Evaluation of a surgical supervision model in three African countries-protocol for a prospective mixed-methods controlled pilot trial

Pilot and Feasibility Studies
C PittalisJ Gajewski

Abstract

District-level hospitals (DLHs) can play an important role in the delivery of essential surgical services for rural populations in sub-Saharan Africa if adequately prepared and supported. This article describes the protocol for the evaluation of the Scaling up Safe Surgery for District and Rural Populations in Africa (SURG-Africa) project which aims to strengthen the capacity in district-level hospitals (DLHs) in Malawi, Tanzania and Zambia to deliver safe, quality surgery. The intervention comprises a programme of quarterly supervisory visits to surgically active district-level hospitals by specialists from referral hospitals and the establishment of a mobile phone-based consultation network. The overall objective is to test and refine the model with a view to scaling up to national level. This mixed-methods controlled pilot trial will test the feasibility of the proposed supervision model in making quality-assured surgery available at DLHs. Firstly, the study will conduct a quantitative assessment of surgical service delivery at district facilities, looking at hospital preparedness, capacity and productivity, and how these are affected by the intervention. Secondly, the study will monitor changes in referral patterns from DLH...Continue Reading

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Citations

Mar 3, 2020·Anesthesia and Analgesia·Jakub GajewskiRuairi Brugha
Feb 27, 2020·World Journal of Surgery·Rebecca G MaineAnthony G Charles
Mar 29, 2020·Human Resources for Health·Jakub GajewskiRuairi Brugha
May 25, 2020·World Journal of Surgery·Sergio M NavarroTodd M Tuttle
Jun 4, 2020·World Journal of Surgery·Dennis MazingiChris Lavy
Oct 8, 2020·World Journal of Surgery·Gerald MwapasaJakub Gajewski

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Software Mentioned

COSECSA
COST
PIPES
SURG
Africa

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