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

Elissa K. Butler, Tu M. Tran, Anthony T. Fuller, Alexa Brammell, Joao Ricardo Vissoci, Luciano de Andrade, Fredrick Makumbi, Samuel Luboga, Christine Muhumuza, Vincent F. Ssennono, Jeffrey G. Chipman, Moses Galukande, Michael M. Haglund, Emily R. Smith

Research output: Contribution to journalArticlepeer-review

60 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1075-1085
Number of pages11
JournalPediatric Surgery International
Issue number11
StatePublished - Nov 1 2016

Bibliographical note

Publisher Copyright:
© 2016, The Author(s).


  • Community survey
  • Global surgery
  • Low- and middle-income countries
  • Sub-Saharan Africa


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