PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population-Based Cross-Sectional Countrywide Survey on Surgical Conditions in Post-Ebola Outbreak Sierra Leone
-
Published:2022-09-06
Issue:11
Volume:46
Page:2585-2594
-
ISSN:0364-2313
-
Container-title:World Journal of Surgery
-
language:en
-
Short-container-title:World J Surg
Author:
van Kesteren JurreORCID, van Duinen Alex J., Marah Foday, van Delft Diede, Spector Antoinette L., Cassidy Laura D., Groen Reinou S., Jabbi Sonnia-Magba Bu-Buakei, Bah Silleh, Medo James A., Kamanda-Bongay Abubakarr, van Leerdam Daniel, Westendorp Josien, Mathéron Hanna M., Mönnink Giulia L. E., Vas Nunes Jonathan, Lindenbergh Karel C., Hoel Sara K., Løvdal Sofie M., Østensen Mia N., Solberg Helene, Boateng Daniel, Klipstein-Grobusch Kerstin, van Herwaarden Daan, Martens Janine P. J., Bonjer H. Jaap, Sankoh Osman, Grobusch Martin P., Bolkan Håkon A., van Kesteren Jurre, van Duinen Alex J., van Delft Diede, Cassidy Laura D., Groen Reinou S., Jabbi Sonnia-Magba Bu-Buakei, Bah Silleh, Medo James A., Kamanda-Bongay Abubakarr, van Leerdam Daniel, Westendorp Josien, Mathéron Hanna M., Mönnink Giulia L. E., Vas Nunes Jonathan, Lindenbergh Karel C., Hoel Sara K., Løvdal Sofie M., Østensen Mia N., Solberg Helene, Boateng Daniel, Klipstein-Grobusch Kerstin, van Herwaarden Daan, Martens Janine P. J., Sankoh Osman, Grobusch Martin P., Bolkan Håkon A.,
Abstract
Abstract
Background
Understanding the burden of diseases requiring surgical care at national levels is essential to advance universal health coverage. The PREvalence Study on Surgical COnditions (PRESSCO) 2020 is a cross-sectional household survey to estimate the prevalence of physical conditions needing surgical consultation, to investigate healthcare-seeking behavior, and to assess changes from before the West African Ebola epidemic.
Methods
This study (ISRCTN: 12353489) was built upon the Surgeons Overseas Surgical Needs Assessment (SOSAS) tool, including expansions. Seventy-five enumeration areas from 9671 nationwide clusters were sampled proportional to population size. In each cluster, 25 households were randomly assigned and visited. Need for surgical consultations was based on verbal responses and physical examination of selected household members.
Results
A total of 3,618 individuals from 1,854 households were surveyed. Compared to 2012, the prevalence of individuals reporting one or more relevant physical conditions was reduced from 25 to 6.2% (95% CI 5.4–7.0%) of the population. One-in-five conditions rendered respondents unemployed, disabled, or stigmatized. Adult males were predominantly prone to untreated surgical conditions (9.7 vs. 5.9% women; p < 0.001). Financial constraints were the predominant reason for not seeking care. Among those seeking professional health care, 86.7% underwent surgery.
Conclusion
PRESSCO 2020 is the first surgical needs household survey which compares against earlier study data. Despite the 2013–2016 Ebola outbreak, which profoundly disrupted the national healthcare system, a substantial reduction in reported surgical conditions was observed. Compared to one-time measurements, repeated household surveys yield finer granular data on the characteristics and situations of populations in need of surgical treatment.
Funder
CapaCare norway University of Amsterdam’s Centre of Tropical Medicine and Travel Medicine Norges Teknisk-Naturvitenskapelige Universitet
Publisher
Springer Science and Business Media LLC
Reference41 articles.
1. Roa L, Jumbam DT, Makasa E, Meara JG (2019) Global surgery and the sustainable development goals. Br J Surg 106(2):e44–e52. https://doi.org/10.1002/bjs.11044 2. Groen RS, Samai M, Stewart KA et al (2012) Untreated surgical conditions in Sierra Leone: a cluster randomised, cross-sectional, countrywide survey. Lancet 380(9847):1082–1087. https://doi.org/10.1016/S0140-6736(12)61081-2 3. Parpia AS, Ndeffo-Mbah ML, Wenzel NS, Galvani AP (2016) Effects of response to 2014–2015 ebola outbreak on deaths from malaria, HIV/AIDS, and tuberculosis. West Africa. Emerg Infectious Dis 22(3):433–441. https://doi.org/10.3201/eid2203.150977 4. Brolin Ribacke KJ, van Duinen AJ, Nordenstedt H et al (2013) The impact of the West Africa Ebola outbreak on obstetric health care in Sierra Leone. PLoS ONE 11(2). https://doi.org/10.1371/journal.pone.0150080 5. Bolkan HA, van Duinen A, Samai M et al (2018) Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak. BMC Health Services Res 18(1). https://doi.org/10.1186/s12913-018-3666-9
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|