Browsing by Author "Lett, R."

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    Estimates of the Gross Domestic Product Loss due to Violence in Uganda
    (Injury Prevention, 2010) Nakitto, M.; Wandera, B.; Cannoodt, L.; Kiwanuka, N.; Lett, R.
    There is lack of information on economic cost of violent related injuries in Uganda. The study estimates both direct and indirect costs incurred as a result of interpersonal and self directed violent injuries. Data were collected from four hospitals and two health centres (September 2008 to November 2009) using a standardised form while medico-legal data were collected from Government chemist and Police surgeon. Estimating cost parameters were derived from a WHO Manual. Statistical analyses were done using Stata 10. Intentional injuries accounted for 20.7% of all injuries. Self-inflicted accounted for 30.3%, while interpersonal 69.7%. Violent injuries were frequent in homes; with causes: stabbing (31.1%) and poisoning (8.5%). Proportion of intentional injuries in homes was significantly higher than of unintentional injuries, 46.9% versus 23.7% (p<0.001). Direct total costs for self-directed injuries were $16 971 while per self-directed injury was $132.6. Indirect total costs for self-directed injuries were $506 443, while per self-directed injury was $3957. Direct medical costs for interpersonal injuries were $44 469, while $155 per interpersonal injury. Indirect costs for interpersonal injuries were $1 519 329, while $5312 per interpersonal injury. Direct costs due to violent injuries accounted for 0.04% of GDP while indirect costs accounted for 5.14% of GDP. Economic cost of violent injuries in Uganda is substantive and could be saved for more pressing priorities if a preventive strategy is implemented.
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    Injury patterns in rural and urban Uganda
    (Injury prevention, 2001) Kobusingye, O.; Guwatudde, D.; Lett, R.
    To describe and contrast injury patterns in rural and urban Uganda. Settings—One rural and one urban community in Uganda. Methods—Community health workers interviewed adult respondents in households selected by multistage sampling, using a standardized questionnaire. Results—In the rural setting, 1673 households, with 7427 persons, were surveyed. Injuries had an annual mortality rate of 92/100 000 persons, and disabilities a prevalence proportion of 0.7%. In the urban setting 2322 households, with 10 982 people, were surveyed. Injuries had an annual mortality rate of 217/100 000, and injury disabilities a prevalence proportion of 2.8%. The total incidence of fatal, disabling, and recovered injuries was 116/1000/ year. Leading causes of death were drowning in the rural setting, and road traffic in the city. Conclusion—Injuries are a substantial burden in Uganda, withmuch higher rates than those in mostWestern countries. The urban population is at a higher risk than the rural population, and the patterns of injury differ. Interventions to control injuries should be a priority in Uganda.