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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/2170

Title: Identifying priorities for surgical development in East Africa: the EASI-Delphi process
Authors: Beveridge, Massey, massey.beveridge@sw.ca
Burton, Kirsteen, kirsteen.burton@utoronto.ca
Keywords: Surgical Training
East Africa
EASI-Delphi
Ptolemy
Issue Date: 14-Jul-2004
Abstract: Introduction There is a need for systematic regional planning to improve the delivery of surgical services in east Africa where some 400 surgeons provide care to a population of more than 200 million people. Methods Members of the professional association representing surgeons in the region, the Association of Surgeons of East Africa (ASEA) were recruited to participate in a survey of practice and an iterative consensus-building exercise or Delphi process in the attempt to identify priorities for surgical development in the region. In the first stage a survey was sent to 31 registered participants regarding surgical issues in East Africa. Nineteen participants completed the entire process which involved four rounds and at least six hours work. The results of survey were circulated to all participants who were then asked to generate statements in response to the question, “What actions will most reduce the burden of surgical disease in east Africa by 2010?” Seventy-nine statements of priority were received and after combining similar statements and eliminating frivolous comments, 60 statements were returned to the group who were asked to score both the desirability and feasibility of each statement on a scale of one to five. Low-scoring items were discarded and the remaining 25 statements were returned to the participants for ranking on a scale of one to three. The ten statements with the highest mean scores and least variance were identified. Results Grouped by issue, the priorities identified were: Improve opportunities for continuing medical education (CME) for practicing surgeons. Introduce more surgical skills workshops for medical students and clinical officers. Involve COSECSA in surgical training as well as curriculum development and certification of surgeons. Provide a feedback system by which medical students and surgical trainees may evaluate their teachers. Recruit and train more nurses and anaesthetists. Provide free HIV counseling and post-exposure prophylaxis for health care workers with occupational exposure. Improve surgical resources in local hospitals so they can perform basic surgery. Provide or increase service and maintenance for current hospital equipment. Attract funding for surgical research into common diseases. Develop protocols and treatment logarithms for common conditions. Conclusion If adopted and implemented, these priorities may help the ASEA, Ministries of Health, surgical educators, hospital administrators and individual surgeons to reduce the burden of surgical disease in East Africa by 2010.
URI: http://hdl.handle.net/1807/2170
Appears in Collections:Ptolemy

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