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Scaling up Safe Surgery for District and Rural Populations in Africa

Deliverables

Research Ethics approvals from relevant partner committees

Documentation will be prepared and submitted to relevant country research ethics committees for ethics clearance. All requirements will be met and ethics certificates will be obtained and kept in a central repository.

SURG-Africa website

Project website will be established to serve information, dissemination and contact purposes. The address www.surgafrica.eu will be registered.

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Publications

Additional file 2 of Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia

Author(s): Ifeanyichi, Martilord; Broekhuizen, Henk; Cheelo, Mweene; Juma, Adinan; Mwapasa, Gerald; Borgstein, Eric; Kachimba, John; Gajewski, Jakub; Brugha, Ruairi; Pittalis, Chiara; Bijlmakers, Leon
Published in: Springer Nature, 3, 2021, ISSN 2662-1975
Publisher: Springer Nature
DOI: 10.6084/m9.figshare.15047914.v1

Economic Costs of Providing District- and Regional-Level Surgeries in Tanzania

Author(s): Ifeanyichi M, Broekhuizen H, Juma A, Chilonga K, Kataika E, Gajewski J, Brugha R, Bijlmakers L
Published in: Int J Health Policy Manag 2021, x(x), 1–12, 2021, Page(s) 1-12, ISSN 2322-5939
Publisher: Wiley
DOI: 10.34172/ijhpm.2021.09

Why Do They Leave? Challenges to Retention of Surgical Clinical Officers in District Hospitals in Malawi

Author(s): Jakub Gajewski, Marisa Wallace, Chiara Pittalis, Gerald Mwapasa, Eric Borgstein, Leon Bijlmakers, Ruairi Brugha
Published in: IJHPM, 2020, ISSN 2322-5939
Publisher: Wiley
DOI: 10.34172/ijhpm.2020.142

Using Network and Complexity Theories to Understand the Functionality of Referral Systems for Surgical Patients in Resource-Limited Settings, the Case of Malawi

Author(s): Pittalis, Chiara Brugha, Ruairí Bijlmakers, Leon Cunningham, Frances Mwapasa, Gerald Clarke, Morgane Broekhuizen, Henk Ifeanyichi, Martilord Borgstein, Eric Gajewski, Jakubi6
Published in: IJHPM, 1/12, 2021, ISSN 2322-5939
Publisher: http://www.kmu.ac.ir/
DOI: 10.34172/ijhpm.2021.175

Evaluation of a surgical supervision model in three African countries—protocol for a prospective mixed-methods controlled pilot trial

Author(s): Pittalis, C.; Brugha, R.; Crispino, G.; Bijlmakers, L.A.; Mwapasa, G.; Lavy, C.; Le, G.; Cheelo, M.; Kachimba, J.; Borgstein, E.; Mkandawire, N.; Juma, A.; Marealle, P.; Chilonga, K.; Gajewski, J.
Published in: Pilot and Feasibility Studies, 2, 2019, ISSN 2055-5784
Publisher: Biomed Central
DOI: 10.1186/s40814-019-0409-6

Patterns, quality and appropriateness of surgical referrals in Malawi

Author(s): Chiara Pittalis,Ruairi Brugha,Leon Bijlmakers,Gerald Mwapasa,Eric Borgstein,Jakub Gajewski
Published in: Tropical Medecine and International health, Volume 25 Issue 7, 2020, ISSN 1365-3156
Publisher: Wiley
DOI: 10.1111/tmi.13406

Surgical care in district hospitals in sub-Saharan Africa: a scoping review

Author(s): Zineb Bentounsi, Sharaf Sheik-Ali, Grace Drury, Chris Lavy
Published in: BMJ Open, 2021, ISSN 2044-6055
Publisher: BMJ Publishing Group
DOI: 10.1136/bmjopen-2020-042862

Surgical service monitoring and quality control systems at district hospitals in Malawi, Tanzania and Zambia: a mixed-methods study

