SynthesisWorld journal of surgery2019
The Situation of Safe Surgery and Anaesthesia in Tanzania: A Systematic Review.
Synthesis in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical Capacity in Rural Southeast Nigeria: Barriers and New Opportunities.Annals of global health · 2021Pooled it
- Availability and gaps in operating theatre structural resources for fracture fixation in Tanzania: a national cross-sectional analysis.BMJ open · 2026Article
- Integrating political prioritisation into national surgical planning: a scoping review of surgical, obstetric and anaesthesia care in Cameroon.BMJ global health · 2024Article
- Article
- Assessment of the Surgical Oncology Case Volume Within the Public Sector in Tanzania.JCO global oncology · 2024Article
- Postoperative Complications and Factors Associated with Surgical Site Infection at Muhimbili National Hospital, Dar es Salaam, Tanzania: A cross-Sectional study.The East African health research journal · 2024Article
- Knowledge, Attitudes and Practices Regarding Use of Local Anaesthetics Among Non-Anaesthesia Healthcare Professionals at Mulago National Referral Hospital.Local and regional anesthesia · 2024Article
- Scale up of anaesthesia services in underserved rural Tanzania.BMC health services research · 2023Article
- The state of surgery, obstetrics, trauma, and anaesthesia care in Ghana: a narrative review.Global health action · 2022Review
- Evidence-Driven Policies for Sustainably Scaling Up Surgical Task-Sharing in Malawi Comment on "Improving Access to Surgery Through Surgical Team Mentoring - Policy Lessons From Group Model Building With Local Stakeholders in Malawi".International journal of health policy and management · 2022Article
- Enabling access to safe surgery in rural Africa through mentorship and supervision: a case study.Future healthcare journal · 2022Article
- Mortality audit in general surgery unit and lessons learned at a Nigerian tertiary hospital: a single centre observational study.The Pan African medical journal · 2022Observational
- Reducing surgical site infections and mortality among obstetric surgical patients in Tanzania: a pre-evaluation and postevaluation of a multicomponent safe surgery intervention.BMJ global health · 2021Article
- Article
- Sterile processing in low- and middle-income countries: an integrative review.Journal of infection prevention · 2021Article
- Surgery and universal health coverage: Designing an essential package for surgical care expansion and scale-up.Journal of global health · 2020Review
- Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns.BMC health services research · 2020Article
- Innovative financing to fund surgical systems and expand surgical care in low-income and middle-income countries.BMJ global health · 2020Review
- Development and upgrading of public primary healthcare facilities with essential surgical services infrastructure: a strategy towards achieving universal health coverage in Tanzania.BMC health services research · 2020Article
- The challenge of safe anesthesia in developing countries: defining the problems in a medical center in Cambodia.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
17 authors.
Funding
Abstract
backgroundImprovement 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.
methodsA 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.
results1819 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.
conclusionsDespite 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.
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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.