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World Journal of Surgery

, Volume 39, Issue 12, pp 2900–2907 | Cite as

Surgeons OverSeas Assessment of Surgical Need (SOSAS) Uganda: Update for Household Survey

  • Anthony T. Fuller
  • Elissa K. Butler
  • Tu M. Tran
  • Fredrick Makumbi
  • Samuel Luboga
  • Christine Muhumza
  • Jeffrey G. Chipman
  • Reinou S. Groen
  • Shailvi Gupta
  • Adam L. Kushner
  • Moses Galukande
  • Michael M. HaglundEmail author
Original Scientific Report

Abstract

Introduction

The first step in improving surgical care delivery in low- and middle-income countries (LMICs) is quantifying surgical need. The Surgeons OverSeas Assessment of Surgical Need (SOSAS) is a validated household survey that has been previously implemented in three LMICs with great success. We implemented the SOSAS survey in Uganda, a medium-sized country with comparatively more language and ethnic group diversity.

Methods

The investigators partnered with the Performance Monitoring and Accountability 2020 (PMA2020) Uganda to access a data collection platform sampling 2520 households in 105 randomly selected enumeration areas. Due to geographic size consideration and language diversity, SOSAS’s methodology was updated in three significant dimensions (1) technology, (2) staff management, and (3) questionnaire adaptations.

Results

The SOSAS survey was successfully implemented with non-medically trained but field proven research assistants. We sampled 2315 of 2402 eligible households (response rate 96.4 %) and 4248 of 4374 eligible individual respondents (response rate 97.1 %). The female-to-male ratio was 51.1–48.9 %. Total survey cost was USD 73,145 and data collection occurred in 14 days.

Discussion

SOSAS Uganda has demonstrated that non-medically trained, but university-educated, experienced researchers supervised by academic surgeons can successfully perform accurate data collection of SOSAS. SOSAS can be successfully implemented within larger and more diverse LMICs using existing national survey platforms, and SOSAS Uganda provides insights on how SOSAS can be executed specifically within other PMA2020 program countries.

Keywords

Questionnaire Adaptation Mobile Phone Data Data Collection Team Ugandan Context System Institutional Review Board 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We thank the Uganda Bureau of Statistics for methodological advice and for providing randomized enumeration areas and the Uganda Ministry of Health and Makerere College of Health Sciences for institutional support. We thank the enumerators and field supervisors for their dedication to data quality. Duke Global Health Institute Seed Grant, Duke Division of Neurosurgery, Duke-Mulago Hospital Neurosurgery Training Program, Johnson & Johnson Family of Companies, Doris Duke International Clinical Research Fellowship, and University of Minnesota Department of Surgery.

Compliance with Ethical Standard

Conflicts of interest

The authors have no conflicts of interest.

Supplementary material

268_2015_3191_MOESM1_ESM.docx (12 kb)
Supplementary material 1 (DOCX 11 kb)

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Copyright information

© Société Internationale de Chirurgie 2015

Authors and Affiliations

  • Anthony T. Fuller
    • 1
    • 2
  • Elissa K. Butler
    • 3
  • Tu M. Tran
    • 2
  • Fredrick Makumbi
    • 4
  • Samuel Luboga
    • 5
  • Christine Muhumza
    • 4
  • Jeffrey G. Chipman
    • 6
  • Reinou S. Groen
    • 7
  • Shailvi Gupta
    • 8
  • Adam L. Kushner
    • 8
  • Moses Galukande
    • 9
  • Michael M. Haglund
    • 2
    • 10
    Email author
  1. 1.Duke University School of MedicineDurhamUSA
  2. 2.Duke University Global Health InstituteDurhamUSA
  3. 3.University of Minnesota Medical SchoolMinneapolisUSA
  4. 4.Makerere University School of Public HealthKampalaUganda
  5. 5.Department of AnatomyMakerere University School of MedicineKampalaUganda
  6. 6.Department of SurgeryUniversity of MinnesotaMinneapolisUSA
  7. 7.Department of Gynecology and ObstetricsJohns Hopkins HospitalBaltimoreUSA
  8. 8.Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  9. 9.Department of SurgeryMakerere University College of Health SciencesKampalaUganda
  10. 10.Department of NeurosurgeryDuke UniversityDurhamUSA

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