Paediatric surgical conditions in Malawi - A cross-sectional nationwide household survey.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Carlos Varela, Asgaut Viste, Sven Young, Reinou S Groen, Leonard Banza, Bip Nandi, Nyengo Mkandawire, Bente Elisabeth Moen
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引用次数: 3

Abstract

Background: Untreated surgical conditions may lead to lifelong disability in children. Treating children with surgical conditions may reduce long-term effects of morbidity and disability. Unfortunately, low- and middle-income countries have limited resources for paediatric surgical care. Malawi, for example, has very few paediatric surgeons. There are also significantly inadequate infrastructures and personnel to treat these children. In order to strengthen resources that could provide such services, we need to begin by quantifying the need.

Aim: To estimate the approximate prevalence of surgical conditions among children in Malawi, to describe the anatomical locations and diagnoses of the conditions and the presence of injuries.

Methods: A cross-sectional, nationwide survey of surgical needs was performed in 28 of 29 districts of Malawi. Villages, households and household members were randomly selected. A total of 1487 households were visited and 2960 persons were interviewed. This paper is a sub analysis of the children in the dataset. Information was obtained from 255 living children and inquiry from household respondents for the 255 children who had died in the past year. The interviews were conducted by medical students over a 60-day period, and the validated SOSAS tool was used for data collection.

Results: There were 67 out of 255 (26.3%) total children living with a surgical condition at the time of the study, with most of the conditions located in the extremities. Half of the children lived with problems due to injuries. Traffic accidents were the most common cause. Two-thirds of the children living with a surgical condition had some kind of disability, and one-third of them were grossly disabled. There were 255 total deceased children, with 34 who died from a surgical condition. The most prevalent causes of death were congenital anomalies of the abdomen, groin and genital region.

Conclusion: An extrapolation of the 26% of children found to be living with a surgical condition indicates that there could be 2 million children living with a condition that needs surgical consultation or treatment in Malawi. Congenital anomalies cause significant numbers of deaths among Malawian children. Children living with surgical conditions had disorders in their extremities, causing severe disability. Many of these disorders could have been corrected by surgical care.

Abstract Image

马拉维儿科外科条件-横断面全国家庭调查。
背景:未经治疗的手术条件可能导致儿童终身残疾。对患儿进行手术治疗可以减少发病率和残疾的长期影响。不幸的是,低收入和中等收入国家用于儿科外科护理的资源有限。例如,马拉维的儿科外科医生就很少。治疗这些儿童的基础设施和人员也严重不足。为了加强能够提供这种服务的资源,我们需要首先对需求进行量化。目的:估计马拉维儿童手术条件的大致患病率,描述解剖位置和诊断的条件和存在的伤害。方法:在马拉维29个地区中的28个地区进行手术需求的横断面全国调查。随机抽取村庄、住户和住户成员。调查共走访了1487户家庭,并访问了2960人。本文是对数据集中的子数据进行子分析。从255名活着的儿童中获得了信息,并向家庭受访者询问了过去一年中死亡的255名儿童。访谈由医学生进行,为期60天,使用经过验证的SOSAS工具进行数据收集。结果:在研究期间,255名儿童中有67名(26.3%)患有手术条件,其中大多数情况位于四肢。一半的孩子因受伤而生活困难。交通事故是最常见的原因。三分之二接受手术的儿童有某种残疾,其中三分之一严重残疾。共有255名儿童死亡,其中34名死于手术。最常见的死亡原因是腹部、腹股沟和生殖区域的先天性异常。结论:26%的儿童被发现患有手术疾病,这一推断表明,马拉维可能有200万儿童患有需要手术咨询或治疗的疾病。先天畸形在马拉维儿童中造成大量死亡。患有外科手术的儿童四肢失调,造成严重残疾。许多这些疾病本可以通过手术治疗得到纠正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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