Maëva Chavin, Gillien Latour, Béatrice Guyard-Boileau, Marie-Anne Durand
[Evaluation of the Tuto’Tour pregnancy intervention among pregnant smokers in vulnerable situations]
Sante publique (Vandoeuvre-les-Nancy, France)
anaesthesia delivery pakistan remains limited conventional intraoperative procedures research showing ongoing challenges quality resourcing aimed identify systemic challenges delivery whoworld federation societies anaesthesiologists whowfsa highly recommended standards quality anaesthesia services surgical support pakistans punjab province singlemethod qualitative study included 22 semistructured interviews purposively selected anaesthesia system experts punjab province including heads teaching hospital anaesthesia departments healthcare commission hcc representatives health department officials analysed data thematically using deductive inductive coding 10 participants worked anaesthesia department heads teaching hospitals across punjab 5 worked hcc 7 worked health department selected purposively least 5 years experience working head department serving legislative departments identified three themes experienced major challenges within specialty namely anaesthetist recruitment retention quality care inservice training discrepancies specialities findings indicated workforce shortages maldistribution insufficient inservice training standards inadequate equipment maintenance lack anaesthesia representation decisionmaking compromised anaesthesia provision quality safety improving anaesthesia provision punjab would require increasing physician nonphysician anaesthetist numbers rotation peripheral postings strengthening training quality ensuring availability wfsaspecified essential equipment supplies achieve essential anaesthesia provision standards policy interventions needed example balance anaesthesiologist surgeonobstetriciangynaecologist numbers require anaesthesiology postgraduates work years incountry eg scholarship bonds ensure inservice training attendance skills updates implement quality assurance standards equipment supplies