Safe Surgery 2020: TANZANIA

 

 

 

 

 

 

Publications in peer-reviewed journals

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  1. Healthcare leaders develop strategies for expanding national surgical, obstetric, and anaesthesia plans in WHO AFRO and EMRO regions. Albutt, K., Sonderman, K., Citron, I., Nthele, M., Bekele, A., Makasa, E., … & Johnson, W. (2018).World Journal of Surgery, 43(2), 360-367. doi: 10.1007/s00268-018-4819-z.

  2. Making a case for national surgery, obstetric, and anesthesia plans. Citron, I., Sonderman, K., Subi, L., Meara, J.G., (2018).The Canadian Journal of Anesthesia, 66(3), 263-271. doi: 10.1007/s12630-018-01269-5.

  3. National surgical, obstetric, and anesthesia planning in the context of global surgery: the way forward. Sonderman, K., Citron, I., Meara, J.G., (2018). JAMA Surgery 153(10), 959-960. doi: 10.1001/jamasurg.2018.2440

  4. Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: protocol for a quasi-experimental study.  Alidina, S., Kuchukhidze, S., Menon, G., Citron, I., Lama, T., Meara, J.G. … & Maongezi, S. (2019). BMJ Open, 9:e031800. doi: 10.1136/bmjopen-2019-031800.

  5. Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania. Citron, I., Jumbam, D., Dahm, J., Mukhopadhyay, S., Nyberger, K., Iverson, K., ... & Nguhuni, B. (2019). BMJ Global Health, 4(2):e001282.

  6. How much does it cost to scale up surgical systems in low-income and middle-income countries. Jumbam, D., Reddy, C.L., Roa, L., Meara, J.G. (2019). BMJ Global Health, 4:e001779. doi:10.1136/ bmjgh-2019-001779.

  7. The situation of safe surgery and anaesthesia in Tanzania: a systematic review. Nyberger, K., Jumbam, D. T., Dahm, J., Maongezi, S., Makuwani, A., Kapologwe, N. A., ... & Kisakye, S. (2019). World Journal of Surgery, 43(1), 24-35.

  8. Assessing completeness of patient medical records of surgical and obstetric patients in Northern Tanzania. Global Health Action, 13:1, 1765526 01 Jun 2020. Lodge II, W., Menon G., Kuchukhidze, S., Jumbam, D., Maongezi S., Alidina, S., Nguhuni, B., Kapologwe, N., Varallo, J. https://doi.org/10.1080/16549716.2020.1765526

  9. Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns. Jumbam, D., Menon, G., Lama, T.N., Lodge II, W., Maongezi, S., Kapologwe, N., Citron, I., Barash, D., Varallo, J., Barringer, E.,Cainer, M., Ulisubisya, M., Alidina, S., Nguhuni, B., (2020, Aug 8) BMC Global Health Services Research. https://doi.org/10.1186/s12913-020-05559-x

  10. In-Hospital Postoperative Mortality Rates for Selected Procedures in Tanzania’s Lake Zone. Wurdeman, T., Strader, C., Alidina, S., Barash, D., … Ulisubisya, M. (2020) World Journal of Surgery. https://doi.org/10.1007/s00268-020-05802-w

  11.  A mixed-methods assessment of surgical capacity in Tanzania’s Lake Zone. DiMeo, A., Lama, N. T., Sydlowski, M., Barash, D., ... (2021, Jan 9) East and Central African Journal of Surgery. 

  12. Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others? Alidina S, Chatterjee P, Zanial N, Alreja SS, Balira R, Barash D, Ernest E, Giiti GC, Maina E, ... (2021 Feb) BMJ Qual Saf. http://dx.doi.org/10.1136/bmjqs-2020-011795

  13. Development and content validation of the Safe Surgery Organizational Readiness Tool: A quality improvement study. Hayirli, C. T., Meara, G. J., Barash, D., Bwire, C., Hellar, A., Kenemo, B., Kissima, I., ... (2021 Mar 9) International Journal of Surgery.  https://doi.org/10.1016/j.ijsu.2021.105944  

  14. Applying the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework to Safe Surgery 2020 Implementation in Tanzania’s Lake Zone. Alidina, S., Zanial, N., Meara, J.G., Barash, D., Buberwa, L., Chirangi, B., ...(2021 Apr 6) American College of Surgeons. 

