Browsing by Author "Kakande, Ignatius"

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    Increasing Access to Surgical Services in Sub-Saharan Africa: Priorities for National and International Agencies Recommended by the Bellagio Essential Surgery Group
    (PLoS Med, 2009) Luboga, Sam; Macfarlane, Sarah B.; Schreeb, Johan von; Kruk, Margaret E.; Cherian, Meena N.; Bergstrom, Staffan; Bossyns, Paul B. M.; Denerville, Ernest; Dovlo, Delanyo; Galukande, Moses; Hsia, Renee Y.; Jayaraman, Sudha P.; Lubbock, Lindsey A.; Mock, Charles; Ozgediz, Doruk; Sekimpi, Patrick; Wladis, Andreas; Zakariah, Ahmed; Babadi Dade, Nameoua; Donkor, Peter; Kabutu Gatumbu, Jane; Hoekman, Patrick; IJsselmuiden, Carel B.; Jamison, Dean T.; Jessani, Nasreen; Jiskoot, Peter; Kakande, Ignatius; Mabweijano, Jacqueline R.; Mbembati, Naboth; McCord, Colin; Mijumbi, Cephas; Miranda, Helder de; Mkony, Charles A.; Mocumbi, Pascoal; Ndihokubwayo, Jean Bosco; Ngueumachi, Pierre; Ogbaselassie, Gebreamlak; Okitombahe, Evariste Lodi; Tidiane Toure, Cheikh; Vaz, Fernando; Zikusooka, Charlotte M.; Debas, Haile T.
    In sub-Saharan Africa, only 46% of births are attended by skilled personnel, compared to 96% in Europe (according to data for the African Region of the World Health Organization [WHO] from 2000 to 2008 [1]). In 2005, slightly over one quarter of a million women died from complications of childbirth [1]; most of these deaths could have been avoided by providing women with access to basic obstetric care and obstetric surgical care. On average, across sub- Saharan Africa, a population of 10,000 is served by two doctors and 11 nursing and midwifery personnel, compared to 32 and 79 respectively serving the same number of people in Europe (WHO data 2000–2007 [1]). A child born in sub- Saharan Africa in 2007 could expect to live only 52 years, which is 22 years less than its European counterpart [1].
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    The Pattern of Cancer in Kampala, Uganda
    (East and Central African Journal of Surgery, 2001) Kakande, Ignatius; Ekwaro, Lawrence; Obote, Wiam W.; Nassali, Gorreti; Kakande, Rarban Irene; Kabuye, S.
    This study on the pattern of cancer in Kampala is based on data collected from 2246 patients at Mulago Hospital and 355 patients at St. Francis Hospital Nsambya, between January 1995 and December 1998. All diagnoses were histologically confirmed. Of these 2601 patients, 1225 were males and 1376 were females. Kaposi's Sarcoma was the commonest malignancy, accounting for 28.6% of all cancers. Among males, Kaposi's Sarcoma (KS) was the most common cancer (37.1°/o) followed by prostatic cancer(9.60/0), lymphomas (8.5%), oesophageal cancer (7.0°/o), eye malignancies (3.8%) and pharyngeal cancer (3.8%). In females, the order of frequency of malignancies was cervical cancer (22.200), Kaposi's Sarcoma (21.1°/0), breast cancer (10.9%), lymphoma (5.9%), oesophageal cancer (4.6%) and eye malignancies (3.60/0). The incidence of KS has dramatically increased from 6.3% in males and 0.4% in females among patients with cancer diagnosed in 1977-80, before HIV infection was recognized. This paper compares the cancer patterns of 1995-98 with those of 1977-80 and discusses the possible influence of HIV infection on the change of patterns of cancer in Uganda.