Publications by authors named "M Derbew"
Introduction: A significant burden of unmet pediatric surgical disease exists in low- and middle-income countries. We sought to assess the associations between the installation of a pediatric operating room (OR) and clinical and economic outcomes for families with children in Ethiopia.
Methods: A retrospective cohort study was performed of children who underwent elective surgery in a tertiary-level Ethiopian public hospital, comparing patient outcomes before and after OR installation in August 2019.
The 21st century presents significant global health challenges that necessitate an integrated health workforce capable of delivering person-centered and integrated healthcare services. Interprofessional collaboration (IPC) plays a vital role in achieving integration and training an IPC-capable workforce in sub-Saharan Africa (SSA) has become imperative. This study aims to assess changes in IPC confidence among learners participating in a team-based, case-based HIV training programme across diverse settings in SSA.
View Article and Find Full Text PDFThis report reviews an Ethiopian patient who underwent cardiac surgery and had a mechanical heart valve implanted on the mitral valve with tricuspid valve repair for rheumatic heart disease via a local non-profit organization donation later complicated by cardio-embolic stroke, and aims to describe the challenges faced by patients from rural Ethiopia who require cardiac surgery for rheumatic heart disease and narrate the importance of careful follow-up. The lessons to be drawn from this case are that careful follow-up and adherence to prescribed Vitamin K antagonists after surgery for mechanical heart valves are critical and, when such patients are lost to follow-up as was witnessed in this case, it can induce lifelong morbidity. Morbidity that could have been avoided with strict and meticulous follow-up and with standardized patient tracing or contact systems.
View Article and Find Full Text PDFArticle Synopsis
- * A cohort study was conducted in 7 Ethiopian hospitals to evaluate the updated implementation strategy of the Clean Cut program, focusing on data collection and team organization over a 3-year period.
- * Results showed a significant 34% reduction in surgical site infections (SSIs) post-implementation, highlighting the program's effectiveness in enhancing patient safety and surgical outcomes.
Article Synopsis
- The study examines the impact of the COVID-19 pandemic on surgical volumes for pediatric patients in low- and middle-income countries (LMICs), highlighting a significant reduction in surgeries.
- A survey, conducted among pediatric surgeons in sub-Saharan Africa and Ecuador, revealed that public hospitals had longer wait times, with a median waitlist of 90 patients and an average wait of 2 months for elective surgeries.
- The findings indicate that long surgical wait times persist in LMICs, adversely affecting surgical access, and underline the need for resource scaling and monitoring strategies to address these delays, especially in the wake of COVID-19.