Augustino Hellar
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View article: Safety and efficacy of the ShangRing for early infant male circumcision in the routine clinical setting
Safety and efficacy of the ShangRing for early infant male circumcision in the routine clinical setting Open
Introduction Male circumcision (MC) has been shown to decrease transmission of HIV and is a critical strategy to decrease its incidence in countries with high rates of heterosexually transmitted HIV. Early infant MC (EIMC), with single-use…
View article: Enhancing Emergency Preparedness: A Call to Incorporate Postexposure Prophylaxis in Mass Casualty Protocols
Enhancing Emergency Preparedness: A Call to Incorporate Postexposure Prophylaxis in Mass Casualty Protocols Open
Introduction Mass casualty incidents (MCIs) present significant challenges to emergency response systems, often overwhelming healthcare resources. This article highlights the critical role of integrating postexposure prophylaxis (PEP) into…
View article: An Assessment of Progress and Challenges in the Implementation of the National Surgical, Obstetric, and Anesthesia Plan (NSOAP) in Tanzania
An Assessment of Progress and Challenges in the Implementation of the National Surgical, Obstetric, and Anesthesia Plan (NSOAP) in Tanzania Open
Introduction There are significant disparities in access to safe and affordable surgery, particularly in LMICs. National Surgical Obstetric and Anesthesia Plans (NSOAPs) emerged as crucial national policy frameworks to address this gap. Al…
View article: An assessment to inform programming for antenatal care services in six health facilities in Geita Region, Tanzania: a cross-sectional baseline survey
An assessment to inform programming for antenatal care services in six health facilities in Geita Region, Tanzania: a cross-sectional baseline survey Open
Background Globally, every two minutes, a woman dies during pregnancy or childbirth, and each day, about 6,300 newborns die. Most of these deaths are preventable. Despite global efforts to improve coverage and access to maternity care, mor…
View article: Shangring for Early Infant Male Circumcision in Routine Settings in Sub-Saharan Africa a Field Study of Safety, Efficacy, and Acceptability
Shangring for Early Infant Male Circumcision in Routine Settings in Sub-Saharan Africa a Field Study of Safety, Efficacy, and Acceptability Open
View article: Mentoring approaches in a safe surgery program in Tanzania: Lessons learned during COVID-19 and recommendations for the future
Mentoring approaches in a safe surgery program in Tanzania: Lessons learned during COVID-19 and recommendations for the future Open
View article: ShangRing versus Mogen clamp for early infant male circumcision in eastern sub-Saharan Africa: a multicentre, non-inferiority, adaptive, randomised controlled trial
ShangRing versus Mogen clamp for early infant male circumcision in eastern sub-Saharan Africa: a multicentre, non-inferiority, adaptive, randomised controlled trial Open
View article: Three Pivots for Improving Health Care Provider Performance
Three Pivots for Improving Health Care Provider Performance Open
We share recommendations on 3 important pivots away from longstanding approaches to continued professional development and in-service training programs that have demonstrated a measurable benefit across a diversity of health-related applic…
View article: Reducing surgical site infections and mortality among obstetric surgical patients in Tanzania: a pre-evaluation and postevaluation of a multicomponent safe surgery intervention
Reducing surgical site infections and mortality among obstetric surgical patients in Tanzania: a pre-evaluation and postevaluation of a multicomponent safe surgery intervention Open
Introduction Despite ongoing maternal health interventions, maternal deaths in Tanzania remain high. One of the main causes of maternal mortality includes postoperative infections. Surgical site infection (SSI) rates are higher in low/midd…
View article: A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment
A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment Open
View article: Outcomes of a multicomponent safe surgery intervention in Tanzania’s Lake Zone: a prospective, longitudinal study
Outcomes of a multicomponent safe surgery intervention in Tanzania’s Lake Zone: a prospective, longitudinal study Open
Background Evidence-based strategies for improving surgical quality and patient outcomes in low-resource settings are a priority. Objective To evaluate the impact of a multicomponent safe surgery intervention (Safe Surgery 2020) on (1) adh…
View article: Development and content validation of the Safe Surgery Organizational Readiness Tool: A quality improvement study
Development and content validation of the Safe Surgery Organizational Readiness Tool: A quality improvement study Open
The Safe Surgery Organizational Readiness Tool is a theory- and evidence-based tool that can be used by change agents and facility leaders in low- and middle-income countries to assess the baseline readiness of surgical facilities to imple…
View article: Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?
Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others? Open
Background Evidence on heterogeneity in outcomes of surgical quality interventions in low-income and middle-income countries is limited. We explored factors driving performance in the Safe Surgery 2020 intervention in Tanzania’s Lake Zone …
View article: A mixed-methods assessment of surgical capacity in Tanzania’s Lake Zone
A mixed-methods assessment of surgical capacity in Tanzania’s Lake Zone Open
Background Five billion people across the world do not have access to safe and affordable surgical, obstetric, and anaesthesia care when they need it. In 2018, Safe Surgery 2020 was launched in Tanzania’s Lake Zone region to improve the qu…
View article: Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: protocol for a quasi-experimental study
Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: protocol for a quasi-experimental study Open
Introduction Effective, scalable strategies for improving surgical quality are urgently needed in low-income and middle-income countries; however, there is a dearth of evidence about what strategies are most effective. This study aims to e…
View article: Adverse events in a large‐scale <scp>VMMC</scp> programme in Tanzania: findings from a case series analysis
Adverse events in a large‐scale <span>VMMC</span> programme in Tanzania: findings from a case series analysis Open
Introduction Adverse events ( AE s) rates in voluntary medical male circumcision ( VMMC ) are critical measures of service quality and safety. While these indicators are key, monitoring AE s in large‐scale VMMC programmes is not without ch…
View article: Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania
Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania Open
Despite emergency and essential surgery and anaesthesia care being recognised as a part of Universal Health Coverage, 5 billion people worldwide lack access to safe, timely and affordable surgery and anaesthesia care. In Tanzania, 19% of a…
View article: The Situation of Safe Surgery and Anaesthesia in Tanzania: A Systematic Review
The Situation of Safe Surgery and Anaesthesia in Tanzania: A Systematic Review Open
Background Improvement in the surgical system requires intersectoral coordination. To achieve this, the development of National Surgical, Obstetric, and Anaesthesia Plans (NSOAPS) has been recommended. One of the first steps of NSOAP devel…
View article: Cost and Cost-Effectiveness of a Demand Creation Intervention to Increase Uptake of Voluntary Medical Male Circumcision in Tanzania: Spending More to Spend Less
Cost and Cost-Effectiveness of a Demand Creation Intervention to Increase Uptake of Voluntary Medical Male Circumcision in Tanzania: Spending More to Spend Less Open
Background: Although voluntary medical male circumcision (VMMC) reduces the risk of HIV acquisition, demand for services is lower among men in most at-risk age groups (ages 20–34 years). A randomized controlled trial was conducted to asses…
View article: What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania
What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania Open
Uncircumcised adolescent males in sub-Saharan Africa are an important group to reach with voluntary medical male circumcision (VMMC) services due to high HIV burden occurring among this age group. Appropriateness of the content and deliver…
View article: Bringing Early Infant Male Circumcision Information Home to the Family: Demographic Characteristics and Perspectives of Clients in a Pilot Project in Tanzania
Bringing Early Infant Male Circumcision Information Home to the Family: Demographic Characteristics and Perspectives of Clients in a Pilot Project in Tanzania Open
Iringa region of Tanzania has had great success reaching targets for voluntary medical male circumcision (VMMC). Looking to sustain high coverage of male circumcision, the government introduced a pilot project to offer early infant male ci…