Prevalence of Paediatric Surgical Conditions in Eastern Uganda: A Cross-Sectional Study

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Prevalence of Paediatric Surgical Conditions in Eastern Uganda: A Cross-Sectional Study


JournalWorld Journal of Surgery
Article typeJournal research article – Clinical research
Publication date – Jan – 2022
Authors – Mary Margaret Ajiko, Viking Weidman, Pär Nordin, Andreas Wladis, Jenny Löfgren
KeywordsIganga-Mayuge Health, Paediatric Surgical, Uganda, United Nations Sustainability Development
Open access – Yes
SpecialityPaediatric surgery
World region Eastern Africa
Country: Uganda
Language – English
Submitted to the One Surgery Index on January 13, 2022 at 2:21 am
Abstract:

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.

OSI Number – 21434

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