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The Situation of Sa...
The Situation of Safe Surgery and Anaesthesia in Tanzania : A Systematic Review
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- Nyberger, Karolina (author)
- Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,Harvard University
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- Jumbam, Desmond T. (author)
- Harvard University,Boston Children's Hospital
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- Dahm, James (author)
- Harvard University
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- Maongezi, Sarah (author)
- Ministry of Health and Social Welfare, Tanzania
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- Makuwani, Ahmed (author)
- Ministry of Health and Social Welfare, Tanzania
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- Kapologwe, Ntuli A. (author)
- President’s Office, Regional Administration and Local Government
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- Nguhuni, Boniface (author)
- President’s Office, Regional Administration and Local Government
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- Mukhopadhay, Swagoto (author)
- Harvard University
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- Iverson, Katherine R. (author)
- Boston Children's Hospital,Harvard University
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- Maina, Erastus (author)
- Dalberg Global Development Advisors
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- Kisakye, Steve (author)
- Dalberg Global Development Advisors
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- Mwai, Patrick (author)
- The Global Alliance for Surgical, Obstetric, Trauma and Anaesthesia Care (The G4 Alliance)
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- Hellar, Augustino (author)
- Jhpiego - international non-profit health organization affiliated with Johns Hopkins University
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- Barash, David (author)
- GE Foundation
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- Reynolds, Cheri (author)
- Assist International
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- Meara, John G. (author)
- Boston Children's Hospital,Harvard University
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- Citron, Isabelle (author)
- Harvard University,Boston Children's Hospital
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(creator_code:org_t)
- 2018-08-20
- 2019
- English.
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In: World Journal of Surgery. - : Springer Science and Business Media LLC. - 0364-2313 .- 1432-2323. ; 43:1, s. 24-35
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Abstract
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- Background: Improvement in the surgical system requires intersectoral coordination. To achieve this, the development of National Surgical, Obstetric, and Anaesthesia Plans (NSOAPS) has been recommended. One of the first steps of NSOAP development is situational analysis. On the ground situational analyses can be resource intensive and often duplicative. In 2016, the Ministry of Health of Tanzania issued a directive for the creation of an NSOAP. This systematic review aimed to assess if a comprehensive situational analysis could be achieved with existing data. These data would be used for evidence-based priority setting for NSOAP development and streamline any additional data collection needed. Methods: A systematic literature review of scientific literature, grey literature, and policy documents was performed as per PRISMA. Extraction was performed for all articles relating to the five NSOAPS domains: infrastructure, service delivery, workforce, information management, and financing. Results: 1819 unique articles were generated. Full-text screening produced 135 eligible articles; 46 were relevant to surgical infrastructure, 53 to workforce, 81 to service delivery, 11 to finance, and 15 to information management. Rich qualitative and quantitative data were available for each domain. Conclusions: Despite little systematic data collection around SOA, a thorough literature review provides significant evidence which often have a broader scope, longer timeline and better coverage than can be achieved through snapshot-stratified samples of directed on the ground assessments. Evidence from the review was used during stakeholder discussion to directly inform the NSOAP priorities in Tanzania.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
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- art (subject category)
- ref (subject category)
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- By the author/editor
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Nyberger, Karoli ...
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Jumbam, Desmond ...
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Dahm, James
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Maongezi, Sarah
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Makuwani, Ahmed
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Kapologwe, Ntuli ...
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show more...
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Nguhuni, Bonifac ...
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Mukhopadhay, Swa ...
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Iverson, Katheri ...
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Maina, Erastus
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Kisakye, Steve
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Mwai, Patrick
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Hellar, Augustin ...
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Barash, David
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Reynolds, Cheri
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Meara, John G.
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Citron, Isabelle
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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World Journal of ...
- By the university
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Lund University