The Situation of Safe Surgery and Anaesthesia in Tanzania: A Systematic Review.

摘要: Improvement in the surgical system requires intersectoral coordination. To achieve this, development of National Surgical, Obstetric, and Anaesthesia Plans (NSOAPS) has been recommended. One first steps NSOAP is situational analysis. On ground analyses can be resource intensive often duplicative. In 2016, Ministry Health Tanzania issued a directive for creation an NSOAP. This systematic review aimed to assess if comprehensive analysis could achieved with existing data. These data would used evidence-based priority setting streamline any additional collection needed. A literature scientific literature, grey policy documents was performed as per PRISMA. Extraction all articles relating five NSOAPS domains: infrastructure, service delivery, workforce, information management, financing. 1819 unique were generated. Full-text screening produced 135 eligible articles; 46 relevant 53 81 11 finance, 15 management. Rich qualitative quantitative available each domain. Despite little around SOA, thorough provides significant evidence which have broader scope, longer timeline better coverage than through snapshot-stratified samples directed on assessments. Evidence from during stakeholder discussion directly inform priorities Tanzania.