Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals
Background/Aims Paediatric surgical care is a critical component of child health and basic universal health coverage and therefore should be included in comprehensive evaluations of surgical capacity. This study adapted and validated the Children’s Surgical Assessment Tool (CSAT), a tool developed f...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2023.2297870 |
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| author | Sarah Nuss Jean Paul Majyambere Edmond Ntaganda Callum Forbes Jonathan Nkurunziza Carol Mugabo Vincent Cubaka Bethany Hedt-Gauthier |
| author_facet | Sarah Nuss Jean Paul Majyambere Edmond Ntaganda Callum Forbes Jonathan Nkurunziza Carol Mugabo Vincent Cubaka Bethany Hedt-Gauthier |
| author_sort | Sarah Nuss |
| collection | DOAJ |
| description | Background/Aims Paediatric surgical care is a critical component of child health and basic universal health coverage and therefore should be included in comprehensive evaluations of surgical capacity. This study adapted and validated the Children’s Surgical Assessment Tool (CSAT), a tool developed for district and tertiary hospitals in Nigeria to evaluate hospital infrastructure, workforce, service delivery, financing, and training capacity for paediatric surgery, for use in district hospitals in Rwanda. Methods We used a three-round modified Delphi process to adapt the CSAT to the Rwandan context. An expert panel of surgeons, anaesthesiologists, paediatricians, and health systems strengthening experts were invited to participate based on their experience with paediatric surgical or anaesthetic care at district hospitals or with health systems strengthening in the Rwandan context. We used the Content Validity Index to validate the final tool. Results The adapted tool had a final score of 0.84 on the Content Validity Index, indicating a high level of agreement among the expert panel. The final tool comprised 171 items across five domains: facility characteristics, service delivery, workforce, financing, and training/research. Conclusion The adapted CSAT is appropriate for use in district hospitals in Rwanda to evaluate the capacity for paediatric surgery. This study provides a framework for adapting and validating a comprehensive paediatric surgical assessment tool to local contexts in LMICs and used in similar settings in sub-Saharan Africa. |
| format | Article |
| id | doaj-art-5a86dfd3049d477e993a9b9d28cd1301 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-5a86dfd3049d477e993a9b9d28cd13012025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2023.22978702297870Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitalsSarah Nuss0Jean Paul Majyambere1Edmond Ntaganda2Callum Forbes3Jonathan Nkurunziza4Carol Mugabo5Vincent Cubaka6Bethany Hedt-Gauthier7Harvard Medical SchoolPartners in Health Rwanda/Inshuti Mu BuzimaCentre Hospitalier Universitaire de KigaliHarvard Medical SchoolPartners in Health Rwanda/Inshuti Mu BuzimaPartners in Health Rwanda/Inshuti Mu BuzimaPartners in Health Rwanda/Inshuti Mu BuzimaHarvard Medical SchoolBackground/Aims Paediatric surgical care is a critical component of child health and basic universal health coverage and therefore should be included in comprehensive evaluations of surgical capacity. This study adapted and validated the Children’s Surgical Assessment Tool (CSAT), a tool developed for district and tertiary hospitals in Nigeria to evaluate hospital infrastructure, workforce, service delivery, financing, and training capacity for paediatric surgery, for use in district hospitals in Rwanda. Methods We used a three-round modified Delphi process to adapt the CSAT to the Rwandan context. An expert panel of surgeons, anaesthesiologists, paediatricians, and health systems strengthening experts were invited to participate based on their experience with paediatric surgical or anaesthetic care at district hospitals or with health systems strengthening in the Rwandan context. We used the Content Validity Index to validate the final tool. Results The adapted tool had a final score of 0.84 on the Content Validity Index, indicating a high level of agreement among the expert panel. The final tool comprised 171 items across five domains: facility characteristics, service delivery, workforce, financing, and training/research. Conclusion The adapted CSAT is appropriate for use in district hospitals in Rwanda to evaluate the capacity for paediatric surgery. This study provides a framework for adapting and validating a comprehensive paediatric surgical assessment tool to local contexts in LMICs and used in similar settings in sub-Saharan Africa.http://dx.doi.org/10.1080/16549716.2023.2297870global surgerypediatric surgerydistrict hospitalruralreadiness assessment |
| spellingShingle | Sarah Nuss Jean Paul Majyambere Edmond Ntaganda Callum Forbes Jonathan Nkurunziza Carol Mugabo Vincent Cubaka Bethany Hedt-Gauthier Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals Global Health Action global surgery pediatric surgery district hospital rural readiness assessment |
| title | Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals |
| title_full | Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals |
| title_fullStr | Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals |
| title_full_unstemmed | Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals |
| title_short | Adaptation and validation of the Children’s Surgical Assessment Tool for Rwandan district hospitals |
| title_sort | adaptation and validation of the children s surgical assessment tool for rwandan district hospitals |
| topic | global surgery pediatric surgery district hospital rural readiness assessment |
| url | http://dx.doi.org/10.1080/16549716.2023.2297870 |
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