Implementation of a Contextually Appropriate Pediatric Emergency Surgical Care Course in Uganda

Simple item page
dc.contributor.authorUllrich, Sarah
dc.contributor.authorKisa, Phyllis
dc.contributor.authorRuzgar, Nensi
dc.contributor.authorOkello, Innocent
dc.contributor.authorOyania, Felix
dc.contributor.authorKayima, Peter
dc.contributor.authorKakembo, Nasser
dc.contributor.authorSekabira, John
dc.contributor.authorSituma, Martin
dc.contributor.authorOzgediz, Doruk
dc.date.accessioned2022-03-14T12:18:21Z
dc.date.available2022-03-14T12:18:21Z
dc.date.issued2021
dc.description.abstractLow- and middle-income countries like Uganda face a severe shortage of pediatric surgeons. Most children with a surgical emergency are treated by nonspecialist rural providers. We describe the design and implementation of a locally driven, pilot pediatric emergency surgical care course to strengthen skills of these providers. This is the first description of such a course in the current literature.The course was delivered three times from 2018 to 2019. Modules include perioperative management, neonatal emergencies, intestinal emergencies, and trauma. A baseline needs assessment survey was administered. Participants in the second and third courses also took pre and postcourse knowledge-based tests.Forty-five providers representing multiple cadres participated. Participants most commonly perform hernia/hydrocele repair (17% adjusted rating) in their current practice and are least comfortable managing cleft lip and palate (mean Likert score 1.4 ± 0.9). Equipment shortage was identified as the most significant challenge to delivering pediatric surgical care (24%). Scores on the knowledge tests improved significantly from pre- (55.4% ± 22.4%) to postcourse (71.9% ± 14.0%, p < 0.0001).Nonspecialist clinicians are essential to the pediatric surgical workforce in LMICs. Short, targeted training courses can increase provider knowledge about the management of surgical emergencies. The course has spurred local surgical outreach initiatives. Further implementation studies are needed to evaluate the impact of the training.en_US
dc.identifier.citationUllrich, S., Kisa, P., Ruzgar, N., Okello, I., Oyania, F., Kayima, P., ... & Ozgediz, D. (2021). Implementation of a contextually appropriate pediatric emergency surgical care course in Uganda. Journal of Pediatric Surgery, 56(4), 811-815.https://doi.org/10.1016/j.jpedsurg.2020.10.004en_US
dc.identifier.issn0022-3468
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2812
dc.language.isoenen_US
dc.publisherJournal of Pediatric Surgeryen_US
dc.subjectGlobal surgery; Pediatric surgery; Training course; LMIC; Uganda; Africaen_US
dc.titleImplementation of a Contextually Appropriate Pediatric Emergency Surgical Care Course in Ugandaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Implementation of a Contextually Appropriate Pediatric Emergency.pdf
Size:
930.78 KB
Format:
Adobe Portable Document Format
Description:
Implementation of a Contextually Appropriate Pediatric Emergency Surgical Care Course in Uganda
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences