Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries

Burns : Journal of the International Society for Burn Injuries
Dattesh R DavéSOSAS4 Research Group

Abstract

Low-and middle-income (LMIC) countries account for 90% of all reported burns, nevertheless there is a paucity of providers to treat burns. Current studies on burns in LMICs have not evaluated the gap between care seeking and receiving. This study explores this gap across socioeconomically similar populations in a multi-country population based assessment to inform burn care strategies. The Surgeons OverSeas Assessment of Surgical Need (SOSAS) instrument is a cross sectional national, cluster random sampling survey administered in Nepal, Rwanda, Sierra Leone, and Uganda from 2011 to 2014. The survey identifies burn etiology, demographics, timing, disability, and barriers to receiving care. Among 13,763 individuals surveyed, 896 burns were identified. Rwanda had the highest proportion of individuals seeking and receiving care (91.6% vs 88.5%) while Sierra Leone reported the fewest (79.3% vs 70.3%). Rwanda reported the largest disability while Nepal reported the highest proportion with no disability (47.5% vs 76.2%). Lack of money, healthcare providers, and rural living reduce the odds of receiving care by 68% and 85% respectively. Despite similar country socioeconomic characteristics there was significant variability in burn demo...Continue Reading

Citations

Dec 11, 2019·The Journal of Craniofacial Surgery·Dattesh R DavéUNKNOWN SOSAS4 Research Group
Jun 10, 2020·International Wound Journal·Zeynep Şener Bahçe, Tülin Öztaş
Aug 12, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Julia L LowinTom S Potokar
Feb 8, 2020·World Journal of Surgery·Tessa L ConcepcionUNKNOWN Global Initiative for Children’s Surgery
Jul 28, 2019·PloS One·Emily R SmithUNKNOWN Global Initiative for Children’s Surgery
Feb 15, 2020·Nature Reviews. Disease Primers·Marc G JeschkeSarvesh Logsetty
Oct 28, 2019·World Journal of Surgery·Emily R SmithUNKNOWN Global Initiative for Children’s Surgery
Dec 31, 2020·BMJ Open·Shukri DahirUNKNOWN Global Initiative for Children’s Surgery
May 15, 2021·The Journal of Surgical Research·Francoise MukagajuLaura Pompermaier
Oct 21, 2020·Burns : Journal of the International Society for Burn Injuries·Kajal MehtaBarclay Stewart

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