Surgeons OverSeas Assessment of Surgical Need (SOSAS) Uganda: Update for Household Survey
- 380 Downloads
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.
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.
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.
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.
KeywordsQuestionnaire Adaptation Mobile Phone Data Data Collection Team Ugandan Context System Institutional Review Board
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.
- 3.Debas HT, Gosselin R, McCord C et al (2006) Surgery in disease control priorities in developing countries, 2nd edn. World Bank, Washington, DC, pp 1245–1260Google Scholar
- 16.Central Intelligence Agency (2014) The World Factbook. Washington DC. Accessed 2014 October 13. https://www.cia.gov/library/publications/the-world-factbook
- 17.Uganda Bureau of Statistics (2012) Uganda demographic and health survey 2011. Uganda Bureau of Statics, Kampala, UgandaGoogle Scholar
- 18.Uganda Bureau of Statistics (2014) National population and housing census provisional results. Uganda Bureau of Statistics, Kampala, UgandaGoogle Scholar
- 21.Butler E, Tran T, Fuller A et al (2015) Burden of surgical conditions in Uganda: pilot study of a population-based survey in Wakiso District. Surgery ePub, UgandaGoogle Scholar
- 25.Uganda Ministry of Health (2010) Health Sector Strategic Plan III: 2010/11-2014/15. Ugandan Government Printing Office, Kampala, UgandaGoogle Scholar
- 26.UNICEF (2013) Uganda statistics. New York, NY: UNICEF. http://www.unicef.org/infobycountry/uganda_statistics.html#120. Accessed 2014 October 13
- 27.United Nations, Department of Economic and Social Affairs (2012) World Population Prospects, the 2012 Revision. Accessed 2014 October 13. http://esa.un.org/wpp/