Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach
| العنوان: | Identifying knowledge needed to improve surgical care in Southern Africa using a theory of change approach |
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| المؤلفون: | Edward Clune, Moneimang Makgasa, Kathryn M. Chu, Sean Chetty, Theresia Shivera, Godfrey I. Muguti, Susan Levine, Shingai Nyaguse, Maria Lisa Odland, Savannah S. Verhage, Shrikant M Peters, Liesl de Waard, Lucia D'Ambruoso, Megan Naidoo, Tamlyn Mac Quene, Margaret J. Tarpley, Akutu Munyika, Danyca Shadé Breedt, Justine Davies, Rowan Duys, Jacob Sheehama, Balisi Bakanisi, Ché L Reddy, Priyanka Naidu, John Tarpley, Salome Maswime, Kristin Groeneveld, Bruce M Biccard, Regan Boden |
| المصدر: | BMJ Global Health, Vol 6, Iss 6 (2021) BMJ Global Health |
| بيانات النشر: | BMJ Publishing Group, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Medicine (General), Service delivery framework, Collaborative network, Psychological intervention, Delphi method, Socioeconomic development, Infectious and parasitic diseases, RC109-216, Africa, Southern, Health Services Accessibility, 03 medical and health sciences, 0302 clinical medicine, R5-920, Health care, Humans, 030212 general & internal medicine, Health policy, Africa South of the Sahara, Practice, business.industry, 030503 health policy & services, Public Health, Environmental and Occupational Health, health policy, Theory of change, Public relations, Business, Public Health, 0305 other medical science, health systems |
| الوصف: | 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. |
| اللغة: | English |
| تدمد: | 2059-7908 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0c4ad17f85a339301942bfdf8e80d50 https://gh.bmj.com/content/6/6/e005629.full |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e0c4ad17f85a339301942bfdf8e80d50 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20597908 |
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