Evidence map›Paper›PMID 37550548›Full record

ArticleWorld journal of surgery2023

National Surgical Healthcare Policy Development and Implementation: Where do We Stand in Africa?

Abebe Bekele, Barnabas Tobi Alayande, Britany L Powell, Nkeiruka Obi, Justina O Seyi-Olajide, Robert R Riviello, Faustin Ntirenganya, Emmanuel A Ameh, Emmanuel M Makasa

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Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Abebe BekeleCenter for Equity in Global Surgery, University of Global Health Equity, Kigali Heights, Plot 772, KG 7 Ave., 5Th Floor, PO Box 6955, Kigali, Rwanda.
Barnabas Tobi AlayandeCenter for Equity in Global Surgery, University of Global Health Equity, Kigali Heights, Plot 772, KG 7 Ave., 5Th Floor, PO Box 6955, Kigali, Rwanda. balayande@ughe.org.
Britany L PowellCenter for Equity in Global Surgery, University of Global Health Equity, Kigali Heights, Plot 772, KG 7 Ave., 5Th Floor, PO Box 6955, Kigali, Rwanda.
Nkeiruka ObiSmile Train, Lagos, Nigeria.
Justina O Seyi-OlajideDepartment of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Robert R RivielloCenter for Equity in Global Surgery, University of Global Health Equity, Kigali Heights, Plot 772, KG 7 Ave., 5Th Floor, PO Box 6955, Kigali, Rwanda.
Faustin NtirenganyaDepartment of Surgery, University of Rwanda, Kigali, Rwanda.
Emmanuel A Ameh *Department of Surgery, National Hospital, Central Business District, Abuja, Nigeria.
Emmanuel M Makasa *Wits Centre of Surgical Care for Primary Health and Sustainable Development, University of the Witwatersrand, Johannesburg, South Africa.

Funding

Partnerships to Develop Injury Research Capacity in Sub-Saharan AfricaD43TW010463 · FIC · UT SOUTHWESTERN MEDICAL CENTER · PI IDRIS, AHAMED H, NWARIAKU, FIEMU E. · 2016 to 2021
$1.2M
FIC NIH HHS D43 TW010463
6 · The paper itself

Abstract

backgroundNational surgical policies have been increasingly adopted by African countries over the past decade. This report is intended to provide an overview of the current state of adoption of national surgical healthcare policies in Africa, and to draw a variety of lessons from representative surgical plans in order to support transnational learning.

methodsThrough a desk review of available African national surgical healthcare plans and written contributions from a committee comprising six African surgical policy development experts, a few key lessons from five healthcare plans were outlined and iteratively reviewed.

resultsThe current state of national surgical healthcare policies across Africa was visually mapped, and lessons from a few compelling examples are highlighted. These include the power of initiative from Senegal; regional leadership from Zambia; contextualization, and renewal of commitment from Ethiopia; multidisciplinary focus and creation of multiple implementation entry points from Nigeria; partnerships and involvement of multiple stakeholders from Rwanda; and the challenge of surgical policy financing from Tanzania. The availability of global expertise, the power of global partnerships, and the critical role of health ministries and Ministers of Health in planning and implementation have also been highlighted.

conclusionsStrategic planning for surgical healthcare improvement is at various stages across the continent, with potential for countries to learn from one another. Convenings of stakeholders and Ministers of Health from countries at various stages of strategic surgical plan development, execution, and evaluation can enhance African surgical policy development through the exchange of ideas, lessons, and experiences.

Indexed as

Health PolicyPolicy MakingDelivery of Health CareHumansRwandaTanzania

Identifiers

PMID37550548

What OpenQuestion holds

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Registered trials

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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.