Development of a Surgical Assessment Tool for National Policy Monitoring & Evaluation in Ethiopia: A Quality Improvement Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 14
- 主要终点
- Comprehensive surgery readiness
研究概览
简要总结
Introduction: A baseline assessment of surgical capacity is recommended as a first-step to inform national policy on surgical system strengthening. In Ethiopia, the World Health Organization's Situational Analysis Tool (WHO SAT) was adapted to assess surgical capacity as part of a national initiative: Saving Lives Through Safe Surgery (SaLTS). This study describes the process of adapting this tool and initial results.
Methods: The new tool was used to evaluate fourteen hospitals in the Southern Nations, Nationalities, and People's Region of Ethiopia between February and March 2017. Two analytic methods were employed. To compare this data to international metrics, the WHO Service Availability and Readiness Assessment (SARA) framework was used. To assess congruence with national policy, data was evaluated against Ethiopian SaLTS targets.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Fourteen public hospitals (11 primary, 1 general, and 2 specialized) chosen by the regional health bureau
- •Hospital staff with willingness to participate in study
- •Hospital staff with availability to participate in study
排除标准
- •Hospital staff which did not volunteer to participate or refused to participate were excluded.
- •Hospital staff not available at the time of visit
- •Hospitals not chosen by the regional health bureau
结局指标
主要结局
Comprehensive surgery readiness
时间窗: Cross-Sectional, assesses availability of tracer items within the past year in general
Readiness for surgical services was assessed based on the presence of additional tracer items identified by WHO/USAID Service Availability and Readiness Assessment (SARA) as necessary to provide comprehensive surgical services, beyond those needed for basic surgery.
Basic surgery readiness
时间窗: Cross-Sectional, assesses availability of tracer items within the past year in general
Readiness for surgical services was assessed based on the presence of tracer items identified by WHO/USAID Service Availability and Readiness Assessment (SARA) as particularly important for providing basic surgical services. The service specific readiness score is defined as the mean availability of service specific tracer items in three domains (staff and training, equipment, and medicines and commodities).
General service readiness
时间窗: Cross-Sectional, assesses availability of this infrastructure within the past year in general
Measured by the number of hospital beds, major operating rooms, surgical/anesthesia/and obstetric providers, and basic infrastructure availability
次要结局
未报告次要终点
研究者
John Meara
Director Program in Global Surgery and Social Change
Harvard Medical School (HMS and HSDM)