Barry Alpha Oumar - Academia.edu (original) (raw)
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Papers by Barry Alpha Oumar
Open Journal of Nephrology, 2017
ABSTRACTBackgroundOver two-thirds of the world’s population cannot access surgery when needed. In... more ABSTRACTBackgroundOver two-thirds of the world’s population cannot access surgery when needed. Interventions to address this gap have primarily focused on surgical training and ministry-level surgical planning. However, patients more commonly cite cost— rather than governance or surgeon availability—as their primary access barrier. We undertook a randomized, controlled trial (RCT) to evaluate the effect on compliance with scheduled surgical appointments of addressing this barrier through a cash transfer.Methods453 patients who were deemed surgical candidates by a nursing screening team in Guinea, West Africa, were randomized into three study arms: control, conditional cash transfer, and labeled unconditional cash transfer. Arrival to a scheduled surgical appointment was the primary outcome. The study was performed in conjunction with Mercy Ships.ResultsThe overall no-show rate was five-fold lower in Guinea than previously published estimates, leading to an underpowered study. In a p...
Open Journal of Nephrology, 2017
ABSTRACTBackgroundOver two-thirds of the world’s population cannot access surgery when needed. In... more ABSTRACTBackgroundOver two-thirds of the world’s population cannot access surgery when needed. Interventions to address this gap have primarily focused on surgical training and ministry-level surgical planning. However, patients more commonly cite cost— rather than governance or surgeon availability—as their primary access barrier. We undertook a randomized, controlled trial (RCT) to evaluate the effect on compliance with scheduled surgical appointments of addressing this barrier through a cash transfer.Methods453 patients who were deemed surgical candidates by a nursing screening team in Guinea, West Africa, were randomized into three study arms: control, conditional cash transfer, and labeled unconditional cash transfer. Arrival to a scheduled surgical appointment was the primary outcome. The study was performed in conjunction with Mercy Ships.ResultsThe overall no-show rate was five-fold lower in Guinea than previously published estimates, leading to an underpowered study. In a p...