Anthony T Fuller1,2, Elissa K Butler3, Tu M Tran4, Fredrick Makumbi5, Samuel Luboga6, Christine Muhumza5, Jeffrey G Chipman7, Reinou S Groen8, Shailvi Gupta9, Adam L Kushner9, Moses Galukande10, Michael M Haglund11,12. 1. Duke University School of Medicine, Durham, NC, USA. 2. Duke University Global Health Institute, Durham, NC, USA. 3. University of Minnesota Medical School, Minneapolis, MN, USA. 4. Duke University Global Health Institute, Durham, NC, USA. tu.tran@duke.edu. 5. Makerere University School of Public Health, Kampala, Uganda. 6. Department of Anatomy, Makerere University School of Medicine, Kampala, Uganda. 7. Department of Surgery, University of Minnesota, Minneapolis, MN, USA. 8. Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD, USA. 9. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 10. Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda. 11. Duke University Global Health Institute, Durham, NC, USA. michael.haglund@dm.duke.edu. 12. Department of Neurosurgery, Duke University, 4508 Hospital South, Durham, NC, 27710, USA. michael.haglund@dm.duke.edu.
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.
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.
Authors: Allison F Linden; Francis Serufusa Sekidde; Moses Galukande; Lisa Marie Knowlton; Smita Chackungal; K A Kelly McQueen Journal: World J Surg Date: 2012-05 Impact factor: 3.352
Authors: Reinou S Groen; Mohamed Samai; Kerry-Ann Stewart; Laura D Cassidy; Thaim B Kamara; Sahr E Yambasu; T Peter Kingham; Adam L Kushner Journal: Lancet Date: 2012-08-14 Impact factor: 79.321
Authors: Shailvi Gupta; Anju Ranjit; Ritesh Shrestha; Evan G Wong; William C Robinson; Sunil Shrestha; Benedict C Nwomeh; Reinou S Groen; Adam L Kushner Journal: World J Surg Date: 2014-12 Impact factor: 3.352
Authors: Elissa K Butler; Tu M Tran; Anthony T Fuller; Fredrick Makumbi; Samuel Luboga; Sheila Kisakye; Michael M Haglund; Jeffrey G Chipman; Moses Galukande Journal: Surgery Date: 2015-06-16 Impact factor: 3.982
Authors: Sam Luboga; Sarah B Macfarlane; Johan von Schreeb; Margaret E Kruk; Meena N Cherian; Staffan Bergström; Paul B M Bossyns; Ernest Denerville; Delanyo Dovlo; Moses Galukande; Renee Y Hsia; Sudha P Jayaraman; Lindsey A Lubbock; Charles Mock; Doruk Ozgediz; Patrick Sekimpi; Andreas Wladis; Ahmed Zakariah; Naméoua Babadi Dade; Peter Donkor; Jane Kabutu Gatumbu; Patrick Hoekman; Carel B Ijsselmuiden; Dean T Jamison; Nasreen Jessani; Peter Jiskoot; Ignatius Kakande; Jacqueline R Mabweijano; Naboth Mbembati; Colin McCord; Cephas Mijumbi; Helder de Miranda; Charles A Mkony; Pascoal Mocumbi; Jean Bosco Ndihokubwayo; Pierre Ngueumachi; Gebreamlak Ogbaselassie; Evariste Lodi Okitombahe; Cheikh Tidiane Toure; Fernando Vaz; Charlotte M Zikusooka; Haile T Debas Journal: PLoS Med Date: 2009-12-22 Impact factor: 11.069
Authors: Moses Galukande; Johan von Schreeb; Andreas Wladis; Naboth Mbembati; Helder de Miranda; Margaret E Kruk; Sam Luboga; Alphonsus Matovu; Colin McCord; S Khady Ndao-Brumblay; Doruk Ozgediz; Peter C Rockers; Ana Romàn Quiñones; Fernando Vaz; Haile T Debas; Sarah B Macfarlane Journal: PLoS Med Date: 2010-03-09 Impact factor: 11.069
Authors: Andrew Kambugu; David B Meya; Joshua Rhein; Meagan O'Brien; Edward N Janoff; Allan R Ronald; Moses R Kamya; Harriet Mayanja-Kizza; Merle A Sande; Paul R Bohjanen; David R Boulware Journal: Clin Infect Dis Date: 2008-06-01 Impact factor: 9.079
Authors: S Harrison Farber; Joao Ricardo Nickenig Vissoci; Tu M Tran; Anthony T Fuller; Elissa K Butler; Luciano Andrade; Catherine Staton; Fredrick Makumbi; Samuel Luboga; Christine Muhumuza; Didacus B Namanya; Jeffrey G Chipman; Moses Galukande; Michael M Haglund Journal: World J Surg Date: 2017-02 Impact factor: 3.352
Authors: Elissa K Butler; Tu M Tran; Neeraja Nagarajan; Joseph Canner; Anthony T Fuller; Adam Kushner; Michael M Haglund; Emily R Smith Journal: PLoS One Date: 2017-03-03 Impact factor: 3.240
Authors: Emily R Smith; Brittney J van de Water; Anna Martin; Sarah Jean Barton; Jasmine Seider; Christopher Fitzgibbon; Mathama Malakha Bility; Nelia Ekeji; Joao Ricardo Nickenig Vissoci; Michael M Haglund; Janet Prvu Bettger Journal: BMC Health Serv Res Date: 2018-09-20 Impact factor: 2.655
Authors: Elissa K Butler; Tu M Tran; Anthony T Fuller; Alexa Brammell; Joao Ricardo Vissoci; Luciano de Andrade; Fredrick Makumbi; Samuel Luboga; Christine Muhumuza; Vincent F Ssennono; Jeffrey G Chipman; Moses Galukande; Michael M Haglund; Emily R Smith Journal: Pediatr Surg Int Date: 2016-09-10 Impact factor: 1.827
Authors: Ashley Bearden; Anthony T Fuller; Elissa K Butler; Tu Tran; Fredrick Makumbi; Samuel Luboga; Christine Muhumuza; Vincent Ssennono; Moses Galukande; Michael Haglund; Emily R Smith Journal: PLoS One Date: 2018-11-01 Impact factor: 3.240
Authors: Tessa Concepcion; Mubarak Mohamed; Shugri Dahir; Edna Adan Ismail; Dan Poenaru; Henry E Rice; Emily R Smith Journal: JAMA Netw Open Date: 2019-01-04