Publications by authors named "Andrew Hyginus Wange"
Article Synopsis
- The study analyzes the impact of COVID-19 on surgical capacity at Soroti Regional Referral Hospital in Uganda, focusing on changes during the pandemic compared to before it.
- During the pandemic, there was a notable increase in surgical care delays, with patients facing difficulties due to lack of operating space and available surgeons, although the number of elective and emergency surgeries remained stable.
- The findings highlight the need for improved surgical systems and a better response plan for future health crises to ensure timely healthcare delivery.
Background: Building capacity for surgical care in low-and-middle-income countries is essential for the improvement of global health and economic growth. This study assesses in-hospital delays of surgical services at Soroti Regional Referral Hospital (SRRH), a tertiary healthcare facility in Soroti, Uganda.
Methods: A prospective general surgical database at SRRH was analyzed.
Article Synopsis
- Surgical disease significantly contributes to global mortality, yet data on cost-effectiveness for essential surgical procedures are lacking, prompting this study to analyze exploratory laparotomies in Uganda.
- By collecting data on 103 patients over 8 months, the average cost per case was found to be $75.50, with a postoperative mortality rate of 11.7% and an average of 18.51 DALYs averted per patient, translating to a cost of $4.08 per DALY averted.
- The findings indicate that exploratory laparotomy is more cost-effective compared to other public health interventions, advocating for increased investment in surgical capacities in low- and middle-income nations due to the high burden of surgically treatable conditions