Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases

Introduction Diseases addressed by surgical, obstetric, trauma and anaesthesia (SOTA) care are rising globally due to an anticipated rise in the burden of non-communicable diseases and road traffic accidents. Low- and middle-income countries (LMICs) disproportionately bear the brunt. Evidence-based...

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Main Authors: Ekwaro A Obuku, Emmanuel Alex Elobu, Berjo Dongmo Takoutsing, Brian Kasagga, Darius Balumuka, Fortunate Ambangira, Derrick Kasozi, Margaret Amelia Namiiro, John Sekyanzi, Isaac Chebet, Jean Kizito Namatovu, Mercy Namazzi, Yusuf Sadiq, Boniface Mutatina
Format: Article
Language:English
Published: BMJ Publishing Group 2023-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/7/e070944.full
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author Ekwaro A Obuku
Emmanuel Alex Elobu
Berjo Dongmo Takoutsing
Brian Kasagga
Darius Balumuka
Fortunate Ambangira
Derrick Kasozi
Margaret Amelia Namiiro
John Sekyanzi
Isaac Chebet
Jean Kizito Namatovu
Mercy Namazzi
Yusuf Sadiq
Boniface Mutatina
author_facet Ekwaro A Obuku
Emmanuel Alex Elobu
Berjo Dongmo Takoutsing
Brian Kasagga
Darius Balumuka
Fortunate Ambangira
Derrick Kasozi
Margaret Amelia Namiiro
John Sekyanzi
Isaac Chebet
Jean Kizito Namatovu
Mercy Namazzi
Yusuf Sadiq
Boniface Mutatina
author_sort Ekwaro A Obuku
collection DOAJ
description Introduction Diseases addressed by surgical, obstetric, trauma and anaesthesia (SOTA) care are rising globally due to an anticipated rise in the burden of non-communicable diseases and road traffic accidents. Low- and middle-income countries (LMICs) disproportionately bear the brunt. Evidence-based policies and political commitment are required to reverse this trend. The Lancet Commission of Global Surgery proposed National Surgical and Obstetric and Anaesthesia Plans (NSOAPs) to alleviate the respective SOTA burdens in LMICs. NSOAPs success leverages comprehensive stakeholder engagement and appropriate health policy analyses and recommendations. As Uganda embarks on its NSOAP development, policy prioritisation in Uganda remains unexplored. We, therefore, seek to determine the priority given to SOTA care in Uganda’s healthcare policy and systems-relevant documents.Methods and analysis We will conduct a scoping review of SOTA health policy and system-relevant documents produced between 2000 and 2022 using the Arksey and O’Malley methodological framework and additional guidance from the Joanna Briggs Institute Reviewer’s manual. These documents will be sought from the websites of SOTA stakeholders by hand searching. We shall also search from Google Scholar and PubMed using well-defined search strategies. The Knowledge Management Portal for the Ugandan Ministry of Health, which was created to provide evidence-based decision-making data, is the primary source. The rest of the sources will include the following: other repositories like websites of relevant government institutions, international and national non-governmental organisations, professional associations and councils, and religious and medical bureaus. Data retrieved from the eligible policy and decision-making documents will include the year of publication, the global surgery specialty mentioned, the NSOAP surgical system domain, the national priority area involved and funding. The data will be collected in a preformed extraction sheet. Two independent reviewers will screen the collected data, and results will be presented as counts and their respective proportions. The findings will be reported narratively using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for scoping reviews.Ethics and dissemination This study will generate evidence-based information on the state of SOTA care in Uganda’s health policy, which will inform NSOAP development in this nation. The review’s findings will be presented to the Ministry of Health planning task force. The study will also be disseminated through a peer-reviewed publication; oral and poster presentations at local, regional, national and international conferences and over social media.
