Establishing an Anaesthesia and Intensive Care partnership and aiming for national impact in Tanzania

作者: Mpoki Ulisubisya , Henrik Jörnvall , Lars Irestedt , Tim Baker

DOI: 10.1186/S12992-016-0144-1

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摘要: Anaesthesia and Intensive Care is a neglected specialty in low-income countries. There an acute shortage of health workers – several countries have less than 1 anaesthesia provider per 100,000 population. Only 1.5 % hospitals Africa the intensive care resources needed for managing patients with sepsis. Health partnerships between institutions high been proposed as effective way to strengthen systems. The aim this article describe origin conduct partnership Tanzania Sweden how has expanded impact at regional national levels. Muhimbili-Karolinska Collaboration was initiated 2008 on request Executive Director Muhimbili National Hospital Dar es Salaam. conducted training courses, exchanges, research projects introduced new equipment, routines guidelines. include all Through newly formed Life Support Foundation, had assisting reanimation Society Anaesthesiologists seen marked increase number young doctors choosing residency Care.

参考文章(25)
Patricia Livingston, Faye Evans, Etienne Nsereko, Gaston Nyirigira, Paulin Ruhato, Joan Sargeant, Megan Chipp, Angela Enright, Safer obstetric anesthesia through education and mentorship: a model for knowledge translation in Rwanda Canadian Journal of Anesthesia/Journal canadien d'anesthésie. ,vol. 61, pp. 1028- 1039 ,(2014) , 10.1007/S12630-014-0224-8
Tim Baker, Jonas Blixt, Edwin Lugazia, Carl Otto Schell, Moses Mulungu, Anna Milton, Markus Castegren, Jaran Eriksen, David Konrad, Single Deranged Physiologic Parameters Are Associated With Mortality in a Low-Income Country Critical Care Medicine. ,vol. 43, pp. 2171- 2179 ,(2015) , 10.1097/CCM.0000000000001194
Srinivas Murthy, Aleksandra Leligdowicz, Neill K. J. Adhikari, Intensive Care Unit Capacity in Low-Income Countries: A Systematic Review PLOS ONE. ,vol. 10, ,(2015) , 10.1371/JOURNAL.PONE.0116949
Stefan Jochberger, Feruza Ismailova, Wolfgang Lederer, Viktoria D. Mayr, Günter Luckner, Volker Wenzel, Hanno Ulmer, Walter R. Hasibeder, Martin W. Dünser, Anesthesia and its allied disciplines in the developing world: a nationwide survey of the Republic of Zambia. Anesthesia & Analgesia. ,vol. 106, pp. 942- 948 ,(2008) , 10.1213/ANE.0B013E318166ECB8
Neil A. Halpern, Stephen M. Pastores, Robert J. Greenstein, Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs* Critical Care Medicine. ,vol. 32, pp. 1254- 1259 ,(2004) , 10.1097/01.CCM.0000128577.31689.4C
Gerald Dubowitz, Sarah Detlefs, K. A. Kelly McQueen, Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices World Journal of Surgery. ,vol. 34, pp. 438- 444 ,(2010) , 10.1007/S00268-009-0229-6
Neill KJ Adhikari, Robert A Fowler, Satish Bhagwanjee, Gordon D Rubenfeld, Critical care and the global burden of critical illness in adults The Lancet. ,vol. 376, pp. 1339- 1346 ,(2010) , 10.1016/S0140-6736(10)60446-1
