Surgical data strengthening in Ethiopia: results of a Kirkpatrick framework evaluation of a data quality intervention

Bari, Sehrish; Incorvia, Joseph; Iverson, Katherine R.; Bekele, Abebe; Garringer, Kaya; Ahearn, Olivia; Drown, Laura; Emiru, Amanu Aragaw; Burssa, Daniel; Workineh, Samson; Sheferaw, Ephrem D.; Meara, John G.; Beyene, Andualem

doi:10.1080/16549716.2020.1855808

Cited by 9 publications

(8 citation statements)

References 15 publications

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“…In the discussion of the learning stage, it was carried out to find out the learning outcomes, which include increasing the trainees' knowledge and skills on the material delivered by the resource persons. This is measured by using the test results at the end of the activity (Bari et al 2021;Reese et al 2021). This is in line with Kirkpatrick's statement, which states that learning measurement is essential because there will be no change in behavior (level 3) without the achievement of one of the objectives of the learning program either from knowledge, skills, or attitudes (Lantu et al 2020;Terttiaavini et al 2020).…”

Section: Behavior Aspectmentioning

confidence: 74%

Improving Assessment and Evaluation Strategies on Online Learning

Wonorahardjo¹,

Karmina²,

Habiddin³

2022

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ICLI is an annual International Conference on Learning Innovation (ICLI) hosted by Universitas Negeri Malang, Indonesia in collaboration with the Islamic Development Bank (IsDB) and Indonesian Consortium for Learning Innovation Research (ICLIR) as well as Univerisiti Teknologi MARA Cawangan Perlis, Malaysia serving as co-organizer this year. The conference aims to gather researchers, practitioners, students, experts, consultants, teachers and lecturers to share their insights and experiences on research not only in constructing innovations in learning but also the knowledge of learner's capability. The learners who are characterized as creative and competent by having the ability to understand what they have learned and capable of taking initiative and thinking critically. In addition, ICLI is organized on the basis of the trend in the 21st century, categorized by the increasing complexity of technology and the emergence of a corporate restructuring movement.This book is the proceeding of ICLI 2021, containing a selection of articles presented at this conference as the output of the activity. Various topics around education are covered in this book and some literature studies around specific topics on learning and education are covered as well. This proceeding book will be beneficial to students, scholars, and practitioners who have a deep concern in education. It is also futuristic with a lot of practical insights for students, faculty, and practitioners, and also a description of the Indonesian educational system in today's era.

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Section: Behavior Aspectmentioning

confidence: 74%

Improving Assessment and Evaluation Strategies on Online Learning

Wonorahardjo¹,

Karmina²,

Habiddin³

2022

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“…The codes were then reviewed for their key findings and were integrated into five broader themes: knowledge gain perceptions, individual behavior change experiences, institutional change and patient impact, perspectives on the hub-and-spoke model, and path to sustainability. These themes were partially informed by the Kirkpatrick framework for evaluation, a commonly used model to evaluate the impact of training programs [ 20 ], which the lead authors of this study recently applied to another training program in safe surgery in Ethiopia [ 21 ]. The 32-item consolidated checklist for reporting qualitative research (COREQ) was followed throughout analysis write-up.…”

Section: Methodsmentioning

confidence: 99%

Building safe surgery knowledge and capacity in Cambodia: a mixed-methods evaluation of an innovative training and mentorship intervention

