Evidence map›Paper›PMID 37666564›Full record

ReviewBMJ open2023

Governance for injury care systems in Ghana, South Africa and Rwanda: development and pilot testing of an assessment tool.

Maria Lisa Odland, Abdul-Malik Abdul-Latif, Agnieszka Ignatowicz, Abebe Bekele, Kathryn Chu, Anthony Howard, Stephen Tabiri, Jean Claude Byiringiro, Justine Davies, Equi-Trauma Collaborative

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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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

10 authors at 9 institutions in 8 countries.

Maria Lisa OdlandUniversity of Birmingham, Institute of Applied Health Research, Birmingham, UK.ORCID 0000-0003-4340-7145
Abdul-Malik Abdul-LatifVolta Regional Health Directorate, Ghana Health Service, Accra, Greater Accra, Ghana.
Agnieszka IgnatowiczUniversity of Birmingham, Institute of Applied Health Research, Birmingham, UK a.m.ignatowicz@bham.ac.uk.
Abebe BekeleUniversity of Global Health Equity, Kigali, Gasabo, Rwanda.
Kathryn ChuCentre for Global Surgery, Department of Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.ORCID 0000-0002-8923-7447
Anthony HowardUniversity of Leeds, Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.ORCID 0000-0001-7746-1268
Stephen TabiriGhana Hub of NIHR Global Surgery, Tamale, Northern, Ghana.
Jean Claude ByiringiroUniversity of Rwanda College of Medicine and Health Sciences, Kigali, Rwanda.ORCID 0000-0002-6445-1797
Justine DaviesUniversity of Birmingham, Institute of Applied Health Research, Birmingham, UK.
Equi-Trauma Collaborative
Regional Health · USSt Olav's University Hospital · NOTamale Teaching Hospital · GHUniversity of Birmingham · GBUniversity of Botswana · BWUniversity of Global Health Equity · RWUniversity of Leeds · GBUniversity of Rwanda · RWWestern Cape Department of Health · ZA

Funding

Department of Health 130036
6 · The paper itself

Abstract

objectivesThis study aims to evaluate health systems governance for injury care in three sub-Saharan countries from policymakers' and injury care providers' perspectives.

settingGhana, Rwanda and South Africa.

designBased on Siddiqi

participantsThe tool was sent out to purposively selected stakeholders, including policymakers and injury care providers in Ghana, Rwanda and South Africa. Data were collected between October 2020 and February 2021. PRIMARY AND SECONDARY OUTCOMES: Investigator-weighted and respondent percentage scores for health system governance for injury care. This was calculated for each country in total and per principle.

resultsRwanda had the highest overall investigator-weighted percentage score (70%), followed by South Africa (59%). Ghana had the lowest overall investigator score (48%). The overall results were similar for the respondent scores. Some areas, such as participation and consensus, scored high in all three countries, while other areas, such as transparency, scored very low.

conclusionIn this multicountry governance survey, we provide insight into and evaluation of health system governance for trauma in three low- and middle-income countries (LMICs) in sub-Saharan Africa. It highlights areas of improvement that need to be prioritised, such as transparency, to meet the high burden of trauma and injuries in LMICs.

Indexed as

ConsensusAfrica, NorthernGhanaHumansRwandaSouth AfricaACCIDENT & EMERGENCY MEDICINEClinical governanceHealth policyTrauma management

Identifiers

PMID37666564
PMCPMC10481730
OpenAlexW4386423720

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.