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Resource availability, utilisation and cost in the provision of critical care in Tanzania: a protocol for a systematic review.
Kazibwe, Joseph; Shah, Hiral A; Kuwawenaruwa, A; Schell, Carl Otto; Khalid, Karima; Tran, Phuong Bich; Ghosh, Srobana; Baker, Tim; Guinness, Lorna.
  • Kazibwe J; Department of Infectious Disease Epidemiology, Imperial College London, London, UK j.kazibwe@imperial.ac.uk.
  • Shah HA; Department of Infectious Disease Epidemiology, Imperial College London, London, UK.
  • Kuwawenaruwa A; Department of Infectious Disease Epidemiology, Center for Global Development, London, UK.
  • Schell CO; Health System Impact Evaluation and Policy Unit, Ifakara Health Institute, Ifakara, United Republic of Tanzania.
  • Khalid K; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
  • Tran PB; Department of Global Public Health, Uppsala University, Uppsala, Sweden.
  • Ghosh S; Health System Impact Evaluation and Policy Unit, Ifakara Health Institute, Ifakara, United Republic of Tanzania.
  • Baker T; Department of Anaesthesia and Critical Care, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania.
  • Guinness L; Department of Family and Population Health, University of Antwerp, Antwerpen, Belgium.
BMJ Open ; 11(8): e050881, 2021 08 25.
Article in English | MEDLINE | ID: covidwho-1373968
ABSTRACT

INTRODUCTION:

Critical care is essential in saving lives of those that are critically ill, however, provision of critical care can be costly and heterogeneous across lower-resource settings. This paper describes the protocol for a systematic review of the literature that aims to identify the reported costs and resources available for the provision of critical care and the forms of critical care provision in Tanzania. METHODS AND

ANALYSIS:

The review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three databases (MEDLINE, Embase and Global Health) will be searched to identify articles that report the forms of critical care, resources used in the provision of critical care in Tanzania, their availability and the associated costs. The search strategy will be developed from four key concepts; critical care provision, critical illness, resource use, Tanzania. The articles that fulfil the inclusion and exclusion criteria will be assessed for quality using the Reference Case for Estimating the Costs of Global Health Services and Interventions checklist. The extracted data will be summarised using descriptive statistics including frequencies, mean and median of the quantity and costs of resources used in the components of critical care services, depending on the data availability. This study will be carried out between February and November 2021. ETHICS AND DISSEMINATION This study is a review of secondary data and ethical clearance was sought from and granted by the Tanzanian National Institute of Medical Research (reference NIMR/HQ/R.8a/Vol. IX/3537) and London School of Hygiene and Tropical Medicine (ethics ref 22866). We will publish the review in a peer-reviewed journal as an open access article in addition to presenting the findings at conferences and public scientific gatherings. PROSPERO REGISTRATION NUMBER The protocol was registered with PROSPERO; registration number CRD42020221923.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Research Design / Critical Care Type of study: Experimental Studies / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Africa / Europa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-050881

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Research Design / Critical Care Type of study: Experimental Studies / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Africa / Europa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-050881