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Prevalence of Paediatric Surgical Conditions in Eastern Uganda: A Cross-Sectional Study
Department of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden; Soroti Regional Referral Hospital, Box 289, Soroti, Uganda.
Uppsala University, Uppsala, Sweden.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
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2022 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 46, p. 701-708Article in journal (Refereed) Published
Abstract [en]

Background: The role of surgery in global health has gained greater attention in recent years. Approximately 1.8 billion children below 15 years live in low- and middle-income countries (LMIC). Many surgical conditions affect children. Therefore, paediatric surgery requires specific emphasis. Left unattended, the consequences can be dire. Despite this, there is a paucity of data regarding prevalence of surgical conditions in children in LMIC. The present objective was to investigate the prevalence of paediatric surgical conditions in children in a defined geographical area in Eastern Uganda.

Method: A cross-sectional study was carried out in the Iganga-Mayuge Health and Demographic Surveillance Site located in Eastern Uganda. Through a two-stage, cluster-based sampling process, 490 households from 49 villages were randomly selected, generating a study population of 1581 children. The children’s caregivers were interviewed, and the children were physically examined by two medical doctors to identify any surgical conditions.

Results: The interview was performed with 1581 children, and 1054 were physically examined. Among these, the overall prevalence of any surgical condition was 16.0 per cent (n = 169). Of these, 39 per cent had an unmet surgical need (66 of 169). This is equivalent to a 6.3 per cent prevalence of current unmet surgical need. The most common groups of surgical condition were congenital anomalies and trauma-related conditions.

Conclusion: Surgical conditions in children are common in eastern Uganda. The unmet need for surgery is high. With a growing population, the need for paediatric surgical capacity will increase even further. The health care system must be reinforced to provide services for children with surgical conditions if United Nations Sustainability Development Goal 3 is to be achieved by 2030.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 46, p. 701-708
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Surgery
Identifiers
URN: urn:nbn:se:umu:diva-191087DOI: 10.1007/s00268-021-06378-9ISI: 000736935800002PubMedID: 34973074Scopus ID: 2-s2.0-85122017198OAI: oai:DiVA.org:umu-191087DiVA, id: diva2:1627253
Note

Errata: Ajiko, M.M., Weidman, V., Nordin, P. et al. Correction to: Prevalence of Paediatric Surgical Conditions in Eastern Uganda: A Cross-Sectional Study. World J Surg 46, 966 (2022). DOI:10.1007/s00268-022-06438-8

Available from: 2022-01-13 Created: 2022-01-13 Last updated: 2023-05-09Bibliographically approved

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