A5069522886- Global Health and Surgery
- Global Health Workforce Issues
- Global Maternal and Child Health
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Global Health Care Issues
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Advances in Oncology and Radiotherapy
- Delphi Technique in Research
- Healthcare Systems and Technology
- Health Policy Implementation Science
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Climate Change and Health Impacts
London School of Economics and Political Science
2023-2025
University of Nigeria
2024
Radboud University Medical Center
2020-2023
Radboud University Nijmegen
2020-2023
To estimate the global burden of conditions requiring emergency or operative care and to investigate variations over time between countries. We obtained data on deaths disability-adjusted life years (DALYs) lost from Global Burden Disease database for 193 countries covering 2011 2019. defined as that, if not diagnosed treated within hours days onset, often lead serious physical mental disability death. that may require expertise a surgically trained provider these were identified using...
Abstract This study determined the feasibility of investing revenues raised through Nigeria’s sugar-sweetened beverage (SSB) tax 10 Naira/l to support implementation National, Surgical, Obstetrics, Anaesthesia and Nursing Plan, which aims strengthen access surgical care in country. We conducted a mixed-methods political economy analysis. included modelling exercise predict from SSB based on its current rate over period 5 years, for several scenarios such as 20% ad valorem recommended by...
There is much scope to empower district hospital (DH) surgical teams in low- and middle-income countries undertake a wider range larger number of procedures so as make surgery more accessible rural populations decrease the unnecessary referrals central hospitals (CHs). For team mentoring form field visits be undertaken routine activity, it needs embedded local context. This paper explores complex dimensions implementing Malawi by identifying stakeholder-sourced scenarios that fit with, among...
Abstract Background An estimated nine out of ten persons in sub-Saharan Africa (SSA) are unable to access timely, safe and affordable surgery. District hospitals (DHs) which strategically located provide basic (non-specialist) surgical care for rural populations have many instances been compromised by resource inadequacies, resulting unduly frequent patient referrals specialist hospitals. This study aimed quantify the financial burdens ambulance on DHs explore coping strategies employed...
Background In low-income and middle-income countries, an estimated one in three clinical adverse events happens non-complex situations 83% are preventable. Poor quality of care also leads to inefficient use human, material financial resources for health. Improving outcomes mitigating the risk require effective monitoring control systems. Aim To assess state surgical systems at district hospitals (DHs) Malawi, Tanzania Zambia. Methods A mixed-methods cross-sectional study 75 DHs: Malawi (22),...
Background : Scaling up surgery at district hospitals (DHs) is the critical challenge if Tanzanian national Surgical, Obstetric, and Anesthesia Plan (NSOAP) objectives are to be achieved. Our study aims address this by taking a dynamic view of surgical scale-up level using participatory research approach. Methods A group model building (GMB) workshop was held with 18 professionals from three in Arusha region. They built graphical representation local system services delivery through...
Background Supervision by surgical specialists is beneficial because they can impart skills to district hospital-level teams. The SURG-Africa project in Zambia comprises a mentoring trial selected districts, involving two provincial-level aim of this paper explore policy options for embedding such existing structures through participatory modeling approach. Methods Four group model building workshops were held, each and central hospitals. Participants worked variety institutions had clinical...
A functionally effective referral system that links district level hospitals (DLHs) with (RHs) facilitates surgical patients getting timely access to specialist expertise not available locally. Most published studies from low- and middle-income countries (LMICs) have examined only selected aspects of such systems, which are often fragmented. Inadequate understanding their functionality leads missed opportunities for improvements. This research aimed investigate the in Malawi, a low-income...
Access to surgical care is poor in Tanzania. The country at the implementation stage of its first National Surgical, Obstetric, and Anesthesia Plan (NSOAP; 2018-2025) aiming scale up surgery. This study aimed calculate costs providing district regional hospitals. Two hospitals (DHs) referral hospital (RH) Arusha region were selected. All staff, buildings, equipment, medical non-medical supplies deployed running over a 12 month period identified quantified from interviews records. Using...
Introduction Efficient utilisation of surgical resources is essential when providing care in low-resources settings. Countries are developing plans to scale up surgery, though insufficiently based on empirical evidence. This paper investigates the determinants hospital efficiency district hospitals three African countries. Methods Three-month data, comprising capacity indicators and volumes major procedures collected from 61 district-level Malawi, Tanzania, Zambia, were analysed. Data...