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Sökning: WFRF:(Jumbam Desmond) > Towards equitable s...

  • Citron, IsabelleHarvard University (författare)

Towards equitable surgical systems : Development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-04-16
  • BMJ,2019

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:dc4bcfca-7079-481e-983f-2d58b0bda913
  • https://lup.lub.lu.se/record/dc4bcfca-7079-481e-983f-2d58b0bda913URI
  • https://doi.org/10.1136/bmjgh-2018-001282DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Jumbam, DesmondHarvard University (författare)
  • Dahm, JamesHarvard University (författare)
  • Mukhopadhyay, SwagotoHarvard University,University of Connecticut (författare)
  • Nyberger, KarolinaLund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,Harvard University(Swepub:lu)ka1155ka (författare)
  • Iverson, KatherineHarvard University (författare)
  • Akoko, LarryMuhimbili University of Health and Allied Sciences (författare)
  • Lugazia, EdwinMuhimbili University of Health and Allied Sciences (författare)
  • D'Mello, BrendaComprehensive Community Based Rehabilitation in Tanzania (CCBRT) (författare)
  • Maongezi, SarahMinistry of Community Development, Gender and Children (MCDGC), Tanzania,Ministry of Health and Social Welfare, Tanzania (författare)
  • Nguhuni, BonifacePresident’s Office, Regional Administration and Local Government (författare)
  • Kapologwe, NtuliPresident’s Office, Regional Administration and Local Government (författare)
  • Hellar, AugustinoJhpiego Tanzania (författare)
  • Maina, ErastusDalberg Advisors, Nairobi (författare)
  • Kisakye, SteveDalberg Advisors, Dar Es Salaam (författare)
  • Mwai, PatrickThe Global Alliance for Surgical, Obstetric, Trauma and Anaesthesia Care (The G4 Alliance) (författare)
  • Reynolds, CheriAssist International (författare)
  • Varghese, AshaGE Foundation (författare)
  • Barash, DavidGE Foundation (författare)
  • Steer, MichaelHarvard University (författare)
  • Meara, JohnHarvard University (författare)
  • Ulisubisya, MpokiMinistry of Health and Social Welfare, Tanzania (författare)
  • Harvard UniversityUniversity of Connecticut (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMJ Global Health: BMJ4:22059-7908

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