02571nas a2200397 4500000000100000008004100001260003400042653005700076653002100133653002800154100001700182700001500199700001600214700001100230700001200241700001200253700001700265700001700282700001200299700001900311700001300330700001500343700001400358700001200372700001500384700001500399700001200414700001800426700001300444245013000457856009300587300001400680490000700694520144700701022002502148 2022 d bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)1 aMartindale S1 aMableson H1 aBodimeade C1 aHume H1 aBadia X1 aKarim J1 aMahmood ASMS1 aChiphwanya J1 aRimal P1 aBoko-Collins P1 aBougma R1 aAgyemang D1 aAlomatu B1 aCisse A1 aBathiri SA1 aShu'aibu J1 aBetts H1 aKelly-Hope LA1 aRiches N00aThe development and roll-out of a new hydrocoele surgery facility assessment tool for the elimination of lymphatic filariasis uhttps://academic.oup.com/inthealth/article-pdf/14/Supplement_2/ii55/45751552/ihac020.pdf aii55-ii630 v143 a

A hydrocoele surgery facility assessment tool (HSFAT) was developed to assess the readiness of hydrocoele surgery services in health facilities prior to implementation of hydrocoele surgical campaigns for the elimination of lymphatic filariasis (LF). A first version of the tool was piloted in Bangladesh, Malawi and Nepal in 2019, then, following feedback from country programme managers, a second version of the tool was rolled out across countries implementing hydrocoele surgery in the Accelerating the Control of Neglected Tropical Diseases (Ascend) West and Central Africa Programme, including Benin, Burkina Faso, Ghana, Guinea, Niger and Nigeria. The HSFAT assessed facilities across 10 domains: background information, essential amenities, emergency patient transfer, laboratory capacity, surgical procedures and trained staff, infection prevention, non-disposable basic equipment, disposable basic equipment, essential medicines and current hydrocoele practices. The HSFAT results highlight key areas for improvement in different countries and can be used to develop a quality improvement plan, which may include actions with agreed deadlines to improve the readiness and quality of hydrocoele surgery services provided by the health facility, prior to implementation of surgical campaigns and assist country programmes to achieve the dossier requirements set out by the World Health Organization for the elimination of LF.

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