| 4. |
- Davies, J. I., et al.
(författare)
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Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report
- 2021
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Ingår i: Plos Medicine. - : Public Library of Science (PLoS). - 1549-1277 .- 1549-1676. ; 18:8
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Tidskriftsartikel (refereegranskat)abstract
- Background Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally. Methods and findings The Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees. Conclusions To track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.
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| 5. |
- Sundström, Aksel, 1983, et al.
(författare)
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Gender differences in poaching attitudes: Insights from communities in Mozambique, South Africa, and Zimbabwe living near the great Limpopo
- 2020
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Ingår i: Conservation Letters. - : Wiley. - 1755-263X. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- To what extent and how do men and women differ in their attitudes about poaching? Although research suggests that women can be more concerned about environmental degradation than men, inquiries about communities in protected areas are ambiguous: women are disproportionately affected by anti‐poaching laws and can have greater motivations to violate rules. We conducted a large‐scale survey in communities within the Great Limpopo Transfrontier Park in Mozambique, South Africa, and Zimbabwe and explored attitudes regarding; concern about resources, rule compliance, poaching, and anti‐poaching activities. Although women's attitudes generally are not divergent from men's, we find some differences among nonelectrified households and those with a dependence on resources; these women are less likely to condemn commercial poaching and less willing to engage in anti‐poaching activities. Men in poorer households are more likely to know a poacher. We identify a need of further understanding the causes behind gender differences in conservation attitudes.
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