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Towards equitable s...
Towards equitable surgical systems : Development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania
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- Citron, Isabelle (author)
- Harvard University
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- Jumbam, Desmond (author)
- Harvard University
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- Dahm, James (author)
- Harvard University
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- Mukhopadhyay, Swagoto (author)
- Harvard University,University of Connecticut
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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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- Iverson, Katherine (author)
- Harvard University
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- Akoko, Larry (author)
- Muhimbili University of Health and Allied Sciences
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- Lugazia, Edwin (author)
- Muhimbili University of Health and Allied Sciences
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- D'Mello, Brenda (author)
- Comprehensive Community Based Rehabilitation in Tanzania (CCBRT)
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- Maongezi, Sarah (author)
- Ministry of Community Development, Gender and Children (MCDGC), Tanzania,Ministry of Health and Social Welfare, Tanzania
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- Nguhuni, Boniface (author)
- President’s Office, Regional Administration and Local Government
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- Kapologwe, Ntuli (author)
- President’s Office, Regional Administration and Local Government
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- Hellar, Augustino (author)
- Jhpiego Tanzania
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- Maina, Erastus (author)
- Dalberg Advisors, Nairobi
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- Kisakye, Steve (author)
- Dalberg Advisors, Dar Es Salaam
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- Mwai, Patrick (author)
- The Global Alliance for Surgical, Obstetric, Trauma and Anaesthesia Care (The G4 Alliance)
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- Reynolds, Cheri (author)
- Assist International
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- Varghese, Asha (author)
- GE Foundation
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- Barash, David (author)
- GE Foundation
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- Steer, Michael (author)
- Harvard University
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- Meara, John (author)
- Harvard University
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- Ulisubisya, Mpoki (author)
- Ministry of Health and Social Welfare, Tanzania
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(creator_code:org_t)
- 2019-04-16
- 2019
- English.
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In: BMJ Global Health. - : BMJ. - 2059-7908. ; 4:2
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http://dx.doi.org/10... (free)
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https://gh.bmj.com/c...
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Abstract
Subject headings
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- Despite emergency and essential surgery and anaesthesia care being recognised as a part of Universal Health Coverage, 5 billion people worldwide lack access to safe, timely and affordable surgery and anaesthesia care. In Tanzania, 19% of all deaths and 17 % of disability-adjusted life years are attributable to conditions amenable to surgery. It is recommended that countries develop and implement National Surgical, Obstetric and Anesthesia Plans (NSOAPs) to systematically improve quality and access to surgical, obstetric and anaesthesia (SOA) care across six domains of the health system including (1) service delivery, (2) infrastructure, including equipment and supplies, (3) workforce, (4) information management, (5) finance and (6) Governance. This paper describes the NSOAP development, recommendations and lessons learnt from undertaking NSOAP development in Tanzania. The NSOAP development driven by the Ministry of Health Community Development Gender Elderly and Children involved broad consultation with over 200 stakeholders from across government, professional associations, clinicians, ancillary staff, civil society and patient organisations. The NSOAP describes time-bound, costed strategic objectives, outputs, activities and targets to improve each domain of the SOA system. The final NSOAP is ambitious but attainable, reflects on-the-ground priorities, aligns with existing health policy and costs an additional 3% of current healthcare expenditure. Tanzania is the third country to complete such a plan and the first to report on the NSOAP development in such detail. The NSOAP development in Tanzania provides a roadmap for other countries wishing to undertake a similar NSOAP development to strengthen their SOA system.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- anaesthesia
- global health
- global surgery
- health policy
- national health strategic plans
- national surgery anaesthesia and obstetric plans
- obstetrics
- surgery
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Citron, Isabelle
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Jumbam, Desmond
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Dahm, James
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Mukhopadhyay, Sw ...
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Nyberger, Karoli ...
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Iverson, Katheri ...
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show more...
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Akoko, Larry
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Lugazia, Edwin
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D'Mello, Brenda
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Maongezi, Sarah
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Nguhuni, Bonifac ...
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Kapologwe, Ntuli
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Hellar, Augustin ...
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Maina, Erastus
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Kisakye, Steve
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Mwai, Patrick
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Reynolds, Cheri
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Varghese, Asha
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Barash, David
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Steer, Michael
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Meara, John
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Ulisubisya, Mpok ...
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- About the subject
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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 Public Health Gl ...
- Articles in the publication
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BMJ Global Healt ...
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Lund University