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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Estimating operative disease prevalence in a low-income country: Results of a nationwide population survey in Rwanda
Surgery (United States), Volume 153, No. 4, Year 2013
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Description
Background: Operative disease is estimated to contribute to 11% of the global burden of disease, but no studies have correlated this figure to operative burden at the community level. We describe a survey tool that evaluates population-based prevalence of operative conditions and its first full-country implementation in Rwanda. Methods: The Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool is a cross-sectional, cluster-based population survey designed to measure conditions that may necessitate an operative consultation or intervention. Household surveys in Rwanda were conducted in October 2011 in 52 clusters nationwide. Data were population-weighted and analyzed with the use of descriptive statistics. Results: A total of 1626 households (3175 individuals) were sampled with a 99% response rate. 41.2% (95% confidence interval [95 CI%] 38.8-43.6%) of the population has had at least one operative condition during their lifetime, 14.8% (95% CI 13.3-16.5%) had an operative condition during the previous 12 months, and 6.4% (95% CI 5.6-7.3%) of the population were determined to have a current operative condition. A total of 55.3% of the current operative need was found in female respondents and 40.3% in children younger than 15 years of age. A total of 32.9% of household deaths in the previous year may have been related to operative conditions, and 55.0% of responding households lacked funds for transport to the nearest hospital providing general practitioner operative services. Conclusion: The SOSAS survey tool provides important insight into the burden of operative disease in the community. Our results show a high need for operative care, which has important implications for the global operative community as well as for local health system strengthening in Rwanda. © 2013 Mosby, Inc. All rights reserved.
Authors & Co-Authors
Petroze, Robin T.
United States, Charlottesville
University of Virginia School of Medicine
Rwanda, Butare
University of Rwanda
Groen, Reinou Sybrecht
United States, Baltimore
The Johns Hopkins Hospital
United States, New York
Surgeons Overseas Sos
Niyonkuru, Francine
Rwanda, Butare
University of Rwanda
Mallory, Melissa Anne
United States, Boston
Brigham and Women's Hospital
Ntaganda, Edmond
Rwanda, Butare
University of Rwanda
Joharifard, Shahrzad
Canada, Vancouver
The University of British Columbia
Guterbock, Thomas M.
United States, Charlottesville
University of Virginia
Kushner, Adam L.
United States, New York
Surgeons Overseas Sos
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Kyamanywa, Patrick
Rwanda, Butare
University of Rwanda
Calland, James Forrest
United States, Charlottesville
University of Virginia School of Medicine
Statistics
Citations: 108
Authors: 10
Affiliations: 8
Identifiers
Doi:
10.1016/j.surg.2012.10.001
e-ISSN:
15327361
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Rwanda
Participants Gender
Female