Evaluation of practice change following Safer Anaesthesia from Education (SAFE) obstetric courses in Tanzania: a prospective cohort study
Authors' conclusion
Our study has demonstrated positive sustained changes in the clinical practice amongst non-physician anaesthetists as a result of SAFE obstetric training.
Study context
- Population
- Non-physician anaesthetists in the Mbeya region of Tanzania, observed during peri-operative management of caesarean deliveries320 cases observed
- Participants
- 35 participants
- Exposure
- Pre-training vs post-SAFE obstetric training
- Outcome
- Expected behaviours (binary checklist), sustained improvements
- Follow-up
- 12 months
Methodological detailsdirect observation, binary checklist, five facilities, Two obstetric SAFE courses with refresher training delivered to 75 non-physician anaesthetists, August 2019 to July 2020, Observations over a 2-week period pre, immediately post, 6 and 12 months post-training
- Direct observation
- Binary checklist
- Five facilities
- Two obstetric SAFE courses with refresher training delivered to 75 non-physician anaesthetists, August 2019 to July 2020
- Observations over a 2-week period pre, immediately post, 6 and 12 months post-training
Main finding
As reported in the abstract
- Pre-operative assessment of patients: 32% (pre-training) to 88% (12 months), p < 0.001
- Checking for functioning suction: 73% to 85%, p = 0.003
- Aseptic spinal technique: 67% to 100%, p < 0.001
- Timely administration of prophylactic antibiotics: 66% to 95%, p < 0.001
- Checking spinal block adequacy: 32% to 71%, p < 0.001
Observational data: associations, not effects.
Original publication
Evaluation of practice change following SAFE obstetric courses in Tanzania: a prospective cohort study. Anaesthesia. Published 10 July 2023. doi:10.
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