ArticleWorld journal of surgery2015
Injury, disability and access to care in Rwanda: results of a nationwide cross-sectional population study.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments.BMJ global health · 2021Pooled it
- Road traffic injuries in Baghdad from 2003 to 2014: results of a randomised household cluster survey.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2016Trial
- Fall injuries in Baghdad from 2003 to 2014: Results of a randomised household cluster survey.Injury · 2016Trial
- Quantitative Assessment of Surge Capacity in Rwandan Trauma Hospitals: A Survey Using the 4S Framework.International journal of environmental research and public health · 2025Article
- What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.World journal of surgery · 2025Article
- Equitable access to quality injury care; Equi-Injury project protocol for prioritizing interventions in four low- or middle-income countries: a mixed method study.BMC health services research · 2024Article
- Access to quality care after injury in Northern Malawi: results of a household survey.BMC health services research · 2024Article
- Article
- Novel application of multi-facility process map analysis for rapid injury care health system assessment in Northern Malawi.BMJ open · 2023Article
- Perceptions of Gender Disparities in Access to Surgical Care in Malawi: A Community Based Survey.The American surgeon · 2023Article
- Limb Injuries and Disability in the Southwest Region of Cameroon.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Conflict-related intentional injuries in Baghdad, Iraq, 2003-2014: A modeling study and proposed method for calculating burden of injury in conflict.PLoS medicine · 2021Article
- Article
- Article
- Perioperative Nursing Training in Rwanda in Partnership with American Universities: The Journey So Far.Rwanda journal of medicine and health sciences · 2021Article
- Surgical Needs of Internally Displaced Persons in Kerenik, West Darfur, Sudan.World journal of surgery · 2020Article
- Identifying, Prioritizing and Visually Mapping Barriers to Injury Care in Rwanda: A Multi-disciplinary Stakeholder Exercise.World journal of surgery · 2020Review
- Accidents in Iraq during the period of conflict (2003-2016).Qatar medical journal · 2019Article
- Sex Disparities in Access to Surgical Care at a Single Institution in Malawi.World journal of surgery · 2019Article
- Burns in Baghdad from 2003 to 2014: Results of a randomized household cluster survey.Burns : journal of the International Society for Burn Injuries · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisparities in access to quality injury care are a growing concern worldwide, with over 90 % of global injury-related morbidity and mortality occurring in low-income countries. We describe the use of a survey tool that evaluates the prevalence of surgical conditions at the population level, with a focus on the burden of traumatic injuries, subsequent disabilities, and barriers to injury care in Rwanda.
methodsThe Surgeons OverSeas Assessment of Surgical Need (SOSAS) tool is a cross-sectional, cluster-based population survey designed to measure conditions that may necessitate surgical consultation or intervention. Questions are structured anatomically and designed around a representative spectrum of surgical conditions. Households in Rwanda were sampled using two-stage cluster sampling, and interviews were conducted over a one-month period in 52 villages nationwide, with representation of all 30 administrative districts. Injury-related results were descriptively analyzed and population-weighted by age and gender.
resultsA total of 1,627 households (3,175 individuals) were sampled; 1,185 lifetime injury-related surgical conditions were reported, with 38 % resulting in some form of perceived disability. Of the population, 27.4 % had ever had a serious injury-related condition, with 2.8 % having an injury-related condition at the time of interview. Over 30 % of household deaths in the previous year may have been surgically treatable, but only 4 % were injury-related.
conclusionsDetermining accurate injury and disability burden is crucial to health system planning in low-income countries. SOSAS is a useful survey for determining injury epidemiology at the community level, which can in turn help to plan prevention efforts and optimize provision of care.
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