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2. A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Published
2021
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5. Outcomes of a multicomponent safe surgery intervention in Tanzania’s Lake Zone: a prospective, longitudinal study

Author

Alidina, Shehnaz, primary, Menon, Gopal, additional, Staffa, Steven J, additional, Alreja, Sakshie, additional, Barash, David, additional, Barringer, Erin, additional, Cainer, Monica, additional, Citron, Isabelle, additional, DiMeo, Amanda, additional, Ernest, Edwin, additional, Fitzgerald, Laura, additional, Ghandour, Hiba, additional, Gruendl, Magdalena, additional, Hellar, Augustino, additional, Jumbam, Desmond T, additional, Katoto, Adam, additional, Kelly, Lauren, additional, Kisakye, Steve, additional, Kuchukhidze, Salome, additional, Lama, Tenzing, additional, Lodge, William, additional, Maina, Erastus, additional, Massaga, Fabian, additional, Mazhiqi, Adelina, additional, Meara, John G, additional, Mshana, Stella, additional, Nason, Ian, additional, Reynolds, Chase, additional, Reynolds, Cheri, additional, Segirinya, Hannington, additional, Simba, Dorcas, additional, Smith, Victoria, additional, Strader, Christopher, additional, Sydlowski, Meaghan, additional, Tibyehabwa, Leopold, additional, Tinuga, Florian, additional, Troxel, Alena, additional, Ulisubisya, Mpoki, additional, Varallo, John, additional, Wurdeman, Taylor, additional, Zanial, Noor, additional, Zurakowski, David, additional, Kapologwe, Ntuli, additional, and Maongezi, Sarah, additional

Published
2021
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6. Additional file 3 of A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Subjects
GeneralLiterature_MISCELLANEOUS
Abstract

Additional file 3: Overall experience, overall satisfaction and support for continuation of the mentorship program.

Published
2021
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7. Additional file 1 of A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Abstract

Additional file 1: Mentorship survey.

Published
2021
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8. Additional file 4 of A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Abstract

Additional file 4: Changes made resulting from the mentorship program.

Published
2021
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9. Additional file 6 of A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Subjects
ComputingMilieux_GENERAL, ComputingMilieux_THECOMPUTINGPROFESSION, ComputingMilieux_COMPUTERSANDEDUCATION
Abstract

Additional file 6:Mentor characteristics desired by mentees and exhibited by mentors.

Published
2021
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10. Additional file 2 of A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment

Author

Alidina, Shehnaz, Tibyehabwa, Leopold, Alreja, Sakshie Sanjay, Barash, David, Bien-Aime, Danta, Cainer, Monica, Charles, Kevin, Ernest, Edwin, Eyembe, Joachim, Fitzgerald, Laura, Giiti, Geofrey C., Hellar, Augustino, Hussein, Yahaya, Kahindo, Furaha, Kenemo, Benard, Kihunrwa, Albert, Kisakye, Steve, Kissima, Innocent, Meara, John G., Reynolds, Cheri, Staffa, Steven J., Sydlowski, Meaghan, Varallo, John, Zanial, Noor, Kapologwe, Ntuli A., and Mayengo, Caroline Damian

Subjects
ComputingMilieux_GENERAL
Abstract

Additional file 2: Interview protocols for mentees, mentors and facility leaders and focus group discussion questions.

Published
2021
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11. Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?

Author

Alidina, Shehnaz, primary, Chatterjee, Pritha, additional, Zanial, Noor, additional, Alreja, Sakshie Sanjay, additional, Balira, Rebecca, additional, Barash, David, additional, Ernest, Edwin, additional, Giiti, Geofrey Charles, additional, Maina, Erastus, additional, Mazhiqi, Adelina, additional, Mushi, Rahma, additional, Reynolds, Cheri, additional, Sydlowski, Meaghan, additional, Tinuga, Florian, additional, Maongezi, Sarah, additional, Meara, John G, additional, Kapologwe, Ntuli A, additional, Barringer, Erin, additional, Cainer, Monica, additional, Citron, Isabelle, additional, DiMeo, Amanda, additional, Fitzgerald, Laura, additional, Ghandour, Hiba, additional, Gruendl, Magdalena, additional, Hellar, Augustino, additional, Jumbam, Desmond T, additional, Katoto, Adam, additional, Kelly, Lauren, additional, Kisakye, Steve, additional, Kuchukhidze, Salome, additional, Lama, Tenzing N, additional, Menon, Gopal, additional, Mshana, Stella, additional, Reynolds, Chase, additional, Segirinya, Hannington, additional, Simba, Dorcas, additional, Smith, Victoria, additional, Staffa, Steven J, additional, Strader, Christopher, additional, Tibyehabwa, Leopold, additional, Troxel, Alena, additional, Varallo, John, additional, Wurdeman, Taylor, additional, and Zurakowski, David, additional

