Evaluation of Practice Change Following “Safer Anesthesia From Education” Obstetric Courses in Tanzania: A Prospective Cohort Study

( Anaesthesia . 2023;78(11):1354–1364. doi: 10.1111/anae.16091) The absence of access to anesthetic care during cesarean deliveries (CDs) contributes to an exponentially higher risk of death than those who have access to anesthesia. In Tanzania, maternal mortality is estimated higher than 500 per 100,000 live births, and anesthesia is very difficult to access, with only 50 physician anesthesia providers, 140 nurse anesthetists, and 40 other cadre providers in a country with a population of nearly 54 million. Training for anesthesia providers is not standardized and has great variability in duration and clinical exposure. The recent implication of the educational intervention Safer Anesthesia from Education–Obstetric Anesthesia (SAFE-OB) course has been shown to improve disparities in education through a 3-day refresher course. This study was designed to assess the main behavioral changes following SAFE-OB participation, as well as examine the degree and sustainability of said changes.