ArticleBMC health services research2025
Knowledge and attitudes towards the WHO surgical safety checklist among healthcare workers in Mogadishu, Somalia.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Strengthening Surgical Safety in Somalia: The Role of Scrub Nurses in Infection Prevention and Team Communication in Resource-Limited Operating Theatres.Journal of multidisciplinary healthcare · 2026Article
- Improving Surgical Safety in Somalia a Closed-Loop Audit Study of WHO Surgical Safety Checklist Adherence.Risk management and healthcare policy · 2025Article
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6 authors.
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Abstract
backgroundThe World Health Organization (WHO) surgical safety checklist (SSC) is a crucial tool for improving patient safety in surgical settings. This study aimed to assess the knowledge and attitudes towards WHO SSC among healthcare professionals in Mogadishu, Somalia, and identify factors associated with these outcomes.
methodsThis cross-sectional study was conducted from April to July 2024 among 422 healthcare professionals in Mogadishu. Data were collected using a structured questionnaire adapted from the WHO SSC, consisting of sociodemographic information, knowledge assessment (12 items), and attitude assessment (7 items). Descriptive statistics and binary logistic regression were used for the data analysis.
resultsThe study revealed that 81.04% of participants demonstrated good knowledge of SSC (score > 60%), with a mean knowledge score of 9.59 out of 12 (SD 2.92). However, only 13.51% exhibited a positive attitude towards SSC (score > 60%), despite 87.6% agreeing that SSC improves patient safety. Higher knowledge was significantly associated with professional roles in medicine and surgery (p < 0.001), nursing (p < 0.001), and having a master's degree (p = 0.039). Attitudes were significantly more positive among professionals in medicine and surgery (p < 0.001) and nursing (p = 0.001), but not significantly influenced by education level or years of experience (p > 0.05).
conclusionWhile knowledge levels of WHO SSC among healthcare professionals in Mogadishu are generally good, attitudes towards the checklist are mixed, with a low proportion demonstrating positive attitudes. Targeted interventions, including comprehensive training programs and addressing workflow concerns, are recommended to enhance SSC implementation and use in Somali healthcare settings.
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