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Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach.

التفاصيل البيبلوغرافية
العنوان: Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach.
المؤلفون: Breedt DS; Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Odland ML; Institute of Applied Health Research, University of Birmingham, Birmingham, UK m.l.odland@bham.ac.uk., Bakanisi B; Faculty of Health Sciences, University of Botswana, Gaborone, Botswana., Clune E; Department of Anaesthesia, University of Botswana, Gaborone, Botswana., Makgasa M; Department of Surgery, Princess Marina Hospital, Gaborone, Botswana., Tarpley J; Department of Surgery, University of Botswana, Gabarone, Botswana., Tarpley M; Department of Medical Education, University of Botswana, Gaborone, Botswana., Munyika A; Department of Surgery, University of Namibia, Windhoek, Namibia.; Department of Surgery, Onandjokwe Lutheran Hospital, Oniipa, Namibia., Sheehama J; University of Namibia, Windhoek, Namibia., Shivera T; Anaesthesiologists Society of Namibia, Windhoek, Namibia., Biccard B; Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, Observatory, South Africa., Boden R; Faculty of Health Sciences, University of Cape Town, Observatory, South Africa., Chetty S; Anaesthesiology and Critical Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., de Waard L; Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Duys R; Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, Observatory, South Africa., Groeneveld K; Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Levine S; Department of Anthropology, Humanities Faculty, University of Cape Town, Cape Town, South Africa., Mac Quene T; Centre for Global Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Maswime S; Global Surgery Division, Department of Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa., Naidoo M; Centre for Global Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Naidu P; Centre for Global Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Peters S; Executive Management, Groote Schuur Hospital, Department of Public Health and Familiy Medicine, University of Cape Town, Cape Town, South Africa., Reddy CL; Harvard Medical School, Boston, Massachusetts, USA., Verhage S; Faculty of Health Sciences, University of Cape Town, Observatory, South Africa., Muguti G; Department of Surgery, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe., Nyaguse S; Division of Anaesthesia, Parirenyatwa Hospital, Harare, Zimbabwe., D'Ambruoso L; Aberdeen Centre for Health Data Science, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, Scotland, UK., Chu K; Centre for Global Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Davies JI; Institute of Applied Health Research, University of Birmingham, Birmingham, UK.; Centre for Global Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.; Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
مؤلفون مشاركون: AfroSurg Collaborative
المصدر: BMJ global health [BMJ Glob Health] 2021 Jun; Vol. 6 (6).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101685275 Publication Model: Print Cited Medium: Print ISSN: 2059-7908 (Print) Linking ISSN: 20597908 NLM ISO Abbreviation: BMJ Glob Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, [2016]-
مواضيع طبية MeSH: Health Services Accessibility* , Public Health*, Africa South of the Sahara ; Africa, Southern ; Humans
مستخلص: Surgical healthcare has been prioritised in the Southern African Development Community (SADC), a regional intergovernmental entity promoting equitable and sustainable economic growth and socioeconomic development. However, challenges remain in translating political prioritisation into effective and equitable surgical healthcare. The AfroSurg Collaborative (AfroSurg) includes clinicians, public health professionals and social scientists from six SADC countries; it was created to identify context-specific, critical areas where research is needed to inform evidence-grounded policy and implementation. In January 2020, 38 AfroSurg members participated in a theory of change (ToC) workshop to agree on a vision: 'An African-led, regional network to enable evidence-based, context-specific, safe surgical care, which is accessible, timely, and affordable for all, capturing the spirit of Ubuntu [1] ' and to identify necessary policy and service-delivery knowledge needs to achieve this vision. A unified ToC map was created, and a Delphi survey was conducted to rank the top five priority knowledge needs. In total, 45 knowledge needs were identified; the top five priority areas included (1) mapping of available surgical services, resources and providers; (2) quantifying the burden of surgical disease; (3) identifying the appropriate number of trainees; (4) identifying the type of information that should be collected to inform service planning; and (5) identifying effective strategies that encourage geographical retention of practitioners. Of the top five knowledge needs, four were policy-related, suggesting a dearth of much-needed information to develop regional, evidenced-based surgical policies. The findings from this workshop provide a roadmap to drive locally led research and create a collaborative network for implementing research and interventions. This process could inform discussions in other low-resource settings and enable more evidenced-based surgical policy and service delivery across the SADC countries and beyond.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
References: Int J Health Policy Manag. 2018 Apr 08;7(6):481-484. (PMID: 29935124)
Health Res Policy Syst. 2017 Dec 28;15(Suppl 2):109. (PMID: 29297374)
Rev Panam Salud Publica. 2018 Aug 10;42:e91. (PMID: 31093119)
Int J Surg. 2018 Apr;52:237-242. (PMID: 29471158)
Glob Ment Health (Camb). 2018 Jul 16;5:e24. (PMID: 30128160)
S Afr Med J. 2019 Aug 28;109(9):624-625. (PMID: 31635583)
Lancet. 2007 Oct 13;370(9595):1370-9. (PMID: 17933652)
Lancet. 2012 Sep 22;380(9847):1082-7. (PMID: 22898076)
BMC Public Health. 2017 Apr 5;17(1):297. (PMID: 28381252)
Lancet. 2020 Jul 4;396(10243):7-9. (PMID: 32622399)
Ann Surg. 2020 Nov 17;:. (PMID: 33214454)
J Health Econ. 2021 Mar;76:102409. (PMID: 33465558)
Lancet Glob Health. 2015 Aug;3(8):e487-e495. (PMID: 26187491)
Br J Surg. 2019 Jan;106(2):e138-e150. (PMID: 30570764)
Int J Obstet Anesth. 2016 Feb;25:75-8. (PMID: 26597405)
Hum Resour Health. 2017 Aug 22;15(1):53. (PMID: 28830528)
Int J Health Policy Manag. 2018 Oct 29;8(1):58-60. (PMID: 30709105)
S Afr Med J. 2020 Jul 28;110(9):916-919. (PMID: 32880278)
BMJ Glob Health. 2019 Oct 18;4(5):e001853. (PMID: 31750000)
Lancet. 2018 Apr 21;391(10130):1589-1598. (PMID: 29306587)
Lancet Glob Health. 2018 Mar;6(3):e342-e350. (PMID: 29396220)
Br J Surg. 2019 Jan;106(2):e113-e120. (PMID: 30620063)
World J Surg. 2020 Sep;44(9):2903-2918. (PMID: 32440950)
BMJ Glob Health. 2016 Apr 6;1(1):e000011. (PMID: 28588908)
BMJ Glob Health. 2020 Apr 16;5(4):e002289. (PMID: 32377406)
Lancet. 2015 Apr 27;385 Suppl 2:S25. (PMID: 26313072)
فهرسة مساهمة: Keywords: health policy; health systems; public Health
تواريخ الأحداث: Date Created: 20210616 Date Completed: 20210624 Latest Revision: 20210701
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8208008
DOI: 10.1136/bmjgh-2021-005629
PMID: 34130990
قاعدة البيانات: MEDLINE
الوصف
تدمد:2059-7908
DOI:10.1136/bmjgh-2021-005629