  15. Outcomes of a multicomponent safe surgery intervention in Tanzania’s Lake Zone: a prospective, longitudinal study. Alidina, S., Menon, G., Staffa SJ, Kelly L., Alreja, S., Barash, D., Barringer, E., et al. (2021 May 6) International Journal for Quality in Health Care, Volume 33, Issue 2, 2021, mzab087, https://doi.org/10.1093/intqhc/mzab087

  16. A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment. Alidina, S., Tibyehabwa, L., Alreja, SS., Barash, D., Bien-Amine, D., Cainer, M., (2021 Sep 23) Hum Resources Health. https://doi.org/10.1186/s12960-021-00652-6

  17. Surgical Safety Checklist Use and Post-Caesarean Sepsis in the Lake Zone of Tanzania: Results from Safe Surgery 2020. Wurdeman, T., Staffa, S., Barash, D., Buberwa, L., Eliakimu, E., et al. (21 Sept 2021) World Journal of Surgery. https://doi.org/10.1007/s00268-021-06338-3

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Videos

Assessing the implementation of safe surgery interventions in low- and middle-income countries is critical to sustainability. We applied the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to Safe Surgery 2020 implementation in Tanzania’s Lake Zone.

Listen to this two-minute video by our colleague Meck Nyanda on our work and findings.

 

 

 

 

 

 

Conference Presentations

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  1. The situation of Safe Surgery and Anaesthesia in Tanzania: a Systematic Review. Jumbam D.T., Nyberger K., Dahm J., Maongezi S., Makuwani A., Kapologwe N.A., Nguhuni B., Mukhopadhay S., Iverson K.R., Maina E., Kisakye S., Mwai P., Hellar A., Barash D., Reynolds C., Meara J.G., Citron I. (2017, November). Presented at the Tanzania Health Summit, Dar es Salaam, Tanzania.

  2. Quality of Surgical Care in the Lake Zone of Tanzania: A Quasi-Experimental Baseline Assessment. Kuchukhidze, S., Menon, G., Barash, D., Citron, I., DiMeo, A., Gruendl, M., Jumbam, D., Kapologwe, N., Kisakye, S., Lama, T., Lodge, W., Maongezi, S., Meara, J., Mwai, P., Nguhuni, B., Reynolds, C., Shrime, M., Steer, M., Sydlowski, M., Varghese, A., Hellar, A., Alidina, S. (2018, November). Presented at the Penn Global Surgery Symposium, Philadelphia, PA.

  3. Surgical Safety Checklist Implementation and Quality Improvement Program in the Lake Zone of Tanzania. Lama, T., Alidina, S., Barash, D., Citron, I., DiMeo, A., Gruendl, M., Jumbam, D., Kapologwe, N., Maina, E., Kuchukhidze, S., Lodge, W., Maongezi, S., Meara, J., Nguhuni, B., Reynolds, C., Shrime, M., Steer, M., Sydlowski, M., Varghese, A., Hellar, A., Menon, G. (2018, November). Presented at the Penn Global Surgery Symposium, Philadelphia, PA.

  4. Strengthening Surgical Quality Data Collection and Reporting in Tanzania’s Lake Zone: A Mixed Methods Assessment. Lodge, W., Menon, G., Kuchukhidze, S., Jumbam, D., Barash, D., Mehta, S., Maongezi, S., Kisakye, S., Alidina, S., Nguhuni, B., Hellar, A., Kapologwe, N., Mehes, M., McKitrick, V., Meara, J., Varallo, J. (2018, December). Presented at Penn Global Surgery Symposium, Philadelphia, PA. 

  5. A Mixed-Methods Assessment of Surgical Capacity in the Lake Victoria Zone of Tanzania. DiMeo, A., Lama, T.N., Sydlowski, M., Barash, D., Citron, I., Gruendl, M., Jumbam, D., Kapologwe, N., Kisakye, S., Kuchukhidze, S., Lodge II, W., Maongezi, S., Meara, J.G., Menon, G., Shrime, M., Varghese, A., Reynolds, C., Hellar, A., Alidina, S. (2018, December). Oral abstract presented by Gopal Menon at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kigali, Rwanda.

  6. Outcomes of a multicomponent safe surgery intervention in Tanzania’s Lake Zone. Alidina, S., Menon, G., Kelly, L., Alreja, S., Barash, D., Barringer, E., Ghandour, H., Hellar, A., Mazhiqi, A., Meara, J.G., Reynolds, C., Staffa, S.J., Strader, C., Sydlowski, M., Wurdeman, T., Zurakowski, D., Kapologwe, N., Maongezi, S. (2019, November). Presented at National Non-Communicable Disease Conference, Dodoma, Tanzania.

