A5049125385- Global Health and Surgery
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Diversity and Career in Medicine
- Cerebral Palsy and Movement Disorders
- Foot and Ankle Surgery
- Health Policy Implementation Science
- Healthcare Policy and Management
- Musculoskeletal Disorders and Rehabilitation
- Diabetic Foot Ulcer Assessment and Management
- Global Health Care Issues
- Bone fractures and treatments
- Lower Extremity Biomechanics and Pathologies
- Delphi Technique in Research
University of Oxford
2021-2023
Nuffield Orthopaedic Centre
2020-2023
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 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...
In 2017 the SURG-Africa project set out to institute a surgical, obstetric, trauma and anesthesia (SOTA) care capacity-building intervention focused on non-specialist providers at district hospitals in Zambia, Malawi Tanzania. The aim was scale up quality-assured SOTA for rural populations. This paper reports process of developing our experience initial implementation, using participatory approach.Participatory Action Research workshops were held 3 countries July-October October 2018-July...
Treating clubfoot in walking age children is debated, despite studies showing that using Ponseti casting principles can correct the mid-foot effectively. We aimed to explore techniques and approaches for management of older with identify areas consensus. A mixed-methods cross-sectional electronic survey on delayed presenting (DPC) was sent 88 practitioners (response rate 56.8%). collected data decision-making, casting, imaging, orthotics, surgery, re-currence, rehabilitation,...
Treating clubfoot in walking-age children is debated, despite studies showing that using the Ponseti casting principles can correct midfoot effectively. We aimed to explore techniques and approaches for management of older with identify consensus areas. A mixed-methods cross-sectional electronic survey on delayed-presenting (DPC) was sent 88 practitioners (response rate 56.8%). collected data decision-making, casting, imaging, orthotics, surgery, recurrence, rehabilitation, multidisciplinary...
Foot and ankle pathology if not treated appropriately in a timely manner can adversely affect both disability quality adjusted life years. More so the low- middle-income countries where ambulation is predominant means of getting around for majority population order to earn livelihood. This has necessitated equipping new generation orthopaedic surgeons with expertise skills set manage these conditions. To address this need, from British Orthopaedic & Ankle Society (BOFAS) College Surgeons...
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...
Abstract Background The EU Global Health Strategy recognises that a skilled workforce is critical to advance universal health coverage. In response, our consortium brought together researchers, academics and clinicians from Ireland, the UK, Netherlands, Malawi, Zambia Tanzania co-design surgical training supervision intervention for district hospital teams aimed at scaling-up access essential surgery in rural East Africa. Participatory action research (PAR) informed design, incorporating...