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The Development and...
The Development and Inclusion of Questions on Surgery in the 2018 Zambia Demographic and Health Survey
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- Juran, Sabrina (author)
- Harvard Medical School
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- Moren, Sanna (author)
- Sahlgrenska Academy,Sahlgrenska University Hospital
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- Santhirapala, Vatshalan (author)
- Harvard Medical School
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- Roa, Lina (author)
- Harvard Medical School,University of Alberta
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- Makasa, Emmanuel (author)
- Stellenbosch University
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- Davies, Justine (author)
- University of Birmingham
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Guzman, Jose Miguel (author)
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- Hagander, Lars (author)
- Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,WHO Collaborating Centre for Surgery and Public Health
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- Holmer, Hampus (author)
- Karolinska Institutet,Karolinska Institute,Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,WHO Collaborating Centre for Surgery and Public Health
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- Shrime, Mark G. (author)
- Royal College of Surgeons in Ireland,Harvard Medical School
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- Weiser, Thomas G. (author)
- Stanford University School of Medicine,University of Edinburgh
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- Meara, John G. (author)
- Harvard Medical School,Boston Children's Hospital
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- Klug, Stefanie J. (author)
- Technical University of Munich
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- Ljungman, David (author)
- Harvard Medical School,Sahlgrenska University Hospital,Sahlgrenska Academy
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(creator_code:org_t)
- 2021
- 2021
- English 10 s.
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In: Global Health Science and Practice. - 2169-575X. ; 9:4, s. 905-914
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https://lup.lub.lu.s...
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Abstract
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- Background: While primary data on the unmet need for surgery in low- and middle-income countries is lacking, household surveys could provide an entry point to collect such data. We describe the first development and inclusion of questions on surgery in a nationally representative Demographic and Health Survey (DHS) in Zambia. Method: Questions regarding surgical conditions were developed through an iterative consultative process and integrated into the rollout of the DHS survey in Zambia in 2018 and administered to a nationwide sample survey of eligible women aged 15-49 years and men aged 15-59 years. Results: In total, 7 questions covering 4 themes of service delivery, diagnosed burden of surgical disease, access to care, and quality of care were added. The questions were administered across 12,831 households (13,683 women aged 15-49 years and 12,132 men aged 15-59 years). Results showed that approximately 5% of women and 2% of men had undergone an operation in the past 5 years. Among women, cesarean delivery was the most common surgery; circumcision was the most common procedure among men. In the past 5 years, an estimated 0.61% of the population had been told by a health care worker that they might need surgery, and of this group, 35% had undergone the relevant procedure. Conclusion: For the first time, questions on surgery have been included in a nationwide DHS. We have shown that it is feasible to integrate these questions into a large-scale survey to provide insight into surgical needs at a national level. Based on the DHS design and implementation mechanisms, a country interested in including a set of questions like the one included in Zambia, could replicate this data collection in other settings, which provides an opportunity for systematic collection of comparable surgical data, a vital role in surgical health care system strengthening.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Juran, Sabrina
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Moren, Sanna
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Santhirapala, Va ...
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Roa, Lina
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Makasa, Emmanuel
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Davies, Justine
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show more...
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Guzman, Jose Mig ...
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Hagander, Lars
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Holmer, Hampus
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Shrime, Mark G.
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Weiser, Thomas G ...
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Meara, John G.
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Klug, Stefanie J ...
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Ljungman, David
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
- Articles in the publication
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Global Health Sc ...
- By the university
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Lund University
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Karolinska Institutet