Published
2021
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12. Building safe surgery knowledge and capacity in Cambodia: a mixed-methods evaluation of an innovative training and mentorship intervention

Author

Bari, Sehrish, primary, Incorvia, Joseph, additional, Ahearn, Olivia, additional, Dara, Lem, additional, Sharma, Swati, additional, Varallo, John, additional, Smith, Victoria, additional, Cainer, Monica, additional, Samphy, Cheav, additional, Rathamony, Kith, additional, Kanora, Ngin, additional, Dara, Vithiea, additional, Meara, John G, additional, Koy, Virya, additional, and Alidina, Shehnaz, additional

Published
2021
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13. Additional file 1 of Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns

Author

Jumbam, Desmond T., Menon, Gopal, Tenzing N. Lama, Lodge, William, Maongezi, Sarah, Ntuli A. Kapologwe, Citron, Isabelle, Barash, David, Varallo, John, Barringer, Erin, Cainer, Monica, Mpoki Ulisubisya, Shehnaz Alidina, and Nguhuni, Boniface

Subjects
InformationSystems_INFORMATIONSTORAGEANDRETRIEVAL, Data_FILES
Abstract

Additional file 1. Referral-out data collection tool.

Published
2020
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14. A mixed-methods assessment of surgical capacity in Tanzania's Lake Zone.

Author

DiMeo, Amanda, Lama, Tenzing N., Sydlowski, Meaghan, Barash, David, Maina, Erastus, Menon, Gopal, Gruendl, Magdalena A., Cainer, Monica, Kapologwe, Ntuli, Maongezi, Sarah, Hellar, Augustino, and Alidina, Shehnaz

Subjects
*HEALTH facilities, *PHYSICIANS, *INTENSIVE care units, *CESAREAN section, *OPERATING budgets
Abstract

Background Five billion people across the world do not have access to safe and affordable surgical, obstetric, and anaesthesia care when they need it. In 2018, Safe Surgery 2020 was launched in Tanzania's Lake Zone region to improve the quality of surgical services. A baseline assessment of surgical capacity was undertaken to provide the context for the implementation of Safe Surgery 2020. Methods The surgical capacity assessment focused on 5 domains of the surgical system: workforce, service delivery, infrastructure, information management, and financing. We used a mixed-methods study design, including (1) a cross-sectional survey of 20 health facilities and (2) semistructured interviews (n=34) with surgical team members at 10 health facilities in the Lake Zone of Tanzania between April and July 2018. We used descriptive analysis to quantify surgical capacity and thematic analysis of interview data to gain a deeper understanding of underlying capacity issues and implications. Results Surgical, obstetric and anaesthesia workforce density was low at 0.08 surgical, obstetric and anaesthesia providers per 100 000 population. Surgery was performed primarily by general physicians or nonphysician providers and anaesthesia by nurse-anaesthetists. Among 4993 operations captured across the 3 months of baseline data collection in the 5 regions, only 2 of the 3 bellwether procedures--caesarean delivery (n=2640, 54%) and laparotomies (n=388, 8%) were performed. Oxygen, blood, water and electricity were not consistently available in all 20 facilities. The majority of facilities lacked postoperative recovery and intensive care units. The majority of facilities (n=18, 90% of facilities) reported that 1% to 25% of their patients had health insurance. The majority of facilities (n=12, 60%) had specific funds allocated to surgery in their hospital operating budgets. Conclusions The surgical capacity assessment revealed critical gaps in each of the 5 domains of the surgical system. Results served as a baseline for the Safe Surgery 2020 intervention and can guide interventions to strengthen the surgical system in Tanzania's Lake Zone and other low-resource settings with similar contexts. [ABSTRACT FROM AUTHOR]

Published
2021
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