 | 1.00 | 5.05–5.78 | 6.02–6.88 | 6.33–7.23 | 2.24–2.56 | 2.67–3.05 | 2.81–3.21 | 0.09 |
Democratic Republic of the Congo | 77.24 | 435.00 | 0.56 | 39.17 | 0.21 | 0.51 | 0.59 | 0.77 | 0.93 | 12.79–14.62 | 16.68–19.06 | 20.07–22.94 | 6.58–7.52 | 8.58–9.81 | 10.33–11.8 | 5.56 |
Djibouti | 0.86 | 13.00 | 1.52 | 23.48 | 0.23 | 0.43 | 0.78 | 0.85 | 0.93 | 0.19–0.21 | 0.2–0.23 | 0.22–0.26 | 0.08–0.09 | 0.09–0.1 | 0.1–0.11 | 0.06 |
Equatorial Guinea | 0.81 | 18.00 | 2.21 | 14.89 | 0.23 | 0.39 | 0.68 | 0.87 | 0.98 | 0.16–0.18 | 0.2–0.23 | 0.22–0.25 | 0.06–0.07 | 0.08–0.09 | 0.09–0.1 | 0.02 |
Eritrea | 5.23 | 22.00 | 0.42 | 29.36 | 0.26 | 0.41 | 0.35 | 0.48 | 0.63 | 0.51–0.58 | 0.7–0.8 | 0.93–1.06 | 0.21–0.24 | 0.29–0.33 | 0.38–0.43 | 1.91 |
Ethiopia | 99.29 | 161.00 | 0.16 | 38.44 | 0.23 | 0.47 | 0.42 | 0.61 | 0.79 | 11.73–13.41 | 17.08–19.52 | 21.97–25.11 | 5.47–6.25 | 7.97–9.11 | 10.25–11.71 | 20.82 |
Gabon | 1.67 | 59.00 | 3.54 | 33.26 | 0.21 | 0.44 | 0.72 | 0.82 | 0.96 | 0.33–0.38 | 0.38–0.44 | 0.45–0.51 | 0.15–0.17 | 0.17–0.19 | 0.2–0.22 | 0.07 |
Gambia | 1.87 | 6.00 | 0.32 | 21.24 | 0.22 | 0.44 | 0.95 | 1.00 | 1.00 | 0.5–0.57 | 0.52–0.6 | 0.52–0.6 | 0.22–0.25 | 0.23–0.26 | 0.23–0.26 | 0.00 |
Ghana | 27.36 | 178.00 | 0.65 | 21.05 | 0.26 | 0.38 | 0.92 | 0.99 | 1.00 | 7.04–8.04 | 7.59–8.68 | 7.66–8.75 | 2.65–3.02 | 2.85–3.26 | 2.88–3.29 | 0.00 |
Guinea | 12.58 | 35.00 | 0.28 | 32.83 | 0.21 | 0.48 | 0.67 | 0.82 | 0.96 | 2.35–2.68 | 2.9–3.32 | 3.37–3.85 | 1.13–1.29 | 1.4–1.6 | 1.62–1.85 | 0.55 |
Guinea Bissau | 1.81 | 8.00 | 0.44 | 29.22 | 0.24 | 0.44 | 0.55 | 0.65 | 0.81 | 0.28–0.32 | 0.33–0.38 | 0.41–0.47 | 0.12–0.14 | 0.15–0.17 | 0.18–0.21 | 0.34 |
Kenya | 45.55 | 399.00 | 0.88 | 18.45 | 0.23 | 0.44 | 0.85 | 0.94 | 0.98 | 10.84–12.39 | 11.99–13.7 | 12.53–14.32 | 4.75–5.43 | 5.26–6.01 | 5.49–6.28 | 0.80 |
Lesotho | 2.14 | 20.00 | 0.94 | 22.26 | 0.26 | 0.35 | 0.46 | 0.69 | 0.92 | 0.28–0.32 | 0.41–0.47 | 0.55–0.63 | 0.1–0.11 | 0.14–0.17 | 0.19–0.22 | 0.17 |
Liberia | 4.47 | 38.00 | 0.85 | 32.53 | 0.23 | 0.43 | 0.74 | 0.88 | 0.98 | 0.92–1.05 | 1.1–1.26 | 1.23–1.4 | 0.4–0.46 | 0.48–0.54 | 0.53–0.61 | 0.09 |
Madagascar | 24.11 | 125.00 | 0.73 | 29.42 | 0.21 | 0.50 | 0.46 | 0.65 | 0.87 | 3.11–3.55 | 4.37–5 | 5.87–6.71 | 1.55–1.78 | 2.19–2.5 | 2.94–3.35 | 3.15 |
Malawi | 17.23 | 56.00 | 0.32 | 24.43 | 0.22 | 0.46 | 0.70 | 0.90 | 0.99 | 3.38–3.86 | 4.33–4.94 | 4.79–5.47 | 1.54–1.76 | 1.98–2.26 | 2.19–2.5 | 0.12 |
Mali | 17.63 | 76.00 | 0.32 | 45.69 | 0.20 | 0.52 | 0.68 | 0.84 | 0.96 | 3.36–3.84 | 4.12–4.71 | 4.74–5.42 | 1.73–1.98 | 2.13–2.43 | 2.44–2.79 | 0.70 |
Mauritania | 4.06 | 18.00 | 0.44 | 70.16 | 0.21 | 0.46 | 0.42 | 0.58 | 0.79 | 0.48–0.55 | 0.66–0.76 | 0.9–1.02 | 0.22–0.25 | 0.3–0.35 | 0.41–0.47 | 0.86 |
