Pilot Testing of a Population-based Surgical Survey Tool in Sierra Leone
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
The prevalence of surgical diseases in low income countries is thought to be very large, but to date no population-based survey has documented the need. The Surgeons OverSeas Assessment of Surgical Need (SOSAS) is a survey tool programmed for use with iPads to measure the prevalence of surgical conditions.
To assess the appropriateness and utility of SOSAS, a pilot test was undertaken in Sierra Leone. Local medical students were trained in sampling, interviewing, and SOSAS specifics. Five clusters of 10 households were randomly selected and 100 individuals were interviewed. Problems with the tool, iPad use, and respondent answers were collected. Daily debriefings with the enumerators aimed to identify problems and ways for improvement.
Administering SOSAS via iPads was found to be easy and facilitated data entry. Quick analysis of the data allowed for rapid feedback. Although the survey has 450 possible data entry points, by using conditional formatting, the enumerators were able to collect household demographics and interview two randomly selected household members in an average of 25 min. The survey methodology was acceptable, with a response rate of 96%. Five major sections were amended after the pilot.
Pilot testing of SOSAS showed that a population-based survey measuring the prevalence of surgical disease could be undertaken in a low income country. It is recommended that SOSAS be used with a larger sample size to calculate the prevalence of surgical disease in low income countries.
- Debas H, Gosselin R, McCord C et al. (2006) Surgery. In Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, et al. (eds) Disease control priorities in developing countries, 2nd edn. http://www.dcp2.org/pubs/DCP/67/FullText. Accessed 10 May 2011
- Weiser TG, Regenbogen SE, Thompson KD et al (2008) An estimation of the global volume of surgery: a modeling strategy based on available data. Lancet 372:139–144 CrossRef
- Sethi D, Habibula S, McGee K et al (2004) Guidelines for conducting community surveys on injuries and violence. World Health Organization, Geneva
- Demographic Health Survey Tanzania 2008; Tanzania Commission for AIDS (TACAIDS), Zanzibar AIDS Commission (ZAC), National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and Macro International Inc. (2008) Tanzania HIV/AIDS and Malaria Indicator Survey 2007–08. TACAIDS, ZAC, NBS, OCGS, and Macro International Inc, Dar es Salaam
- Mock CN, Abantanga F, Cummings P et al (1999) Incidence and outcome of injury in Ghana: a community based survey. Bull WHO 77:955–964
- Kushner AL, Kamara TB, Groen RS et al (2010) Improving access to surgery in a developing country: experience from a surgical collaboration in Sierra Leone. J Surg Educ 67:270–273 CrossRef
- Leow JJ, Groen RS, Kamara TB et al (2011) Teaching emergency and essential surgical care in Sierra Leone: a model for low income countries. J Surg Edu 68:393–396 CrossRef
- Kingham TP, Kamara TB, Cherian MN et al (2009) Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care. Arch Surg 144:122–127 CrossRef
- Harkness JA, Braun M, Edwards B et al (2010) Survey methods in multinational, multiregional, and multicultural contexts. Wiley, Hoboken, p 508 CrossRef
- Pilot Testing of a Population-based Surgical Survey Tool in Sierra Leone
World Journal of Surgery
Volume 36, Issue 4 , pp 771-774
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Royal Tropical Institute, Amsterdam, The Netherlands
- 2. Surgeons OverSeas (SOS), 225 East 6th Street, Suite 7F, New York, NY, 10003, USA
- 3. College of Medicine and Allied Health Science (COMAHS), Connaught Hospital Lightfoot Boston Street, Freetown, Sierra Leone
- 4. Department of Surgery, University of Virginia, Charlottesville, VA, USA
- 5. Department of Surgery, Connaught Hospital Lightfoot Boston Street, Freetown, Sierra Leone
- 6. Statistics Sierra Leone (SSL), A. J. Momoh Street, Tower Hill, P.M. Bag 595, Freetown, Sierra Leone
- 7. Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA
- 8. Department of Public Health Sciences, and Center for Survey Research, University of Virginia, Charlottesville, VA, USA
- 9. School of Nursing, University of Virginia, Charlottesville, VA, USA
- 10. Department of Surgery, Columbia University, 177 Fort Washington Avenue, New York, NY, 10032, USA