SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators

Background: Global estimates show five billion people lack access to safe, quality, and timely surgical care. The wealthiest third of the world’s population receives approximately 73.6% of the world’s total surgical procedures while the poorest third receives only 3.5%. This pilot study aimed to ass...

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Autores principales:	Srivarshini Cherukupalli, Manisha B. Bhatia, Marissa A. Boeck, Kevin J. Blair, Neeraja Nagarajan, Shailvi Gupta, Leah C. Tatebe, Sristi Sharma, Ashish Bhalla, Benedict C. Nwomeh, Mamta Swaroop
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Haryana, Rural India, Global Surgery, Community Survey, Surgical Need Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a0aa714dc62747ec82dff02e52a36e33
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spelling	oai:doaj.org-article:a0aa714dc62747ec82dff02e52a36e332021-12-02T06:20:48ZSOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators2214-999610.5334/aogh.2340https://doaj.org/article/a0aa714dc62747ec82dff02e52a36e332019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2340https://doaj.org/toc/2214-9996Background: Global estimates show five billion people lack access to safe, quality, and timely surgical care. The wealthiest third of the world’s population receives approximately 73.6% of the world’s total surgical procedures while the poorest third receives only 3.5%. This pilot study aimed to assess the local burden of surgical disease in a rural region of India through the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey and the feasibility of using Accredited Social Health Activists (ASHAs) as enumerators. Material and Methods: Data were collected in June and July 2015 in Nanakpur, Haryana from 50 households with the support of Indian community health workers, known as ASHAs. The head of household provided demographic data; two household members provided personal surgical histories. Current surgical need was defined as a self-reported surgical problem present at the time of the interview, and unmet surgical need as a surgical problem in which the respondent did not access care. Results: One hundred percent of selected households participated, totaling 93 individuals. Twenty-eight people (30.1%; 95% CI 21.0–40.5) indicated they had a current surgical need in the following body regions: 2 face, 1 chest/breast, 1 back, 3 abdomen, 4 groin/genitalia, and 17 extremities. Six individuals had an unmet surgical need (6.5%; 95% CI 2.45%–13.5%). Conclusions: This pilot study in Nanakpur is the first implementation of the SOSAS survey in India and suggests a significant burden of surgical disease. The feasibility of employing ASHAs to administer the survey is demonstrated, providing a potential use of the ASHA program for a future countrywide survey. These data are useful preliminary evidence that emphasize the need to further evaluate interventions for strengthening surgical systems in rural India.Srivarshini CherukupalliManisha B. BhatiaMarissa A. BoeckKevin J. BlairNeeraja NagarajanShailvi GuptaLeah C. TatebeSristi SharmaAshish BhallaBenedict C. NwomehMamta SwaroopUbiquity PressarticleHaryana, Rural India, Global Surgery, Community Survey, Surgical NeedInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Haryana, Rural India, Global Surgery, Community Survey, Surgical Need Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Haryana, Rural India, Global Surgery, Community Survey, Surgical Need Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Srivarshini Cherukupalli Manisha B. Bhatia Marissa A. Boeck Kevin J. Blair Neeraja Nagarajan Shailvi Gupta Leah C. Tatebe Sristi Sharma Ashish Bhalla Benedict C. Nwomeh Mamta Swaroop SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
description	Background: Global estimates show five billion people lack access to safe, quality, and timely surgical care. The wealthiest third of the world’s population receives approximately 73.6% of the world’s total surgical procedures while the poorest third receives only 3.5%. This pilot study aimed to assess the local burden of surgical disease in a rural region of India through the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey and the feasibility of using Accredited Social Health Activists (ASHAs) as enumerators. Material and Methods: Data were collected in June and July 2015 in Nanakpur, Haryana from 50 households with the support of Indian community health workers, known as ASHAs. The head of household provided demographic data; two household members provided personal surgical histories. Current surgical need was defined as a self-reported surgical problem present at the time of the interview, and unmet surgical need as a surgical problem in which the respondent did not access care. Results: One hundred percent of selected households participated, totaling 93 individuals. Twenty-eight people (30.1%; 95% CI 21.0–40.5) indicated they had a current surgical need in the following body regions: 2 face, 1 chest/breast, 1 back, 3 abdomen, 4 groin/genitalia, and 17 extremities. Six individuals had an unmet surgical need (6.5%; 95% CI 2.45%–13.5%). Conclusions: This pilot study in Nanakpur is the first implementation of the SOSAS survey in India and suggests a significant burden of surgical disease. The feasibility of employing ASHAs to administer the survey is demonstrated, providing a potential use of the ASHA program for a future countrywide survey. These data are useful preliminary evidence that emphasize the need to further evaluate interventions for strengthening surgical systems in rural India.
format	article
author	Srivarshini Cherukupalli Manisha B. Bhatia Marissa A. Boeck Kevin J. Blair Neeraja Nagarajan Shailvi Gupta Leah C. Tatebe Sristi Sharma Ashish Bhalla Benedict C. Nwomeh Mamta Swaroop
author_facet	Srivarshini Cherukupalli Manisha B. Bhatia Marissa A. Boeck Kevin J. Blair Neeraja Nagarajan Shailvi Gupta Leah C. Tatebe Sristi Sharma Ashish Bhalla Benedict C. Nwomeh Mamta Swaroop
author_sort	Srivarshini Cherukupalli
title	SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
title_short	SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
title_full	SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
title_fullStr	SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
title_full_unstemmed	SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators
title_sort	sosas study in rural india: using accredited social health activists as enumerators
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/a0aa714dc62747ec82dff02e52a36e33
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SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators

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