Evidence map›Paper›PMID 34933985›Full record

ArticleGlobal health, science and practice2021

The Development and Inclusion of Questions on Surgery in the 2018 Zambia Demographic and Health Survey.

Sabrina Juran, Sanna Moren, Vatshalan Santhirapala, Lina Roa, Emmanuel Makasa, Justine Davies, Jose Miguel Guzman, Lars Hagander, Hampus Holmer, Mark G Shrime and 4 more

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Article in Global health, science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

14 authors.

Sabrina JuranProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA. sabrina_juran@hms.harvard.edu.
Sanna MorenDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Vatshalan SanthirapalaProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Lina RoaProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Emmanuel MakasaWits Centre of Surgical Care for Primary Health and Sustainable Development, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Justine DaviesInstitute of Applied Health Research, University of Birmingham, United Kingdom.
Jose Miguel GuzmanNoBrainerData, Columbia, MD, USA.
Lars HaganderWHO Collaborating Centre on Surgery and Public Health, Pediatric Surgery, Department of Clinical Sciences in Lund, Faculty of Medicine, Lund University, Lund, Sweden.
Hampus HolmerWHO Collaborating Centre on Surgery and Public Health, Pediatric Surgery, Department of Clinical Sciences in Lund, Faculty of Medicine, Lund University, Lund, Sweden.
Mark G ShrimeProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Thomas G WeiserDepartment of Surgery, Stanford University, Stanford, CA, USA.
John G MearaProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Stefanie J KlugEpidemiology, Department of Sport and Health Sciences, Technical University Munich, Germany.
David LjungmanProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile primary data on the unmet need for surgery in low- and middle-income countries is lacking, household surveys could provide an entry point to collect such data. We describe the first development and inclusion of questions on surgery in a nationally representative Demographic and Health Survey (DHS) in Zambia.

methodQuestions regarding surgical conditions were developed through an iterative consultative process and integrated into the rollout of the DHS survey in Zambia in 2018 and administered to a nationwide sample survey of eligible women aged 15-49 years and men aged 15-59 years.

resultsIn total, 7 questions covering 4 themes of service delivery, diagnosed burden of surgical disease, access to care, and quality of care were added. The questions were administered across 12,831 households (13,683 women aged 15-49 years and 12,132 men aged 15-59 years). Results showed that approximately 5% of women and 2% of men had undergone an operation in the past 5 years. Among women, cesarean delivery was the most common surgery; circumcision was the most common procedure among men. In the past 5 years, an estimated 0.61% of the population had been told by a health care worker that they might need surgery, and of this group, 35% had undergone the relevant procedure.

conclusionFor the first time, questions on surgery have been included in a nationwide DHS. We have shown that it is feasible to integrate these questions into a large-scale survey to provide insight into surgical needs at a national level. Based on the DHS design and implementation mechanisms, a country interested in including a set of questions like the one included in Zambia, could replicate this data collection in other settings, which provides an opportunity for systematic collection of comparable surgical data, a vital role in surgical health care system strengthening.

Indexed as

Family CharacteristicsIncomeAdolescentAdultFemaleHumansMaleMiddle AgedPregnancySurveys and QuestionnairesYoung AdultZambia

Identifiers

PMID34933985
PMCPMC8691885

What OpenQuestion holds

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LicenceCC BY
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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.