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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Butler, EK; Tran, TM; Fuller, AT; Makumbi, F; Luboga, S; Kisakye, S; Haglund, MM; Chipman, JG; Galukande, M

Published Date

  • September 2015

Published In

Volume / Issue

  • 158 / 3

Start / End Page

  • 764 - 772

PubMed ID

  • 26088920

Electronic International Standard Serial Number (EISSN)

  • 1532-7361

Digital Object Identifier (DOI)

  • 10.1016/j.surg.2015.05.011


  • eng

Conference Location

  • United States