Bari

Incorvia

Ahearn

et al. 2021

Global Health Action

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Background Working in partnership with the Cambodian Ministry of Health, the Safe Surgery 2020 initiative (SS2020) supports the prioritization of surgery and mobilization of resources to target limited workforce capacity. An evaluation study was conducted to assess the impact of SS2020 on intervention hospitals in Cambodia. Objective To understand the impact of the SS2020 program on intervention hospitals in Cambodia by assessing the changes in key surgical performance indicators before and after the intervention, identifying key barriers and facilitators to adoption of learnings, and discovering lessons on the uptake and diffusion of this initiative in Cambodia and other similar contexts. Methods This study is a convergent mixed-methods evaluation of a one-year multicomponent SS2020 intervention. Surgical observations were conducted in 8 intervention hospitals at baseline and endline to evaluate pre and post adherence to 20 safety, teamwork, and communication items. Fifteen focus groups were conducted in all intervention sites at endline to assess key facilitators and barriers to positive impact. Results There was significant improvement in 19 of 20 indicators assessed during surgical observations. Among the highest performing indicators were safety items; among the lowest were communication items. Participants self-reported improved knowledge and positive behavior change after the intervention. Institutional change and direct patient impact were not widely reported. Most participants had favorable views of the mentorship model and were eager for the program to continue implementation. Conclusions The results provide evidence that change in surgical ecosystems can be achieved on a short timeline with limited resources. The hub-and-spoke mentorship model can be successful in improving knowledge and changing behavior in surgical safety. Workforce development is important to improving surgical systems, but greater financial and human resources are needed. Ministry support in adopting, leading, and scaling is crucial to the continued success of safe surgery interventions in Cambodia.

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“…Within LMIC countries, the majority are in sub-Saharan Africa. To ''close the gap" in essential surgical services at the first-level hospital, more task-sharing needs to occur among both NSPs (like MDGPs) and non-physician clinicians (like AAs) [42][43][44][45]. Kim et al argue that additional surgical training for family physicians, the key clinicians in primary care at rural or district hospitals, can play a critical role in reducing disparities in access to surgical, obstetric, and anaesthesia care in low-and middle-income countries and in rural or remote settings [44].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

“…The quality of surgical provision and surgical outcomes were not addressed in the study and would be vital data to inform pathways to universal surgical provision. However, a lack of quality data is a problem in most LMICs, and interventions to improve data quality can be carried out with success as was done in an 8-week training and mentorship model programme in Ethiopia [45].…”

Section: Limitationsmentioning

confidence: 99%

Pathways to effective surgical coverage in a lower-middle-income country: A multiple methods study of the family physician-led generalist surgical team in rural Nepal

Ross

Shakya²,

Shrestha³

et al. 2023

PLOS Glob Public Health

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The Lancet Commission on Global Surgery (LCoGS) recommends using specialist surgical workforce density as one of 6 core indicators for monitoring universal access to safe, affordable surgical and anaesthesia care. Using Nepal as a case study, we explored the capacity of a generalist workforce (led by a family physician or MD general practitioner and non-physician anaesthetist) to enable effective surgical delivery through task-shifting. Using a multiple-methods approach, we retrospectively mapped essential surgical care and the enabling environment for surgery in 39 hospitals in 25 remote districts in Nepal and compared it with LCoGS indicators. All 25 districts performed surgery, 21 performed Caesarean section (CS), and 5 met at least 50% of district CS needs. Generalist surgical teams performed CS, the essential major operation at the district level, and very few laparotomies, but no operative orthopaedics. The density of specialist Surgeon/Anaesthesiologist/Obstetrician (SAO) was 0·4/100,000; that of Generalist teams (gSAO) led by a family physician (MD General Practitioners-MDGP) supported by non-physician anaesthetists was eight times higher at 3·1/100,000. gSAO presence was positively associated with a two-fold increase in CS availability. All surgical rates were well below LCoGS targets. 46% of hospitals had adequate enabling environments for surgery, 28% had functioning anaesthesia machines, and 75% had blood transfusion services. Despite very low SAO density, and often inadequate enabling environment, surgery can be done in remote districts. gSAO teams led by family physicians are providing essential surgery, with CS the commonest major operation. gSAO density is eight times higher than specialists and they can undertake more complex operations than just CS alone. These family physician-led functional teams are providing a pathway to effective surgical coverage in remote Nepal.

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Surgical data strengthening in Ethiopia: results of a Kirkpatrick framework evaluation of a data quality intervention

Cited by 9 publications

References 15 publications

Improving Assessment and Evaluation Strategies on Online Learning

Improving Assessment and Evaluation Strategies on Online Learning

Building safe surgery knowledge and capacity in Cambodia: a mixed-methods evaluation of an innovative training and mentorship intervention

Pathways to effective surgical coverage in a lower-middle-income country: A multiple methods study of the family physician-led generalist surgical team in rural Nepal

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