ArticleWorld journal of surgery2020
Integration and Sustainability of Electronic Surgical Logbooks in Sub-Saharan Africa.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Transforming Surgical Training: The Evolution of the COSECSA eLogbook Through a Theory of Change Framework.World journal of surgery · 2026Article
- Operating Together: Challenges and Solutions for Sustaining Impactful Global Health Partnerships From 18 years of the RCSI/COSECSA Surgical Training Collaboration.World journal of surgery · 2026Article
- Laparoscopy experience in East, Central, and Southern Africa: insights from operative case volume analysis.Surgical endoscopy · 2024Article
- Effect of social influence, environmental awareness, and safety affordance on actual use of 5G technologies among Chinese students.Scientific reports · 2023Article
- Electronic logbooks (e-logbooks) for the continuous assessment of medical licentiates and their medical skill development in the low-resource context of Zambia: A mixed-methods study.Frontiers in medicine · 2022Article
- Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone.BMC medical education · 2021Article
- Solving the Puzzle of Global Health Inequity: Completing the Picture Piece by Piece by Piece.Global implementation research and applications · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCountries in Sub-Saharan Africa lack adequate surgical workforces to achieve safe and affordable care for their populations. The Global Surgery movement highlights the urgent need to address this situation. Interventions include not only financial, material and infrastructural support, but also collaborative information flow to support surgical training. In 2015, an electronic logbook was launched for surgical trainees across Sub-Saharan Africa.
objectivesTo assess the integration and context sustainability of surgical e-logbooks in Sub-Saharan Africa.
methodsIn January 2019, a survey analysis of surgical trainees was employed using quantitative and qualitative methods. Participants (active trainees and recent fellows) completed an anonymous internet-based questionnaire evaluating end-user feedback, perceptions and self-reported compliance. Multi-point Likert Scale measures and free-text thematic analysis were used.
results358 (68.19%) eligible individuals across 21 Sub-Saharan countries and seven surgical specialties voluntarily participated. The e-resource demonstrated integration into local curricula with the majority of users maintaining activity and reporting moderate-high compliance. Context appropriateness measures were high with 203 (69.76%) deeming it convenient to use. The principle obstacle to compliance was internet connectivity (74, 25.96%), while behavioural factors including supervisor engagement were implicated. The e-logbook demonstrated future sustainability with the majority (243, 78.14%) of participants intent on maintaining usage beyond completion of surgical training.
conclusionsWe describe the successful integration and sustainability of electronic surgical logbooks for trainees across Sub-Saharan Africa. However context-appropriate resources are essential for Low- and Middle-Income Countries. Internet connectivity may hinder the achievement of several Global Surgery objectives in Sub-Saharan Africa.
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