  7. Cesarean Section Complications Pre and Post Intervention in the Lake Zone of Tanzania. Kelly, L., Alidina, S., Barash, D., Hellar, A., Maina, E., Meara, J.G., Mushi, R., Nyirenda, D., Reynolds, C., Staffa, S.J., Wurdeman, T., Kapologwe, N., Maongezi, S. (2019, November). Presented by Augustino Hellar at the Tanzania Health Summit, Dar es Salaam, Tanzania.

  8. Improving Teamwork and Communication With the Surgical Safety Checklist: A Quasi-Experimental Evaluation in the Lake Zone of Tanzania. Alreja, S., Zanial, N., Maongezi, S., Alidina, S., Barash, D., Incorvia, J., Kapologwe, N., Mazhiqi, A., Meara, J.G., Menon, G., Reynolds, C., Staffa, S.J., Strader, C., Sydlowski, M., Zurakowski, D., Tibyehabwa, L., Maina, E. (2019, November). Presented at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kampala, Uganda.

  9. Risk Factors Associated with Surgical Site Infections, Post-Operative Sepsis and Maternal Sepsis in Tanzania’s Lake Zone Region: A longitudinal Quasi-Experiemental Study. Wurdeman T., Tibyehabwag L., Maina E., Alidina S., Meara J., Strader C., Ghandour H., Reynolds C., Barash D., Maongezi S.,Kapologwe N., (2019, December) Presented at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kampala, Uganda.

  10. Developing mentorship in a resource-limited context: A qualitative research study of the experiences and perceptions of surgical teams and mentors in Ethiopia. Sydlowski, M., Alidina, S., Ahearn, O.,  Bari, S., Barash, D., Barringer, E. Beyene, A., Drown, L. Gultiee, T.,  Mengitsu, A.,  Reynolds, C., Esseye S. (2019, December) Presented by Erastus at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kampala, Uganda.

  11. Data quality strengthening intervention as part of the Safe Surgery 2020 multi-component intervention in Tanzania. Strader, C., Wurdeman, T., Sydlowksi, M., Hellar, A., Menon, G., Mazhiqi, A., Alidina, S., Maina, E., Mwanisi, E., Ernest, E., Barash, D.  (2019, December). Presented by Edwin Mwanisi at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kampala, Uganda

  12. Improving surgical quality in low- and middle-income countries: Why do some health facilities perform better than others? A longitudinal, mixed methods study in Tanzania. Zanial, N., Chatterjee, P., Alidina, S., Barash, D., Barringer, E., Hellar, A., Mazhiqi, A., Meara, J G., Mushi, R., Smith, V., Sydlowski, M., Alreja, S., Kapologwe, N., Maongezi, S. (2020, July) Presented virtually at the Annual Research Meeting, AcademyHealth.

  13. Examining the Relationship Between Surgical Safety Checklist Adherence and Development of SSI, Sepsis, and Maternal Sepsis in the Lake Zone of Tanzania. Staffa, S.J., Alidina, S., Hellar, A., Barash, D., Ernest, E., Kelly, L., Kuringe, E., Maina, E., Meara, J.G., Reynolds, C., Strader, C., Wurdeman, T., Zurakowski, D., Kapologwe, N., Maongezi, S. (2020, July) Presented at the College of Surgeons of East, Central, and Southern Africa (COSECSA) AGM and Scientific Conference, Kampala, Uganda.

  14. Assessing the Safe Surgery 2020 implementation in Tanzania’s Lake Zone: A longitudinal qualitative research study. Zanial, N., Alidina, S., Barash, D., Kapologwe, N., Kisyake, S., Maongezi, S., Mazhiqi, A., Meara, J.G., Reynolds, C., Tinuga, F., Troxel, A. (2020, October). Scientific Forum at Clinical Congress 2020 in Chicago, IL.

  15. In-Hospital Post-Operative Mortality Rates for Selected Procedures in Tanzania’s Lake Zone.Wurdeman, T.J., Strader, C., Reynolds, C.,  Barash, D., Meara, J G.,  Alidina, S. American College of Surgeons. (2020, October). Scientific Forum at Clinical Congress 2020 in Chicago, IL.