Quantifying the pediatric surgical need in Uganda: results of a nationwide cross-sectional, household survey.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Butler, EK; Tran, TM; Fuller, AT; Brammell, A; Vissoci, JR; de Andrade, L; Makumbi, F; Luboga, S; Muhumuza, C; Ssennono, VF; Chipman, JG; Galukande, M; Haglund, MM; Smith, ER

Published Date

  • November 2016

Published In

Volume / Issue

  • 32 / 11

Start / End Page

  • 1075 - 1085

PubMed ID

  • 27614904

Pubmed Central ID

  • PMC5050237

Electronic International Standard Serial Number (EISSN)

  • 1437-9813

Digital Object Identifier (DOI)

  • 10.1007/s00383-016-3957-3


  • eng

Conference Location

  • Germany