Mozambique | 27.76 | 61.00 | 0.22 | 44.28 | 0.24 | 0.43 | 0.49 | 0.63 | 0.81 | 3.82–4.37 | 4.91–5.61 | 6.29–7.19 | 1.66–1.9 | 2.13–2.44 | 2.73–3.12 | 5.29 |
Namibia | 2.44 | 35.00 | 1.43 | 75.64 | 0.25 | 0.34 | 0.79 | 0.89 | 0.94 | 0.54–0.62 | 0.61–0.7 | 0.65–0.74 | 0.19–0.21 | 0.21–0.24 | 0.22–0.25 | 0.14 |
Niger | 19.95 | 41.00 | 0.21 | 59.37 | 0.19 | 0.56 | 0.61 | 0.77 | 0.89 | 3.43–3.92 | 4.32–4.94 | 5–5.71 | 1.91–2.18 | 2.4–2.75 | 2.78–3.18 | 2.11 |
Nigeria | 182.14 | 879.00 | 0.48 | 17.70 | 0.24 | 0.42 | 0.90 | 0.98 | 1.00 | 45.97–52.54 | 49.83–56.95 | 50.93–58.21 | 19.23–21.98 | 20.85–23.83 | 21.31–24.35 | 0.23 |
Rwanda | 11.54 | 47.00 | 0.41 | 10.43 | 0.24 | 0.42 | 0.81 | 0.99 | 1.00 | 2.62–2.99 | 3.19–3.65 | 3.24–3.7 | 1.1–1.26 | 1.34–1.54 | 1.36–1.56 | 0.00 |
Sao Tome and Principe | 0.18 | 2.00 | 1.09 | 12.62 | – | – | 0.99 | 1.00 | 1.00 | 0.05–0.06 | 0.05–0.06 | 0.05–0.06 | – | – | – | 0.00 |
Senegal | 15.10 | 29.00 | 0.19 | 38.46 | 0.23 | 0.44 | 0.79 | 0.93 | 0.99 | 3.36–3.83 | 3.92–4.48 | 4.18–4.77 | 1.49–1.7 | 1.74–1.99 | 1.85–2.12 | 0.18 |
Sierra Leone | 6.29 | 32.00 | 0.51 | 21.75 | 0.25 | 0.41 | 0.73 | 0.89 | 0.99 | 1.28–1.46 | 1.57–1.8 | 1.74–1.99 | 0.53–0.6 | 0.64–0.74 | 0.71–0.81 | 0.08 |
Somalia | 10.72 | 79.00 | 0.74 | 55.30 | 0.19 | 0.54 | 0.67 | 0.76 | 0.88 | 2–2.28 | 2.27–2.6 | 2.63–3.01 | 1.07–1.22 | 1.22–1.39 | 1.41–1.61 | 1.31 |
South Africa | 54.43 | 327.00 | 0.60 | 32.43 | 0.25 | 0.30 | 0.70 | 0.85 | 0.96 | 10.63–12.15 | 12.95–14.8 | 14.62–16.7 | 3.16–3.62 | 3.86–4.41 | 4.35–4.97 | 2.23 |
South Sudan | 12.38 | 40.00 | 0.32 | 60.57 | 0.23 | 0.48 | 0.53 | 0.74 | 0.92 | 1.83–2.09 | 2.56–2.93 | 3.18–3.63 | 0.87–1 | 1.22–1.39 | 1.51–1.73 | 1.04 |
Sudan | 40.22 | 272.00 | 0.68 | 33.70 | 0.23 | 0.44 | 0.47 | 0.61 | 0.78 | 5.31–6.07 | 6.92–7.9 | 8.84–10.1 | 2.32–2.65 | 3.02–3.45 | 3.86–4.41 | 8.67 |
Swaziland | 1.29 | 7.00 | 0.54 | 21.96 | 0.22 | 0.48 | 0.70 | 0.91 | 1.00 | 0.25–0.29 | 0.33–0.37 | 0.36–0.41 | 0.12–0.14 | 0.16–0.18 | 0.17–0.2 | 0.00 |
Togo | 7.31 | 38.00 | 0.52 | 19.65 | 0.20 | 0.48 | 0.77 | 0.95 | 0.99 | 1.58–1.81 | 1.95–2.22 | 2.03–2.32 | 0.77–0.88 | 0.94–1.08 | 0.98–1.12 | 0.05 |
Uganda | 39.08 | 121.00 | 0.31 | 23.99 | 0.21 | 0.51 | 0.64 | 0.87 | 0.98 | 6.98–7.97 | 9.57–10.93 | 10.77–12.31 | 3.59–4.1 | 4.92–5.62 | 5.53–6.33 | 0.62 |
United Republic of Tanzania | 53.20 | 214.00 | 0.40 | 32.40 | 0.24 | 0.42 | 0.62 | 0.77 | 0.91 | 9.19–10.5 | 11.53–13.18 | 13.61–15.55 | 3.87–4.43 | 4.86–5.56 | 5.74–6.56 | 4.61 |
Zambia | 16.21 | 91.00 | 0.56 | 39.42 | 0.21 | 0.48 | 0.49 | 0.66 | 0.86 | 2.22–2.53 | 3–3.43 | 3.89–4.45 | 1.06–1.21 | 1.43–1.64 | 1.86–2.13 | 2.31 |
Zimbabwe | 15.60 | 169.00 | 1.08 | 20.45 | 0.22 | 0.48 | 0.58 | 0.79 | 0.96 | 2.55–2.91 | 3.45–3.94 | 4.2–4.8 | 1.22–1.4 | 1.66–1.89 | 2.02–2.31 | 0.59 |