Methods families use to raise funds for anorectal malformation treatment at a single public referral hospital in Southwestern Uganda  

作　　者：Felix Oyania Anthony N Eze Sarah Ullrich Meera Kotagal Doruk Ozgediz 

机构地区：[1]Surgery,Mbarara University of Science and Technology Faculty of Medicine,Mbarara,Uganda [2]Duke University Medical Center,Durham,North Carolina,USA [3]Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,USA [4]University of California San Francisco,San Francisco,California,USA

出　　处：《World Journal of Pediatric Surgery》2024年第4期291-297,共7页世界小儿外科杂志(英文)

基　　金：funded by The Thrasher Research Fund under Award Number TRF15700.

摘　　要：Background In Uganda,only two public hospitals provide pediatric surgery services.With less than 10 pediatric surgeons serving approximately 20 million children in Uganda,most patients with anorectal malformations(ARMs)must make several trips to the hospital before undergoing surgery.As a result,households borrow money,sell assets,or solicit contributions from friends and relatives to meet healthcare expenses.We used a cross-sectional study to examine methods families use to raise funds for the treatment of ARMs at a single institution in Southwestern Uganda.Methods This cross-sectional study was conducted in the pediatric surgery unit at a Regional Referral Hospital/University Teaching Hospital in Southwestern Uganda from June 2021 to July 2023.Participants included caretakers of children presenting with ARMs for treatment at our referral hospital.Results A total of 157 participants were enrolled.Mothers were the main caregivers(77.9%)present at the hospital.Out of a median monthly household income of UGX200000(US$51.68),families spent a median of UGX50000(US$12.92)to travel to the hospital.To raise funds for healthcare expenses,68%of households reported selling assets.Conclusion Families sell householdassets toafford ARMs treatment in Southwestern Uganda.Financial protection by the government through a national child health insurance policy would shield families from substantial health-related expenditures and decrease this burden.In addition,targeted policy to strengthen pediatric surgical capacity through workforce expansion and skills training such as the Pediatric Emergency Surgery Course,may minimize costs,improvetimelinessofcare,andpreventcase cancellations.

关 键 词：Surgery TREATMENT policy 

分 类 号：R72[医药卫生—儿科]