Format

Send to

Choose Destination
Surgery. 2015 Sep;158(3):764-72. doi: 10.1016/j.surg.2015.05.011. Epub 2015 Jun 16.

Pilot study of a population-based survey to assess the prevalence of surgical conditions in Uganda.

Author information

1
University of Minnesota Medical School, Minneapolis, MN.
2
Duke University Global Health Institute, Durham, NC.
3
Duke University Global Health Institute, Durham, NC; Duke University Medical School, Durham, NC.
4
Makerere University School of Public Health, Kampala, Uganda.
5
Department of Anatomy, Makerere University School of Medicine, Kampala, Uganda.
6
Department of Anatomy, Makerere University School of Medicine, Kampala, Uganda; Division of Neurosurgery, Duke University, Durham, NC.
7
Department of Surgery, University of Minnesota, Minneapolis, MN.
8
Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda. Electronic address: mosesg@img.co.ug.

Abstract

BACKGROUND:

Noncommunicable diseases, including those requiring surgical care, are increasingly straining low- and middle-income countries. Globally, 11% of all disability-adjusted life-years lost result from conditions requiring surgery; however, little is known about country-specific burden. We piloted a household-based survey in a periurban district of Uganda to estimate the prevalence of surgical conditions and to identify logistical challenges.

METHODS:

Our sample comprised 57 households in 5 enumeration areas in the Wakiso District, in central Uganda. Our survey tool was the Surgeons OverSeas Assessment of Surgical need. A household representative completed demographic and household death information, and 2 randomly selected household members completed questions on surgical conditions.

RESULTS:

Of 96 participants, 6 (6.3%; 95% CI, 2.3-13.1) had an existing, untreated surgical condition. The lifetime prevalence of surgical conditions was 26% (25/96). The most common barrier to access to care was lack of financial resources. Of the 3 deaths reported, 2 were associated with surgery. The mean household interview time was 36 minutes. The greatest challenge was efficient coordination with local team members and government officials.

CONCLUSION:

In this setting, the current prevalence of surgical conditions was nearly 1 in 10 persons, and lifetime occurrence was high, at 1 in 4 persons. Addressable challenges led to question revisions and a change in the data collection platform. A full-country study is both feasible and necessary to characterize the met and unmet need for surgical care in Uganda.

PMID:
26088920
DOI:
10.1016/j.surg.2015.05.011
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center