Evidence map›Paper›PMID 30236098›Full record

ArticleBMC health services research2018

Availability of post-hospital services supporting community reintegration for children with identified surgical need in Uganda.

Emily R Smith, Brittney J van de Water, Anna Martin, Sarah Jean Barton, Jasmine Seider, Christopher Fitzgibbon, Mathama Malakha Bility, Nelia Ekeji, Joao Ricardo Nickenig Vissoci, Michael M Haglund and 1 more

Abstract read
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Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Emily R SmithDuke Global Health Institute, Duke University, Durham, NC, USA. Emily_R_Smith@baylor.edu.ORCID http://orcid.org/0000-0002-1745-5728
Brittney J van de WaterDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Anna MartinDuke University, Sanford School of Public Policy, Durham, NC, USA.
Sarah Jean BartonPhysical Therapy and Occupational Therapy, Duke University Medical Center, Durham, NC, USA.
Jasmine SeiderDepartment of Orthopedic Surgery, Division of Physical Therapy, Duke University, School of Medicine, Durham, NC, USA.
Christopher FitzgibbonMechanical Engineering and Materials Science, Duke University, Durham, NC, USA.
Mathama Malakha BilityDuke University, Trinity College, Durham, NC, USA.
Nelia EkejiDuke University, Trinity College, Durham, NC, USA.
Joao Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, NC, USA.
Michael M HaglundDuke Global Health Institute, Duke University, Durham, NC, USA.
Janet Prvu BettgerDuke Global Health Institute, Duke University, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assistive devices, familial support, and school reintegration programs for school-aged children in Uganda with identified surgical need.

methodsThis study assessed the geographic epidemiology and spatial analysis of resource availability in communities in Uganda. Participants were children with identified surgical need using the Surgeons OverSeas Assessment of Surgical need (SOSAS). Community-based resources available to children and adolescents after surgery in Uganda were identified using publicly available data sources and searching for resources through consultation with in-country collaborators We sought resources available in all geographic regions for a variety of services.

resultsOf 1082 individuals surveyed aged 5 to 14 yearsr, 6.2% had identified surgical needs. Pediatric surgical conditions were most prevalent in the Northern and Central regions of Uganda. Of the 151 community-based services identified, availability was greatest in the Central region and least in the Northern region, regardless of type. Assuming 30% of children with surgical needs will need services, a maximum of 50.1% of these children would have access to the needed services in the extensive capacity estimates, while only 10.0% would have access in the minimal capacity estimates. The capacity varied dramatically by region with the Northern region having much lower capacity in all scenarios as compared to the Central, Eastern, or Western regions.

conclusionsOur study found that beyond the city of Kampala in the Central region, community-based services were severely lacking for school-aged children in Uganda. Increased pediatric surgical capacity to additional hospitals in Uganda will need to be met with increased availability and access to community-based services to support recovery and community re-integration.

Indexed as

Community IntegrationHealth Services AccessibilityHealth Services Needs and DemandAdolescentChildChild, PreschoolFemaleHealth Care SurveysHumansMalePediatricsPrevalenceSurgical Procedures, OperativeUgandaCommunity-reintegrationPediatricRehabilitationSurgicalUganda

Identifiers

PMID30236098
PMCPMC6149201

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Registered trials

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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.