Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Improving quality of surgical and anaesthesia care at hospital level in sub-Saharan Africa: a systematic review protocol of health system strengthening interventions
BMJ open, Volume 10, No. 5, Year 2020
Notification
URL copied to clipboard!
Description
INTRODUCTION: Over 5 billion people in the world do not have access to safe, affordable surgical and anaesthesia care when needed. In order to improve health outcomes in patients with surgical conditions, both access to care and the quality of care need to be improved. A recent commission on high-quality health systems highlighted that poor-quality care is now a bigger barrier than non-utilisation of the health system for reducing mortality. AIM: To carry out a systematic review to provide an evidence-based summary of hospital-based interventions associated with improved quality of surgical and anaesthesia care in sub-Saharan African countries (SSACs). METHODS AND ANALYSIS: Three search strings (1) surgery and anaesthesia, (2) quality improvement hospital-based interventions and (3) SSACs will be combined. The following databases EMBASE, Global Health, MEDLINE, CINAHL, Web of Science and Scopus will be searched. Further relevant studies will be identified from national and international health organisations and publications and reference lists of all selected full-text articles. The review will include all type of original articles in English published between 2008 and 2019. Article screening, data extraction and assessment of methodological quality will be done by two reviewers independently and any disputes will be resolved by a third reviewer or team consensus. Three types of outcomes will be collected including clinical, process and implementation outcomes. The primary outcome will be mortality. Secondary outcomes will include other clinical outcomes (major and minor complications), as well as process and implementation outcomes. Descriptive statistics and outcomes will be summarised and discussed. For the primary outcome, the methodological rigour will be assessed. ETHICS AND DISSEMINATION: The results will be published in a peer reviewed open access journal and presented at national and international conferences. As this is a review of secondary data no formal ethical approval is required. PROSPERO REGISTRATION NUMBER: CRD42019125570. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC7264698/bin/bmjopen-2019-036615.reviewer_comments.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7264698/bin/bmjopen-2019-036615.draft_revisions.pdf
Authors & Co-Authors
Brima, Nataliya
United Kingdom, London
King's Centre for Global Health & Health Partnerships
Davies, Justine Ina
United Kingdom, Birmingham
University of Birmingham
Leather, Andrew J.M.
United Kingdom, London
King's Centre for Global Health & Health Partnerships
Statistics
Citations: 3
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1136/bmjopen-2019-036615
ISSN:
20446055
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative
Systematic review