Evidence map›Paper›PMID 31303923›Full record

ArticleThe Pan African medical journal2019

Barriers and facilitators to implementing a regional anesthesia service in a low-income country: a qualitative study.

Matthew Ho, Patricia Livingston, M Dylan Bould, Jean Damascène Nyandwi, Françoise Nizeyimana, Jean Bonaventure Uwineza, Robin Urquart

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Developing procedural ultrasound capacity in Malawi through a focused training course.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  3. Article
  4. Article
  5. Regional anaesthesia in the emergency centre: Knowledge, attitudes and practices of doctors in the Western Cape, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Analgesia use in trauma patients at a university teaching hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  12. Article
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Matthew HoDepartment of Anaesthetics, Royal Prince Alfred Hospital, Sydney, Australia.
Patricia LivingstonDepartment of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Canada.
M Dylan BouldDepartment of Anesthesiology, University of Ottawa, Ontario, Canada.
Jean Damascène NyandwiDepartment of Anesthesiology and Intensive Care Medicine, University of Rwanda, Kigali, Rwanda.
Françoise NizeyimanaDepartment of Anesthesiology and Intensive Care Medicine, University of Rwanda, Kigali, Rwanda.
Jean Bonaventure UwinezaDepartment of Anesthesiology and Intensive Care Medicine, University of Rwanda, Kigali, Rwanda.
Robin UrquartDepartment of Surgery, Dalhousie University, Halifax, Canada.
Dalhousie University · CARoyal Prince Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRegional anesthesia is a safe alternative to general anesthesia. Despite benefits for perioperative morbidity and mortality, this technique is underutilized in low-resource settings. In response to an identified need, a regional anesthesia service was established at the University Teaching Hospital of Kigali (CHUK), Rwanda. This qualitative study investigates the factors influencing implementation of this service in a low-resource tertiary-level teaching hospital.

methodsFollowing service establishment, we recruited 18 local staff at CHUK for in-depth interviews informed by the "Consolidated Framework for Implementation Research" (CFIR). Data were coded using an inductive approach to discover emergent themes.

resultsFour themes emerged during data analysis.

conclusionWhile the establishment of regional anesthesia in Rwanda is challenged by human and resource shortages, collaboration with local stakeholders in an academic institution is pivotal to sustainability.

Indexed as

Anesthesia, ConductionDeveloping CountriesEquipment DesignHealth PersonnelHospitals, UniversityHumansJob SatisfactionPovertyQualitative ResearchRwandaWorkloadconsolidated framework for implementation research (CFIR)global healthknowledge translationRegional anesthesia

Identifiers

PMID31303923
PMCPMC6607318
OpenAlexW2936735972

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.