Research

Project Aims

To understand how to improve equitable access to quality care for the injured in LMICs by the following objectives (each of which has a corresponding work package).

Project Objectives

1) develop a common understanding of stakeholder desires and needs to improve policy to enable improved equitable access to quality injury care

2) identify barriers and facilitators to equitable access to quality care and their consequences for the injured person

3) develop an injury pathway model to understand equitable access to quality injury care which can be applied in multiple contexts

4) build consensus amongst stakeholders about which research-based sustainable strategies to prioritise

5) synthesise cross country learning to identify similarities or differences between countries, hence where solutions may be shared

Main conceptual frameworks

Study setting

The study will be done in 4 countries:

Rwanda
Ghana
South Africa
Pakistan

Most of the work-packages will be done in two rural and two urban areas or district in each country, selected to be as representative of the country as possible and with contacts to investigators allowing feasibility of delivery.

Theory of Change

Selected Publications

Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study. Odland, M. L., Nepogodiev, D., Dion Morton, Martin, J., Bekele, A., Ghosh, D., Ademuyiwa, A.O., Davies, J.*, Weiser, T.G.* (Co senior authors). Accepted in press. Annals of Surgery 2020.
Odland, M. L., Whitaker , J., Nepogodiev, D., Aling, C. A., Bagawhira, I., Dushime, T., Erlangga, D., Mpirimbanyi, C., Muneza, S., Nkeshimana, M., Nyundo, M., Umuhoza, C., Uwitonce, E., Steans, J., Rushton, A., Belli, A., Byiringiro, J. C., Bekele, A., Davies, J. Identifying, prioritizing and visually mapping barriers to trauma care in Rwanda: a multi-disciplinary stakeholder exercise. World Journal of Surgery: 44, 2903–2918 (2020).
Fraser A., Newberry Le Vay J., Byass P., Tollmman S., Kahn K., D’Ambruoso L., Davies J. Time- critical conditions: assessment of burden and access to care using verbal autopsy in Agincourt, South Africa. BMJ Global Health 2020;5:e002289.
Whitaker, J. Nepogodiev, D., Leather, A., Davies, J. Assessing barriers to quality trauma care in low and middle-income countries: a Delphi study. Injury.
Edem, I., Dare, A., Byass, P., D’Ambruos, L., Kahn, K., Leather, A., Tollman, S., hitaker, J., Davies, J. External injuries, trauma and avoidable deaths in Agincourt, South Africa: A Retrospective Observational and Qualitative Study. BMJ Open June 2019.
Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments.
Access to care following injury in Northern Malawi, a comparison of travel time estimates between Geographic Information System and community household reports.
Development and use of clinical vignettes to assess injury care quality in Northern Malawi.

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