Evidence map›Paper›PMID 32462217›Full record

ArticleWorld journal of surgery2020

A Household Survey to Evaluate Access to Surgical Care in Vanuatu.

N Bunkley, I Bissett, M Buka, J Bong, B Leodoro, A Dare, W Perry

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Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

N BunkleyGlobal Surgery Group, Department of Surgery, Faculty of Medical and Health Sciences, Surgical and Translational Research Centre, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. Noah.bunkley@gmail.com.ORCID http://orcid.org/0000-0002-3995-8983
I BissettGlobal Surgery Group, Department of Surgery, Faculty of Medical and Health Sciences, Surgical and Translational Research Centre, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
M BukaNorthern Provincial Hospital, Luganville, Sanma Province, Vanuatu.
J BongNorthern Provincial Hospital, Luganville, Sanma Province, Vanuatu.
B LeodoroNorthern Provincial Hospital, Luganville, Sanma Province, Vanuatu.
A DareDepartment of Surgery, University of Toronto, 27 King's College Circle, Toronto, ON, M5S 1A1, Canada.
W PerryGlobal Surgery Group, Department of Surgery, Faculty of Medical and Health Sciences, Surgical and Translational Research Centre, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical care is an integral part of any healthcare system, yet there is a paucity of data on the burden of surgical disease, surgical capacity and access to surgical services in the Pacific region. This study aimed to evaluate access to surgical care through a pilot household survey in the Vanuatu island of Efate and five of its surrounding islands.

methodsThe 2009 Vanuatu census' GPS coordinates were used to randomly select 150 rural and 150 urban households from Efate and its surrounding islands. A total of 143 urban households and 142 rural households were available for inclusion in this study. A household questionnaire was developed to evaluate access to surgical care and included information regarding household demographics, socio-economic indicators and perceived and realised barriers to accessing care. The questionnaire was administered by local health workers, and data were collected electronically.

resultsQuestionnaires were completed by 285 households. Two hundred and forty-one out of 254 (94.8%) households reported being able to access Port Vila Hospital, if required. The most commonly cited potential barriers to accessing surgical care were financial constraints (42.4%) and transport (26.4%).

conclusionOur results provide important insights into the geographic, sociocultural and economic barriers to seeking, reaching and receiving surgical care in this region of Vanuatu. Identifying specific areas and communities with poor access to care, alongside the determinants of access, will help in designing both clinical and policy interventions to improve access to surgical care.

Indexed as

Health Services AccessibilityAdultDelivery of Health CareFamily CharacteristicsFemaleHumansMaleRural PopulationSurveys and QuestionnairesVanuatu

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Registered trials

None linked

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.