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Article History

Received: 11 June 2019

Accepted: 22 October 2019

First Online: 20 November 2019

Ethics approval and consent to participate

: Approval to conduct the study was obtained from the Ministry of Health in Tanzania in February 2018. Regional Health Board representatives in both regions approved the use of the SS2020 facilities’ data in the study. Ethics approval was obtained from Mount Royal University Research Ethics Board (101469), Catholic University of Health and Allied Sciences (CREC/280/2018) and the National Institute for Medical Research (MR/53/100/539). Individuals chosen by the hospital directors to attend SPECT training were invited to participate in the research project at the beginning of the training by the research assistant (TM). The study was explained to the participants and informed consent was obtained.

: All participants have consented to have anonymized data published.

: OF is chair of SPECT; CF is SPECT’s founder and executive director. Safe Surgery 2020 (SS2020) is a collaboration of foundations, non-profits, educational institutions, and local governments that seek to make surgery safer across the globe. The research reported is part of the monitoring and evaluation aspect of a SS2020 initiative, funded by GE Foundation, between Sterile Processing Education Charitable Trust (SPECT), Assist International and the Tanzanian Ministry of Health.