ArticleBMJ open2012
Emergency and surgery services of primary hospitals in the United Republic of Tanzania.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Resource use, availability and cost in the provision of critical care in Tanzania: a systematic review.BMJ open · 2022Pooled it
- Surgical Capacity in Rural Southeast Nigeria: Barriers and New Opportunities.Annals of global health · 2021Pooled it
- The Situation of Safe Surgery and Anaesthesia in Tanzania: A Systematic Review.World journal of surgery · 2019Pooled it
- Anesthesia Care Capacity at Health Facilities in 22 Low- and Middle-Income Countries.World journal of surgery · 2016Pooled it
- Moving from data collection to application: a systematic literature review of surgical capacity assessments and their applications.World journal of surgery · 2015Pooled it
- Perioperative Care and the Importance of Continuous Quality Improvement--A Controlled Intervention Study in Three Tanzanian Hospitals.PloS one · 2015Trial
- Mapping Plastic Reconstructive Surgical Needs and Access Barriers in Sub-Saharan Africa: A Scoping Review.World journal of surgery · 2026Article
- The Role of Telemedicine in Enhancing Surgical Care Delivery in Africa: A Literature Review.Health science reports · 2024Article
- The impact of scheduling ketamine as an internationally controlled substance on anaesthesia care in Sub-Saharan Africa: a case study and key informant interviews.BMC health services research · 2024Article
- Article
- Access to surgical care in Ethiopia: a cross-sectional retrospective data review.BMC health services research · 2022Article
- Article
- Are Surgeons Enough? The Relationship between Increasing Surgical Demand and Access to Surgery in a Resource-Limited Environment.The Journal of surgical research · 2021Article
- Nationwide enumeration of emergency operations performed in Ghana.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Oxygen delivery systems for adults in Sub-Saharan Africa: A scoping review.Journal of global health · 2021Article
- Modified gastrostomy feeding tubes in patients with oesophageal cancer: our experience from Northern Tanzania.Journal of surgical case reports · 2021Article
- Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns.BMC health services research · 2020Article
- Too poor or too far? Partitioning the variability of hospital-based childbirth by poverty and travel time in Kenya, Malawi, Nigeria and Tanzania.International journal for equity in health · 2020Article
- Cervical cancer in Tanzania: A systematic review of current challenges in six domains.Gynecologic oncology reports · 2019Review
- What is 'global surgery'? Defining the multidisciplinary interface between surgery, anaesthesia and public health.BMJ global health · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe primary objective was to evaluate the capacity of first-referral health facilities in Tanzania to perform basic surgical procedures. The intent was to assist in planning strategies for universal access to life-saving and disability-preventing surgical services.
designCross-sectional survey.
settingFirst-referral health facilities in the United Republic of Tanzania.
participants48 health facilities. MEASURES: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was employed to capture a health facility's capacity to perform basic surgical (including obstetrics and trauma) and anaesthesia interventions by investigating four categories of data: infrastructure, human resources, interventions available and equipment. The tool queried the availability of eight types of care providers, 35 surgical interventions and 67 items of equipment.
resultsThe 48 facilities surveyed served 18.6 million residents (46% of the population). Supplies for basic airway management were inconsistently available. Only 42% had consistent access to oxygen, and only six functioning pulse oximeters were located in all facilities surveyed. 37.5% of facilities reported both consistent running water and electricity. While very basic interventions (suturing, wound debridement, incision and drainage) were provided in nearly all facilities, more advanced life-saving procedures including chest tube thoracostomy (30/48), open fracture management (29/48) and caesarean section delivery (32/48) were not consistently available.
conclusionsBased on the results in this WHO country survey, significant gaps exist in the capacity for emergency and essential surgical services in Tanzania including deficits in human resources, essential equipment and infrastructure. The information in this survey will provide a foundation for evidence-based decisions in country-level policy regarding the allocation of resources and provision of emergency and essential surgical services.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.