Nicholas J Kassebaum, Amelia Bertozzi-Villa, Megan S Coggeshall, Katya A Shackelford, Caitlyn Steiner, Kyle R Heuton, Diego Gonzalez-Medina, Ryan Barber, Chantal Huynh, Daniel Dicker, Tara Templin, Timothy M Wolock, Ayse Abbasoglu Ozgoren, Foad Abd-Allah, Semaw Ferede Abera, Ibrahim Abubakar, Tom Achoki, Ademola Adelekan, Zanfina Ademi, Arsène Kouablan Adou, José C Adsuar, Emilie E Agardh, Dickens Akena, Deena Alasfoor, Zewdie Aderaw Alemu, Rafael Alfonso-Cristancho, Samia Alhabib, Raghib Ali, Mazin J Al Kahbouri, François Alla, Peter J Allen, Mohammad A AlMazroa, Ubai Alsharif, Elena Alvarez, Nelson Alvis-Guzmán, Adansi A Amankwaa, Azmeraw T Amare, Hassan Amini, Walid Ammar, Carl AT Antonio, Palwasha Anwari, Johan Ärnlöv, Valentina S Arsic Arsenijevic, Ali Artaman, Majed Masoud Asad, Rana J Asghar, Reza Assadi, Lydia S Atkins, Alaa Badawi, Kalpana Balakrishnan, Arindam Basu, Sanjay Basu, Justin Beardsley, Neeraj Bedi, Tolesa Bekele, Michelle L Bell, Eduardo Bernabe, Tariku J Beyene, Zulfiqar Bhutta, Aref Bin Abdulhak, Jed D Blore, Berrak Bora Basara, Dipan Bose, Nicholas Breitborde, Rosario Cárdenas, Carlos A Castañeda-Orjuela, Ruben Estanislao Castro, Ferrán Catalá-López, Alanur Cavlin, Jung-Chen Chang, Xuan Che, Costas A Christophi, Sumeet S Chugh, Massimo Cirillo, Samantha M Colquhoun, Leslie Trumbull Cooper, Cyrus Cooper, Iuri da Costa Leite, Lalit Dandona, Rakhi Dandona, Adrian Davis, Anand Dayama, Louisa Degenhardt, Diego De Leo, Borja del Pozo-Cruz, Kebede Deribe, Muluken Dessalegn, A deVeber Gabrielle, Samath D Dharmaratne, Uğur Dilmen, Eric L Ding, Rob E Dorrington, Tim R Driscoll, Sergei Petrovich Ermakov, Alireza Esteghamati, Jose A Faraon, Farshad Farzadfar, Manuela Mendonca Felicio, Seyed-Mohammad Fereshtehnejad, Graça Maria Ferreira De Lima, Mohammad H Forouzanfar, Elisabeth B França, Lynne Gaffikin, Ketevan Gambashidze, Fortuné Gbètoho Gankpé, Ana C Garcia, Johanna M Geleijnse, Katherine B Gibney, Maurice Giroud, Elizabeth L Glaser, Ketevan Goginashvili, Philimon Gona, Dinorah González-Castell, Atsushi Goto, Hebe N Gouda, Harish Chander Gugnani, Rahul Gupta, Rajeev Gupta, Nima Hafezi-Nejad, Randah Ribhi Hamadeh, Mouhanad Hammami, Graeme J Hankey, Hilda L Harb, Rasmus Havmoeller, Simon I Hay, Ileana B Heredia Pi, Hans W Hoek, H Dean Hosgood, Damian G Hoy, Abdullatif Husseini, Bulat T Idrisov, Kaire Innos, Manami Inoue, Kathryn H Jacobsen, Eiman Jahangir, Sun Ha Jee, Paul N Jensen, Vivekanand Jha, Guohong Jiang, Jost B Jonas, Knud Juel, Edmond Kato Kabagambe, Haidong Kan, Nadim E Karam, André Karch, Corine Kakizi Karema, Anil Kaul, Norito Kawakami, Konstantin Kazanjan, Dhruv S Kazi, None, Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 The Lancet. ,vol. 384, pp. 980- 1004 ,(2014) , 10.1016/S0140-6736(14)60696-6
John G Meara, Andrew J M Leather, Lars Hagander, Blake C Alkire, Nivaldo Alonso, Emmanuel A Ameh, Stephen W Bickler, Lesong Conteh, Anna J Dare, Justine Davies, Eunice Dérivois Mérisier, Shenaaz El-Halabi, Paul E Farmer, Atul Gawande, Rowan Gillies, Sarah L M Greenberg, Caris E Grimes, Russell L Gruen, Edna Adan Ismail, Thaim Buya Kamara, Chris Lavy, Ganbold Lundeg, Nyengo C Mkandawire, Nakul P Raykar, Johanna N Riesel, Edgar Rodas, John Rose, Nobhojit Roy, Mark G Shrime, Richard Sullivan, Stéphane Verguet, David Watters, Thomas G Weiser, Iain H Wilson, Gavin Yamey, Winnie Yip, Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development The Lancet. ,vol. 386, pp. 569- 624 ,(2015) , 10.1016/S0140-6736(15)60160-X
Martin W. Dünser, Inipavudu Baelani, Lundeg Ganbold, A review and analysis of intensive care medicine in the least developed countries. Critical Care Medicine. ,vol. 34, pp. 1234- 1242 ,(2006) , 10.1097/01.CCM.0000208360.70835.87