ReviewBMJ global health2019
Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania.
Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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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
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Costs of surgeries in low- and middle-income countries: a systematic literature review.BMJ global health · 2026Pooled it
- Systematic review of the Lancet Commission on Global Surgery indicators with quality assessment of modelled estimates.The British journal of surgery · 2026Pooled it
- Intersectoral Collaboration Between Traditional Bonesetters and Formal Healthcare: A Systematic Review on Past Initiatives and Stakeholder Perspectives.World journal of surgery · 2025Pooled it
- Effectiveness of Pain Control of Local Anaesthetic Wound Infusion Following Elective Midline Laparotomy: A Randomized Trial.World journal of surgery · 2021Trial
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Surgical Infrastructure and Workforce Readiness in Rwanda's District and Level 2 Teaching Hospitals: A Nationwide Facility-Based Survey.World journal of surgery · 2026Article
- National surgical, obstetrics, and anaesthesia plans in Sub-Saharan Africa: a comparative economic content analysis.BMC health services research · 2026Article
- Observational
- Gender equity in neurosurgery requires structural reform.Frontiers in health services · 2026Article
- Financing surgery in LMICs: building sustainable and equitable systems for universal surgical access - a narrative review.BMC surgery · 2025Review
- Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania: A cross-sectional study.PLOS global public health · 2025Article
- Who pays for surgical care in the global south? A narrative review.PLOS global public health · 2025Review
- Contextual challenges and impacts on the surgical ecosystem in Chiapas, Mexico: A qualitative study.PloS one · 2025Article
- Can sugar taxes be used for financing surgical systems in Nigeria? A mixed-methods political economy analysis.Health policy and planning · 2024Article
- Identifying opportunities for global surgery in Cameroon: an analysis of existing health policies and events.The Pan African medical journal · 2024Review
- National Surgical Healthcare Policy Development and Implementation: Where do We Stand in Africa?World journal of surgery · 2023Article
- Safe obstetric anaesthesia in low- and middle-income countries-a perspective from Africa.BJA education · 2023Review
- A Financing Strategy to Expand Surgical Health Care.Global health, science and practice · 2023Review
- To advance global surgery and anaesthesia, train more advocates.BMJ global health · 2023Article
- Delivery of essential pediatric congenital surgical care within Brazil's universal health coverage system: a national survey of pediatric surgeons.World journal of pediatric surgery · 2023Article
Corrections and comments
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Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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