Author(s): Morgane Clarke , Chiara Pittalis, Eric Borgstein, Leon Bijlmakers,Mweene Cheelo, Martilord Ifeanyichi, Gerald Mwapasa,Adinan Juma, Henk Broekhuizen, Grace Drury, Chris Lavy,John Kachimba, Nyengo Mkandawire, Kondo Chilonga, Ruairí Brugha, Jakub Gajewski
Published in: BMJ Quality & Safety, 2021, Page(s) 30:950–960, ISSN 2044-5423
Publisher: BMJ
DOI: 10.1136/bmjqs-2020-012751

Supervision as a tool for building surgical capacity of district hospitals: the case of Zambia

Author(s): Jakub Gajewski; Nasser Monzer; Chiara Pittalis; Leon Bijlmakers; Mweene Cheelo; John Kachimba; Ruairi Brugha
Published in: Human Resources for Health, Vol 18, Iss 1, Pp 1-8 (2020), 1, 2020, ISSN 1478-4491
Publisher: BioMed Central
DOI: 10.1186/s12960-020-00467-x

Policy options for surgical mentoring: Lessons from Zambia based on stakeholder consultation and systems science

Author(s): Henk Broekhuizen ,Martilord Ifeanyichi, Mweene Cheelo, Grace Drury, Chiara Pittalis, Etiënne Rouwette, Michael Mbambiko, John Kachimba, Ruairí Brugha, Jakub Gajewski, Leon Bijlmakers
Published in: PLOS One, 16(9): e0257597, 2021, ISSN 1932-6203
Publisher: Public Library of Science
DOI: 10.1371/journal.pone.0257597

Evaluation of a Managed Surgical Consultation Network in Malawi.

Author(s): Gerald Mwapasa; Chiara Pittalis; Morgane Clarke; Leon Bijlmakers; Grace Le; Nyengo Mkandawire; Ruairi Brugha; Eric Borgstein; Jakub Gajewski
Published in: World Journal of Surgery, 45, 2021, Page(s) 356–361, ISSN 2637-4625
Publisher: Springer
DOI: 10.1007/s00268-020-05809-3

Improving Access to Surgery Through Surgical Team Mentoring – Policy Lessons From Group Model Building With Local Stakeholders in Malawi

Author(s): Henk Broekhuizen, Martilord Ifeanyichi, Gerald Mwapasa, Chiara Pittalis, Patrick Noah, Nyengo Mkandawire, Eric Borgstein, Ruairí Brugha, Jakub Gajewski, Leon Bijlmakers
Published in: IJHPM, Int J Health Policy Manag 2021, x(x), 1–12, 2021, ISSN 2322-5939
Publisher: IJHPM
DOI: 10.34172/ijhpm.2021.78

Using Group Model Building to Capture the Complex Dynamics of Scaling Up District-Level Surgery in Arusha Region, Tanzania

Author(s): Henk Broekhuizen, Monic Lansu, Jakub Gajewski, Chiara Pittalis, Martilord Ifeanyichi, Adinan Juma, Paul Marealle, Edward Kataika , Kondo Chilonga, Etiënne Rouwette, Ruairi Brugha , Leon Bijlmakers
Published in: IJHPM, 2020, ISSN 2322-5939
Publisher: Wiley
DOI: 10.34172/ijhpm.2020.249

Which Surgical Operations Should be Performed in District Hospitals in East, Central and Southern Africa? Results of a Survey of Regional Clinicians

Author(s): Zineb Bentounsi; Chris Lavy; Chiara Pittalis; Morgane Clarke; Jean Rizk; Grace Le; Ruairi Brugha; Eric Borgstein; Jakub Gajewski
Published in: World Journal of Surgery, 2, 2021, ISSN 2637-4625
Publisher: Springer
DOI: 10.1007/s00268-020-05793-8

Barriers to surgery performed by non-physician clinicians in sub-Saharan Africa—a scoping review

