Self-reported Determinants of Access to Surgical Care in 3 Developing Countries

dc.contributor.authorForrester, Joseph D
dc.contributor.authorForrester, Jared A
dc.contributor.authorKamara, Thaim B
dc.contributor.authorGroen, Reinou S
dc.contributor.authorShrestha, Sunil
dc.contributor.authorGupta, Shailvi
dc.contributor.authorKyamanywa, Patrick
dc.contributor.authorPetroze, Robin T
dc.contributor.authorKushner, Adam L
dc.contributor.authorWren, Sherry M
dc.date.accessioned2022-04-19T08:11:57Z
dc.date.available2022-04-19T08:11:57Z
dc.date.issued2016
dc.description.abstractIMPORTANCE Surgical care is recognized as a growing component of global public health. OBJECTIVE To assess self-reported barriers to access of surgical care in Sierra Leone, Rwanda, and Nepal using the validated Surgeons OverSeas Assessment of Surgical Need tool. DESIGN, SETTING, AND PARTICIPANTS Data for this cross-sectional, cluster-based population survey were collected from households in Rwanda (October 2011), Sierra Leone (January 2012), and Nepal (May and June 2014) using the Surgeons OverSeas Assessment of Surgical Need tool. MAIN OUTCOMES AND MEASURES Basic demographic information, cost and mode of transportation to health care facilities, and barriers to access to surgical care of persons dying within the past year were analyzed. RESULTS A total of 4822 households were surveyed in Nepal, Rwanda, and Sierra Leone. Primary health care facilities were commonly reached rapidly by foot (>70%), transportation to secondary facilities differed by country, and public transportation was ubiquitously required for access to a tertiary care facility (46%-82% of respondents). Reasons for not seeking surgical care when needed included no money for health care (Sierra Leone: n = 103; 55%), a person dying before health care could be arranged (all countries: 32%-43%), no health care facility available (Nepal: n = 11; 42%), and a lack of trust in health care (Rwanda: n = 6; 26%). CONCLUSIONS AND RELEVANCE Self-reported determinants of access to surgical care vary widely among Sierra Leone, Rwanda, and Nepal, although commonalities exist. Understanding the epidemiology of barriers to surgical care is essential to effectively provide surgical service as a public health commodity in developing countries.en_US
dc.identifier.citationForrester, J.D., Forrester, J.A., Kamara, T.B., Groen, R.S., Shrestha, S., Gupta, S., Kyamanywa, P., Petroze, R.T., Kushner, A.L. and Wren, S.M. (2016). Self-reported determinants of access to surgical care in 3 developing countries. JAMA surgery, 151(3), pp.257-263.en_US
dc.identifier.issn2168-6254 / 2168-6262
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2950
dc.language.isoenen_US
dc.publisherAmer Medical Assoc , 330 N Wabash Ave, Ste 39300, Chicago, Usa, Il, 60611-5885en_US
dc.relation.ispartofseriesJAMA surgery;151(3)
dc.subjectSurgical careen_US
dc.subjectDeveloping countriesen_US
dc.subjectAccess to careen_US
dc.titleSelf-reported Determinants of Access to Surgical Care in 3 Developing Countriesen_US
dc.typeArticleen_US

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