Table 4

Per cent of district hospitals monitoring surgical quality in Malawi, Tanzania and Zambia

N (% within country)Malawi
n=22 (%)
Tanzania
n=30 (%)
Zambia
n=23 (%)
Government
n=29 (%)
Faith-based
n=24 (%)
Surgical Safety Checklists3 (14%)10 (33%)9 (39%)5 (17%)14 (58%)*
Supervision
 Internal20 (91%)25 (83%)17 (74%)24 (83%)18 (75%)
 External10 (46%)0 (0%)2 (9%)2 (6%)0 (0%)
Case reviews11 (50%)22 (73%)10 (44%)11 (38%)21 (88%)†
Morbidity and mortality reports4 (18%)9 (30%)‡15 (65%)9 (31%)15 (63%)§
Audits of surgical adverse events2 (9%)2 (7%)7 (30%)4 (14%)3 (21%)
  • *P=0.002 proportions of hospitals using surgical checklist: faith-based versus government.

  • †P=0.0001 proportions of hospitals undertaking case reviews: faith-based versus government.

  • ‡P=0.003, proportions of hospitals producing regular reports across the three countries.

  • §P=0.02 proportions of hospitals producing morbidity and mortality reports: faith-based versus government.