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spelling doaj.art-d28d097085b64347bb13f12b6d8207962023-08-01T07:40:07ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2022-070944Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databasesEkwaro A Obuku0Emmanuel Alex Elobu1Berjo Dongmo Takoutsing2Brian Kasagga3Darius Balumuka4Fortunate Ambangira5Derrick Kasozi6Margaret Amelia Namiiro7John Sekyanzi8Isaac Chebet9Jean Kizito Namatovu10Mercy Namazzi11Yusuf Sadiq12Boniface Mutatina13Faculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, UKDepartment of Surgery, Mulago National Referral Hospital, Kampala, UgandaResearch Department, Association of Future African Neurosurgeons, Yaounde, CameroonDepartment of Surgery, Mulago National Referral Hospital, Kampala, UgandaDepartment of Plastic and Reconstructive Surgery, Oregon Health & Science University, Portland, Oregon, USASchool of Public Health, Makerere University CHS, Kampala, UgandaResearch Department, Makerere University Infectious Diseases Institute, Kampala, Central, UgandaDepartment of Medicine, Makerere University School of Medicine, Kampala, UgandaDepartment of Obstetrics, Women’s Hospital International and Fertility Centre, Kampala, UgandaDepartment of Obstetrics, Women’s Hospital International and Fertility Centre, Kampala, UgandaDepartment of Obstetrics, Women’s Hospital International and Fertility Centre, Kampala, UgandaMedicine, Kampala International University - Western Campus, Bushenyi, Western, UgandaDepartment of Obstetrics, Women’s Hospital International and Fertility Centre, Kampala, UgandaClinical Epidemiology Unit, Makerere University College of Health Sciences, Kampala, UgandaIntroduction Diseases addressed by surgical, obstetric, trauma and anaesthesia (SOTA) care are rising globally due to an anticipated rise in the burden of non-communicable diseases and road traffic accidents. Low- and middle-income countries (LMICs) disproportionately bear the brunt. Evidence-based policies and political commitment are required to reverse this trend. The Lancet Commission of Global Surgery proposed National Surgical and Obstetric and Anaesthesia Plans (NSOAPs) to alleviate the respective SOTA burdens in LMICs. NSOAPs success leverages comprehensive stakeholder engagement and appropriate health policy analyses and recommendations. As Uganda embarks on its NSOAP development, policy prioritisation in Uganda remains unexplored. We, therefore, seek to determine the priority given to SOTA care in Uganda’s healthcare policy and systems-relevant documents.Methods and analysis We will conduct a scoping review of SOTA health policy and system-relevant documents produced between 2000 and 2022 using the Arksey and O’Malley methodological framework and additional guidance from the Joanna Briggs Institute Reviewer’s manual. These documents will be sought from the websites of SOTA stakeholders by hand searching. We shall also search from Google Scholar and PubMed using well-defined search strategies. The Knowledge Management Portal for the Ugandan Ministry of Health, which was created to provide evidence-based decision-making data, is the primary source. The rest of the sources will include the following: other repositories like websites of relevant government institutions, international and national non-governmental organisations, professional associations and councils, and religious and medical bureaus. Data retrieved from the eligible policy and decision-making documents will include the year of publication, the global surgery specialty mentioned, the NSOAP surgical system domain, the national priority area involved and funding. The data will be collected in a preformed extraction sheet. Two independent reviewers will screen the collected data, and results will be presented as counts and their respective proportions. The findings will be reported narratively using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for scoping reviews.Ethics and dissemination This study will generate evidence-based information on the state of SOTA care in Uganda’s health policy, which will inform NSOAP development in this nation. The review’s findings will be presented to the Ministry of Health planning task force. The study will also be disseminated through a peer-reviewed publication; oral and poster presentations at local, regional, national and international conferences and over social media.https://bmjopen.bmj.com/content/13/7/e070944.full
spellingShingle Ekwaro A Obuku
Emmanuel Alex Elobu
Berjo Dongmo Takoutsing
Brian Kasagga
Darius Balumuka
Fortunate Ambangira
Derrick Kasozi
Margaret Amelia Namiiro
John Sekyanzi
Isaac Chebet
Jean Kizito Namatovu
Mercy Namazzi
Yusuf Sadiq
Boniface Mutatina
Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
BMJ Open
title Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
title_full Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
title_fullStr Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
title_full_unstemmed Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
title_short Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases
title_sort protocol for scoping review to identify and characterise surgery obstetric trauma and anaesthesia care in ugandan health policy databases
url https://bmjopen.bmj.com/content/13/7/e070944.full
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