Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda

Abstract Five billion people lack timely, affordable access to surgery. A large proportion of these are children. Qualitative research investigating the barriers to surgical care for children and ways of overcoming them is lacking. This study focused on children with hernia, a very common paediatric...

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Autores principales:	Mary Margaret Ajiko, Jenny Löfgren, Solvig Ekblad
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8bf7576d533240f9b1e48b07a84deff1
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id	oai:doaj.org-article:8bf7576d533240f9b1e48b07a84deff1
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spelling	oai:doaj.org-article:8bf7576d533240f9b1e48b07a84deff12021-12-02T17:50:49ZBarriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda10.1038/s41598-021-90717-22045-2322https://doaj.org/article/8bf7576d533240f9b1e48b07a84deff12021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90717-2https://doaj.org/toc/2045-2322Abstract Five billion people lack timely, affordable access to surgery. A large proportion of these are children. Qualitative research investigating the barriers to surgical care for children and ways of overcoming them is lacking. This study focused on children with hernia, a very common paediatric surgical condition for which surgery is the only effective treatment. The main aim of this qualitative study was to explore barriers to surgical care for children and identify potential solutions. Data were collected from parents of children with hernia and from health care providers at Soroti Regional Referral Hospital in eastern Uganda. Parents’ experiences, motives and barriers when accessing care were explored. The health care providers’ knowledge, perceptions and practices relating to children with hernia were investigated. The data were analysed using thematic content analysis. Traditional beliefs and gender inequality were considered major issues. Possible solutions included partnering with the local community in efforts to increase knowledge and acceptability in the community in general and by parents in particular. A formation of a surgical team dedicated to the management of children with surgical conditions was suggested as way to improve quality and increase volume of surgery for children.Mary Margaret AjikoJenny LöfgrenSolvig EkbladNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mary Margaret Ajiko Jenny Löfgren Solvig Ekblad Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
description	Abstract Five billion people lack timely, affordable access to surgery. A large proportion of these are children. Qualitative research investigating the barriers to surgical care for children and ways of overcoming them is lacking. This study focused on children with hernia, a very common paediatric surgical condition for which surgery is the only effective treatment. The main aim of this qualitative study was to explore barriers to surgical care for children and identify potential solutions. Data were collected from parents of children with hernia and from health care providers at Soroti Regional Referral Hospital in eastern Uganda. Parents’ experiences, motives and barriers when accessing care were explored. The health care providers’ knowledge, perceptions and practices relating to children with hernia were investigated. The data were analysed using thematic content analysis. Traditional beliefs and gender inequality were considered major issues. Possible solutions included partnering with the local community in efforts to increase knowledge and acceptability in the community in general and by parents in particular. A formation of a surgical team dedicated to the management of children with surgical conditions was suggested as way to improve quality and increase volume of surgery for children.
format	article
author	Mary Margaret Ajiko Jenny Löfgren Solvig Ekblad
author_facet	Mary Margaret Ajiko Jenny Löfgren Solvig Ekblad
author_sort	Mary Margaret Ajiko
title	Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
title_short	Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
title_full	Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
title_fullStr	Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
title_full_unstemmed	Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda
title_sort	barriers and potential solutions for improved surgical care for children with hernia in eastern uganda
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8bf7576d533240f9b1e48b07a84deff1
work_keys_str_mv	AT marymargaretajiko barriersandpotentialsolutionsforimprovedsurgicalcareforchildrenwithherniaineasternuganda AT jennylofgren barriersandpotentialsolutionsforimprovedsurgicalcareforchildrenwithherniaineasternuganda AT solvigekblad barriersandpotentialsolutionsforimprovedsurgicalcareforchildrenwithherniaineasternuganda
_version_	1718379297180221440

Barriers and potential solutions for improved surgical care for children with hernia in Eastern Uganda

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