[HTML][HTML] Longer travel time to district hospital worsens neonatal outcomes: a retrospective cross-sectional study of the effect of delays in receiving emergency cesarean …

…, A Silverstein, J Odhiambo, Y Lin, T Nkurunziza… - BMC pregnancy and …, 2017 - Springer
Background In low-resource settings, access to emergency cesarean section is associated
with various delays leading to poor neonatal outcomes. In this study, we described the delays …

[HTML][HTML] Validating the global surgery geographical accessibility indicator: differences in modeled versus patient-reported travel times

N Rudolfson, M Gruendl, T Nkurunziza, F Kateera… - World Journal of …, 2020 - Springer
Background Since long travel times to reach health facilities are associated with worse
outcomes, geographic accessibility is one of the six core global surgery indicators; this …

[HTML][HTML] Referral patterns and predictors of referral delays for patients with traumatic injuries in rural Rwanda

T Nkurunziza, G Toma, J Odhiambo, R Maine… - Surgery, 2016 - Elsevier
Background In developing countries, 9 out of 10 patients lack access to timely operative care.
Most patients seek care at district hospitals that often lack operative capacity, creating a …

Using mobile health technology and community health workers to identify and refer caesarean-related surgical site infections in rural Rwanda: a randomised …

KA Sonderman, T Nkurunziza, F Kateera, M Gruendl… - BMJ open, 2018 - bmjopen.bmj.com
Introduction Surgical site infections (SSIs) are a significant cause of morbidity and mortality
in low-income and middle-income countries, where rates of SSIs can reach 30%. Due to …

[HTML][HTML] Surgical site infections and antimicrobial resistance after cesarean section delivery in rural Rwanda

…, M Yankurije, K Faktor, T Nkurunziza… - Annals of Global …, 2021 - ncbi.nlm.nih.gov
Background: As the volume of surgical cases in low-and middle-income countries (LMICs)
increases, surgical-site infections (SSIs) are becoming more prevalent with anecdotal …

Health facility cost of cesarean delivery at a rural district hospital in Rwanda using time-driven activity-based costing

J Odhiambo, J Ruhumuriza, T Nkurunziza… - Maternal and child …, 2019 - Springer
Objective To determine the health facility cost of cesarean section at a rural district hospital
in Rwanda. Methods Using time-driven activity-based costing, this study calculated capacity …

[HTML][HTML] The effect and feasibility of mhealth-supported surgical site infection diagnosis by community health workers after cesarean section in rural rwanda …

…, R Riviello, A Goodman, T Nkurunziza… - JMIR mHealth and …, 2022 - mhealth.jmir.org
Background The development of a surgical site infection (SSI) after cesarean section (c-section)
is a significant cause of morbidity and mortality in low- and middle-income countries, …

[HTML][HTML] Does community-based health insurance protect women from financial catastrophe after cesarean section? A prospective study from a rural hospital in …

…, T Nkurunziza, N Rudolfson, J Nkurunziza… - BMC Health Services …, 2022 - Springer
Background The implementation of community-based health insurance in (CBHI) in Rwanda
has reduced out of pocket (OOP) spending for the > 79% of citizens who enroll in it but the …

Application of machine learning to prediction of surgical site infection

…, H Sonthalia, F Kateera, T Nkurunziza… - 2019 41st Annual …, 2019 - ieeexplore.ieee.org
Surgical site infections are an important health concern, particularly in low-resource areas,
where there is poor access to clinical facilities or trained clinical staff. As an application of …

Non‐obstetric surgical care at three rural district hospitals in Rwanda: more human capacity and surgical equipment may increase operative care

…, R Maine, N Gupta, G Toma, T Nkurunziza… - World journal of …, 2016 - Wiley Online Library
Background Most mortality attributable to surgical emergencies occurs in low‐ and middle‐income
countries. District hospitals, which serve as the first‐level surgical facility in rural sub‐…