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Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan

Surgical conditions are responsible for up to 15% of total Disability-Adjusted Life Years (DALY) lost globally. Approximately 4.8 billion people have no access to surgical care and this studies aim is to assess the surgical disease burden in children under the age of five years. We used Surgeons Ove...

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Autores principales: Qazi, Saqib Hamid, Meerza, Syed Saqlain Ali, Groen, Reinou S., Dogar, Sohail Asghar, Mirani, Mushtaq, Jamali, Muhammad Khan, Khan, Zahid Ali, Padhani, Zahra Ali, Bux, Rasool, Chahudary, Imran Ahmed, Rizvi, Arjumand, Islam, Saleem, Khan, Sadaf, Ur Rashid, Rizwan Haroon, Abbas, Syed Akbar, Memon, Abdul Sami, Tabassum, Sadia, Dilawar, Bakhtawar, Das, Jai K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021200/
https://www.ncbi.nlm.nih.gov/pubmed/36962776
http://dx.doi.org/10.1371/journal.pgph.0000810
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author Qazi, Saqib Hamid
Meerza, Syed Saqlain Ali
Groen, Reinou S.
Dogar, Sohail Asghar
Mirani, Mushtaq
Jamali, Muhammad Khan
Khan, Zahid Ali
Padhani, Zahra Ali
Bux, Rasool
Chahudary, Imran Ahmed
Rizvi, Arjumand
Islam, Saleem
Khan, Sadaf
Ur Rashid, Rizwan Haroon
Abbas, Syed Akbar
Memon, Abdul Sami
Tabassum, Sadia
Dilawar, Bakhtawar
Das, Jai K.
author_facet Qazi, Saqib Hamid
Meerza, Syed Saqlain Ali
Groen, Reinou S.
Dogar, Sohail Asghar
Mirani, Mushtaq
Jamali, Muhammad Khan
Khan, Zahid Ali
Padhani, Zahra Ali
Bux, Rasool
Chahudary, Imran Ahmed
Rizvi, Arjumand
Islam, Saleem
Khan, Sadaf
Ur Rashid, Rizwan Haroon
Abbas, Syed Akbar
Memon, Abdul Sami
Tabassum, Sadia
Dilawar, Bakhtawar
Das, Jai K.
author_sort Qazi, Saqib Hamid
collection PubMed
description Surgical conditions are responsible for up to 15% of total Disability-Adjusted Life Years (DALY) lost globally. Approximately 4.8 billion people have no access to surgical care and this studies aim is to assess the surgical disease burden in children under the age of five years. We used Surgeons OverSeas Assessment of Surgical Need (SOSAS) and Pediatric Personnel, Infrastructure, Procedures, Equipment, and Supplies (PediPIPES) survey tools in Tando Mohammad Khan (TMK). A set of photographs of lesions were also taken for review by experts. All the data was recorded electronically via an android application. The current surgical need was defined as the caregiver’s reported surgical problems in their children and the unmet surgical need was defined as a surgical problem for which the respondent did not access care. Descriptive analysis was performed. Information of 6,371 children was collected. The study identified 1,794 children with 3,072 surgical lesions. Categorization of the lesions by the six body regions suggested that head and neck accounted for the greatest number of lesions (55.2%) and the most significant unmet surgical need (16.6%). The chest region had the least unmet surgical need of 5.9%. A large percentage of the lesions were managed at a health care facility, but the treatment essentially consisted of mainly medical management (87%), and surgical treatment was provided for only 11% of lesions. The health facility assessment suggested that trained personnel including surgeons, anesthetic, or trained nurses were only available at one hospital. Basic procedures such as suturing and wound debridement were only performed frequently. This study suggests a high rate of unmet surgical need and a paucity of trained health staff and resources in this rural setting of Pakistan. The government needs to make policies and ensure funding so that proper trained staff and supplies can be ensured at district level.
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spelling pubmed-100212002023-03-17 Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan Qazi, Saqib Hamid Meerza, Syed Saqlain Ali Groen, Reinou S. Dogar, Sohail Asghar Mirani, Mushtaq Jamali, Muhammad Khan Khan, Zahid Ali Padhani, Zahra Ali Bux, Rasool Chahudary, Imran Ahmed Rizvi, Arjumand Islam, Saleem Khan, Sadaf Ur Rashid, Rizwan Haroon Abbas, Syed Akbar Memon, Abdul Sami Tabassum, Sadia Dilawar, Bakhtawar Das, Jai K. PLOS Glob Public Health Research Article Surgical conditions are responsible for up to 15% of total Disability-Adjusted Life Years (DALY) lost globally. Approximately 4.8 billion people have no access to surgical care and this studies aim is to assess the surgical disease burden in children under the age of five years. We used Surgeons OverSeas Assessment of Surgical Need (SOSAS) and Pediatric Personnel, Infrastructure, Procedures, Equipment, and Supplies (PediPIPES) survey tools in Tando Mohammad Khan (TMK). A set of photographs of lesions were also taken for review by experts. All the data was recorded electronically via an android application. The current surgical need was defined as the caregiver’s reported surgical problems in their children and the unmet surgical need was defined as a surgical problem for which the respondent did not access care. Descriptive analysis was performed. Information of 6,371 children was collected. The study identified 1,794 children with 3,072 surgical lesions. Categorization of the lesions by the six body regions suggested that head and neck accounted for the greatest number of lesions (55.2%) and the most significant unmet surgical need (16.6%). The chest region had the least unmet surgical need of 5.9%. A large percentage of the lesions were managed at a health care facility, but the treatment essentially consisted of mainly medical management (87%), and surgical treatment was provided for only 11% of lesions. The health facility assessment suggested that trained personnel including surgeons, anesthetic, or trained nurses were only available at one hospital. Basic procedures such as suturing and wound debridement were only performed frequently. This study suggests a high rate of unmet surgical need and a paucity of trained health staff and resources in this rural setting of Pakistan. The government needs to make policies and ensure funding so that proper trained staff and supplies can be ensured at district level. Public Library of Science 2022-12-30 /pmc/articles/PMC10021200/ /pubmed/36962776 http://dx.doi.org/10.1371/journal.pgph.0000810 Text en © 2022 Qazi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Qazi, Saqib Hamid
Meerza, Syed Saqlain Ali
Groen, Reinou S.
Dogar, Sohail Asghar
Mirani, Mushtaq
Jamali, Muhammad Khan
Khan, Zahid Ali
Padhani, Zahra Ali
Bux, Rasool
Chahudary, Imran Ahmed
Rizvi, Arjumand
Islam, Saleem
Khan, Sadaf
Ur Rashid, Rizwan Haroon
Abbas, Syed Akbar
Memon, Abdul Sami
Tabassum, Sadia
Dilawar, Bakhtawar
Das, Jai K.
Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title_full Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title_fullStr Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title_full_unstemmed Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title_short Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
title_sort assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of pakistan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021200/
https://www.ncbi.nlm.nih.gov/pubmed/36962776
http://dx.doi.org/10.1371/journal.pgph.0000810
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