Author(s): Phylisha van Heemskerken, Henk Broekhuizen, Jakub Gajewski, Ruairí Brugha and Leon Bijlmakers
Published in: Human Resources for Health, 51, 2020, ISSN 1478-4491
Publisher: BioMed Central
DOI: 10.1186/s12960-020-00490-y

Rates of surgical deaths and infections at district hospitals in Malawi and Zambia: a prospective multicentre cohort study

Author(s): Jakub Gajewski, Mengyang Zhang , Leon Bijlmakers , Chiara Pittalis , Eric Borgstein, Gerald Mwapasa, John Kachimba, Mweene Cheelo, Kristen Waterman, Ruairi Brugha
Published in: BMJ Open, 11/12, 2021, ISSN 2044-6055
Publisher: BMJ Publishing Group
DOI: 10.1136/bmjopen-2021-049126

Non-physician clinicians in rural Africa: lessons from the Medical Licentiate programme in Zambia

Author(s): Jakub Gajewski, Carol Mweemba, Mweene Cheelo, Tracey McCauley, John Kachimba, Eric Borgstein, Leon Bijlmakers, Ruairi Brugha
Published in: Human Resources for Health, 15/1, 2017, ISSN 1478-4491
Publisher: BioMed Central
DOI: 10.1186/s12960-017-0233-0

Surgical Capacity at District Hospitals in Zambia: From 2012 to 2016

Author(s): Mweene Cheelo, Ruairi Brugha, Leon Bijlmakers, John Kachimba, Tracey McCauley, Jakub Gajewski
Published in: World Journal of Surgery, 42/11, 2018, Page(s) 3508-3513, ISSN 0364-2313
Publisher: Springer Verlag
DOI: 10.1007/s00268-018-4678-7

Quality of Surgery in Malawi: Comparison of Patient-Reported Outcomes After Hernia Surgery Between District and Central Hospitals

Author(s): Jakub Gajewski, Ronan Conroy, Leon Bijlmakers, Gerald Mwapasa, Tracey McCauley, Eric Borgstein, Ruairi Brugha
Published in: World Journal of Surgery, 42/6, 2018, Page(s) 1610-1616, ISSN 0364-2313
Publisher: Springer Verlag
DOI: 10.1007/s00268-017-4385-9

‘I think we are going to leave these cases’. Obstacles to surgery in rural Malawi: a qualitative study of provider perspectives

Author(s): J. Gajewski, L. Bijlmakers, G. Mwapasa, E. Borgstein, C. Pittalis, R. Brugha
Published in: Tropical Medicine & International Health, 23/10, 2018, Page(s) 1141-1147, ISSN 1360-2276
Publisher: Blackwell Publishing Inc.
DOI: 10.1111/tmi.13135

Evaluation of a surgical training programme for clinical officers in Malawi

Author(s): J. Gajewski, E. Borgstein, L. Bijlmakers, G. Mwapasa, Z. Aljohani, C. Pittalis, T. McCauley, R. Brugha
Published in: BJS, 106/2, 2019, Page(s) e156-e165, ISSN 0007-1323
Publisher: John Wiley & Sons Inc.
DOI: 10.1002/bjs.11065

Anesthesia Capacity of District-Level Hospitals in Malawi, Tanzania, and Zambia

Author(s): Jakub Gajewski, Chiara Pittalis, Chris Lavy, Eric Borgstein, Leon Bijlmakers, Gerald Mwapasa, Mweene Cheelo, Grace Le, Adinan Juma, John Kachimba, Paul Marealle, Nyengo Mkandawire, Kondo Chilonga, Ruairi Brugha
Published in: Anesthesia & Analgesia, 2020, Page(s) 1, ISSN 0003-2999
Publisher: Lippincott Williams & Wilkins Ltd.
DOI: 10.1213/ane.0000000000004363

