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Quantifying the pediatric surgical need in Uganda: results of a nationwide cross-sectional, household survey
- Source :
- Pediatric Surgery International
- Publication Year :
- 2016
- Publisher :
- Springer Berlin Heidelberg, 2016.
-
Abstract
- Purpose Little is known about the prevalence of pediatric surgical conditions in low- and middle-income countries. Many children never seek medical care, thus the true prevalence of surgical conditions in children in Uganda is unknown. The objective of this study was to determine the prevalence of surgical conditions in children in Uganda. Methods Using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey, we enumerated 4248 individuals in 2315 households in 105 randomly selected clusters throughout Uganda. Children aged 0–18 were included if randomly selected from the household; for those who could not answer for themselves, parents served as surrogates. Results Of 2176 children surveyed, 160 (7.4 %) reported a currently untreated surgical condition. Lifetime prevalence of surgical conditions was 14.0 % (305/2176). The predominant cause of surgical conditions was trauma (48.4 %), followed by wounds (19.7 %), acquired deformities (16.2 %), and burns (12.5 %). Of 90 pediatric household deaths, 31.1 % were associated with a surgically treatable proximate cause of death (28/90 deaths). Conclusion Although some trauma-related surgical burden among children can be adequately addressed at district hospitals, the need for diagnostics, human resources, and curative services for more severe trauma cases, congenital deformities, and masses outweighs the current capacity of hospitals and trained pediatric surgeons in Uganda.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Adolescent
Medical care
Health Services Accessibility
03 medical and health sciences
Household survey
0302 clinical medicine
Community survey
Pediatric surgery
medicine
Prevalence
Humans
Uganda
Pediatrics, Perinatology, and Child Health
030212 general & internal medicine
Child
Low- and middle-income countries
Sub-Saharan Africa
business.industry
SOSAS
Infant
General Medicine
Global surgery
Cross-Sectional Studies
Low and middle income countries
030220 oncology & carcinogenesis
Family medicine
Child, Preschool
Health Care Surveys
Surgical Procedures, Operative
Pediatrics, Perinatology and Child Health
Surgery
Original Article
Female
business
Needs Assessment
Subjects
Details
- Language :
- English
- ISSN :
- 14379813 and 01790358
- Volume :
- 32
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Pediatric Surgery International
- Accession number :
- edsair.doi.dedup.....43e8c1ba0623e90fc55a48634fc637d2