National inventory of authorized diagnostic imaging equipment in Ghana: data as of September 2020.

Autor: Bour BK; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana., Sosu EK; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Accra, Ghana., Hasford F; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Accra, Ghana., Gyekye PK; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiological and Non-Ionizing Radiation Directorate, Nuclear Regulatory Authority, Accra, Ghana., Achel DG; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Accra, Ghana., Faanu A; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiological and Non-Ionizing Radiation Directorate, Nuclear Regulatory Authority, Accra, Ghana., Amoako JK; School of Nuclear and Allied Sciences, University of Ghana, Accra, Ghana.; Radiation Protection Institute, Ghana Atomic Energy Commission, Accra, Ghana., Pitcher RD; Division of Radiodiagnosis, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2022 Apr 14; Vol. 41, pp. 301. Date of Electronic Publication: 2022 Apr 14 (Print Publication: 2022).
DOI: 10.11604/pamj.2022.41.301.30635
Abstrakt: Introduction: to address the challenge of inadequate and non-equitable distribution of diagnostic imaging equipment, countries are encouraged to evaluate the distribution of installed systems and undertake adequate monitoring to ensure equitability. Ghana´s medical imaging resources have been analyzed in this study and evaluated against the status in other countries.
Methods: data on registered medical imaging equipment were retrieved from the database of the Nuclear Regulatory Authority and analyzed. The equipment/population ratio was mapped out graphically for the 16 regions of Ghana. Comparison of the equipment/population ratio was made with the situation in other countries.
Results: six hundred and seventy-four diagnostic imaging equipment units from 266 medical imaging facilities (2.5 units/facility), comprising computed tomography (CT), general X-ray, dental X-ray, single-photon emission computed tomography (SPECT) gamma camera, fluoroscopy, mammography and magnetic resonance imaging (MRI) were surveyed nationally. None of the imaging systems measured above the Organization for Economic Co-operation and Development (OECD) average imaging units per million populations (u/mp). The overall equipment/population ratio estimated nationally was 21.4 u/mp. Majority of the imaging systems were general X-ray, installed in the Greater Accra and Ashanti regions. The regional estimates of equipment/population ratios were Greater Accra (49.6 u/mp), Ashanti (22.4 u/mp), Western (21.4 u/mp), Eastern (20.6 u/mp), Bono East (20.0 u/mp), Bono (19.2 u/mp), Volta (17.9 u/mp), Upper West (16.7 u/mp), Oti (12.5 u/mp), Central (11.9 u/mp), Northern (8.9 u/mp), Ahafo (8.9 u/mp), Upper East (6.9 u/mp), Western North (6.7 u/mp), Savannah (5.5 u/mp) and North-East (1.7 u/mp).
Conclusion: medical imaging equipment shortfall exist across all imaging modalities in Ghana. A wide inter-regional disparity in the distribution of medical imaging equipment exists contrary to WHO´s recommendation for equitable distribution. A concerted national plan will be needed to address the disparity.
Competing Interests: The authors declare no competing interest.
(Copyright: Bright Kwadwo Bour et al.)
Databáze: MEDLINE