The cost of providing and scaling up surgery: a comparison of a district hospital and a referral hospital in Zambia

Author(s): Leon Bijlmakers, Dennis Cornelissen, Mweene Cheelo, Mzaza Nthele, John Kachimba, Henk Broekhuizen, Jakub Gajewski, Ruairí Brugha
Published in: Health Policy and Planning, 33/10, 2018, Page(s) 1055-1064, ISSN 0268-1080
Publisher: Oxford University Press
DOI: 10.1093/heapol/czy086

The contribution of non-physician clinicians to the provision of surgery in rural Zambia—a randomised controlled trial

Author(s): Jakub Gajewski, Mweene Cheelo, Leon Bijlmakers, John Kachimba, Chiara Pittalis, Ruairi Brugha
Published in: Human Resources for Health, 17/1, 2019, ISSN 1478-4491
Publisher: BioMed Central
DOI: 10.1186/s12960-019-0398-9

Who accesses surgery at district level in sub-Saharan Africa? Evidence from Malawi and Zambia

Author(s): Jakub Gajewski, Rachel Dharamshi, Michael Strader, John Kachimba, Eric Borgstein, Gerald Mwapasa, Mweene Cheelo, Tracey McCauley, Leon Bijlmakers, Ruairi Brugha
Published in: Tropical Medicine & International Health, 22/12, 2017, Page(s) 1533-1541, ISSN 1360-2276
Publisher: Blackwell Publishing Inc.
DOI: 10.1111/tmi.12989

The Cost of Providing District-Level Surgery in Malawi

Author(s): Dennis Cornelissen, Gerald Mwapasa, Jakub Gajewski, Tracey McCauley, Eric Borgstein, Ruairi Brugha, Leon Bijlmakers
Published in: World Journal of Surgery, 42/1, 2018, Page(s) 46-53, ISSN 0364-2313
Publisher: Springer Verlag
DOI: 10.1007/s00268-017-4166-5

Financing of surgery and anaesthesia in sub-Saharan Africa: a scoping review

Author(s): Martilord Ifeanyichi ,Ellis Aune, Mark Shrime ,Jakub Gajewski ,Chiara Pittalis , John Kachimba , Eric Borgstein, Ruairi Brugha ,Rob Baltussen, Leon Bijlmakers
Published in: BMJ Open, 2021, ISSN 2044-6055
Publisher: BMJ Publishing Group
DOI: 10.1136/bmjopen-2021-051617

Authors’ Reply: Which Surgical Operations Should be Performed in District Hospitals in East, Central and Southern Africa? Results of a Survey of Regional Clinicians

Author(s): Bentounsi Z, Lavy C, Pittalis C, Clarke M, Rizk J, Le G, et al.
Published in: World Journal of Surgery, Volume 45 Issue 3, 2021, Page(s) 915-16, ISSN 2637-4625
Publisher: Springer
DOI: 10.1007/s00268-020-05895-3

Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia

Author(s): Ifeanyichi, Martilord, Broekhuizen, Henk, Cheelo, Mweene, Juma, Adinan, Mwapasa, Gerald, Borgstein, Eric Kachimba, John, Gajewski, Jakub, Brugha, Ruairi, Pittalis, Chiara, Bijlmakers, Leon
Published in: BMC Health Services Research, (2021) 21:728, 2021, ISSN 1471-2458
Publisher: BioMed Central
DOI: 10.1186/s12913-021-06709-5

Additional file 1 of Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia

Author(s): Ifeanyichi, Martilord; Broekhuizen, Henk; Cheelo, Mweene; Juma, Adinan; Mwapasa, Gerald; Borgstein, Eric; Kachimba, John; Gajewski, Jakub; Brugha, Ruairi; Pittalis, Chiara; Bijlmakers, Leon
Published in: Springer Nature, 2, 2021, ISSN 2662-1975
Publisher: Springer Nature
DOI: 10.6084/m9.figshare.15047911