Evidence map›Paper›PMID 34866684›Full record

ArticleBulletin of the World Health Organization2021

National surgical, obstetric, anaesthesia and nursing plan, Nigeria.

Justina O Seyi-Olajide, Jamie E Anderson, Omolara M Williams, Omolara Faboya, Joseph O Amedu, Stanley Nc Anyanwu, Abraham Bethuel-Kasimu, Olubunmi A Lawal, Opubo B da Lilly-Tariah, Bisola Onajin-Obembe and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  7. Winning the Global Surgery War: A Conceptual Framework.Plastic and reconstructive surgery. Global open · 2025
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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

12 authors at 6 institutions in 2 countries.

Justina O Seyi-OlajideDepartment of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Jamie E AndersonDepartment of Surgery, University of Washington, Seattle, United States of America (USA).
Omolara M WilliamsDepartment of Surgery, Lagos State University College of Medicine, Lagos, Nigeria.
Omolara FaboyaDepartment of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Joseph O AmeduFederal Ministry of Health, Abuja, Nigeria.
Stanley Nc AnyanwuDepartment of Surgery, Nnamdi Azikiwe University, Awka, Nigeria.
Abraham Bethuel-KasimuNational Health Insurance Scheme, Lagos, Nigeria.
Olubunmi A LawalSpina Bifida and Hydrocephalus Care Foundation, Abuja, Nigeria.
Opubo B da Lilly-TariahDepartment of Surgery, University of Port Harcourt, Port Harcourt, Nigeria.
Bisola Onajin-ObembeDepartment of Anaesthesia, University of Port Harcourt, Port Harcourt, Nigeria.
Diana L FarmerDepartment of Surgery, University of California, Davis, USA.
Emmanuel A AmehDepartment of Surgery, National Hospital, Central Business District, Abuja, 900001, Nigeria.
Lagos University Teaching Hospital · NGFederal Ministry of Health · NGLagos State University · NGNnamdi Azikiwe University · NGUniversity of California, Davis · USUniversity of Port Harcourt · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent evidence suggests that strengthening surgical care within existing health systems will strengthen the overall health-care system. However, Nigeria's national strategic health development plan 2018-2022 placed little emphasis on surgical care. To address the gap, we worked with professional societies and other partners to develop the national surgical, obstetric, anaesthesia and nursing plan 2019-2023. The aim was to foster actions to prioritize surgical care for the achievement of universal health coverage. In addition to creating a costed strategy to strengthen surgical care, the plan included children's surgery and nursing: two key aspects that have been neglected in other national surgical plans. Pilot implementation of the plan began in 2020, supported by a nongovernmental organization with experience in surgical care in the region. We have created specific entry points to facilitate the pilot implementation. In the pilot, an electronic surgery registry has been created; personnel are being trained in life support; nurses are being trained in safe perioperative care; biomedical technicians and sterile supplies nurses are being trained in surgical instrument repair and maintenance; and research capacity is being strengthened. In addition, the mainstream media are being mobilized to improve awareness about the plan among policy-makers and the general population. Another development partner is interested in providing support for paediatric surgery, and a children's hospital is being planned. As funding is a key challenge to full implementation, we need innovative domestic funding strategies to support and sustain implementation.

Indexed as

AnesthesiaDelivery of Health CareChildFemaleHealth PlanningHumansNigeriaPregnancyUniversal Health Insurance

Identifiers

PMID34866684
PMCPMC8640693
OpenAlexW4200121272

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.