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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, S. (författare)
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- Morén, Sanna (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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Santhirapala, V. (författare)
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Roa, L. (författare)
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Makasa, E. (författare)
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Davies, J. (författare)
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Guzman, J. M. (författare)
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Hagander, L. (författare)
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Holmer, H. (författare)
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Shrime, M. G. (författare)
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Weiser, T. G. (författare)
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Meara, J. G. (författare)
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Klug, S. J. (författare)
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- Ljungman, David (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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(creator_code:org_t)
- 2021-12-21
- 2021
- Engelska.
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Ingår i: Global Health-Science and Practice. - : Johns Hopkins School Bloomberg School of Public Health, Center for Communication Programs. - 2169-575X. ; 9:4, s. 905-914
- Relaterad länk:
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https://www.ghspjour...
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https://gup.ub.gu.se...
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https://doi.org/10.9...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- 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)
Nyckelord
- household survey
- global surgery
- population
- mortality
- care
- Public
- Environmental & Occupational Health
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Juran, S.
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Morén, Sanna
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Santhirapala, V.
-
Roa, L.
-
Makasa, E.
-
Davies, J.
-
visa fler...
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Guzman, J. M.
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Hagander, L.
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Holmer, H.
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Shrime, M. G.
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Weiser, T. G.
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Meara, J. G.
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Klug, S. J.
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Ljungman, David
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visa färre...
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Göteborgs universitet