ArticleBMC health services research2017
Barriers to surgical care in Nepal.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 30 citations in OpenAlex.
- Untreated surgical conditions in Malawi: A randomised cross-sectional nationwide household survey.Malawi medical journal : the journal of Medical Association of Malawi · 2017Trial
- Acceptability, appropriateness, and feasibility of a point-of-care ultrasound program for the diagnosis of forearm fractures in rural Nepal: a mid-level provider qualitative study.BMC medical education · 2026Article
- A Large Galenic Dural Arterio-Venous Fistula in an Adult Managed Surgically: A Case Report.Case reports in surgery · 2026Article
- Evolving Trends and Practice in Plastic Surgery in a Resource-constrained Setting: A 27-year Review From Nepal.Plastic and reconstructive surgery. Global open · 2025Article
- Moyamoya Disease in a 4-Year-Old Male Child: A Case Report From Nepal.Clinical case reports · 2025Article
- Prevalence and Factors Associated With Alcohol Use Disorder Among People Attending Primary Health Care Facilities in Rupandehi District, Nepal.Global health, epidemiology and genomics · 2025Article
- Challenges and Progress in Neurosurgery: A Comprehensive Assessment of the Landscape in Nepal.Cureus · 2024Review
- Article
- "Problems you can live with" versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery.BMC health services research · 2024Article
- Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia.Frontiers in public health · 2024Review
- Sex-Based Differences in Survival Among Patients with Acute Abdomen Undergoing Surgery in Malawi: A Propensity Weighted Analysis.World journal of surgery · 2023Article
- Equity of geographical access to public health facilities in Nepal.BMJ global health · 2021Article
- A Household Survey to Evaluate Access to Surgical Care in Vanuatu.World journal of surgery · 2020Article
- Surgical Unmet Need in a Low-Income Area of a Metropolitan City in India: A Cross-Sectional Study.World journal of surgery · 2020Article
- Lasting impact: a qualitative study of perspectives on surgery by adult recipients of free mission-based surgical care in Benin.BMJ open · 2019Article
- Directions for surgical capacity developments in Nepal: a population-based assessment.Tropical medicine & international health : TM & IH · 2019Article
- Clinical and demographic profile of admitted victims in a tertiary hospital after the 2015 earthquake in Nepal.PloS one · 2019Article
- Why do patients refuse trichiasis surgery? Lessons and an education initiative from Mtwara Region, Tanzania.PLoS neglected tropical diseases · 2018Article
- Effect of removing the barrier of transportation costs on surgical utilisation in Guinea, Madagascar and the Republic of Congo.BMJ global health · 2017Article
- Facilitating access to surgical care through a decentralised case-finding strategy: experience in Madagascar.BMJ global health · 2017Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious barriers exist that preclude individuals from undergoing surgical care in low-income countries. Our study assessed the main barriers in Nepal, and identified individuals most at risk for not receiving required surgical care.
methodsA countrywide survey, using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool, was carried out in 2014, surveying 2,695 individuals with a response rate of 97%. Our study used data from a subset, namely individuals who required surgical care in the last twelve months. Data were collected on individual characteristics, transport characteristics, and reasons why individuals did not undergo surgical care.
resultsOf the 2,695 individuals surveyed, 207 individuals needed surgical care at least once in the previous 12 months. The main reasons for not undergoing surgery were affordability (n = 42), accessibility (n = 42) and fear/no trust (n = 34). A factor significantly associated with affordability was having a low education (OR = 5.77 of having no education vs. having secondary education). Living in a rural area (OR = 2.59) and a long travel time to a secondary and tertiary health facility (OR = 1.17 and 1.09, respectively) were some of the factors significantly associated with accessibility. Being a woman was significantly associated with fear/no trust (OR = 3.54).
conclusionsMore than half of the individuals who needed surgical care did not undergo surgery due to affordability, accessibility, or fear/no trust. Providing subsidised transport, introducing mobile surgical clinics or organising awareness raising campaigns are measures that could be implemented to overcome these barriers to surgical care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.