Bulletin of the World Health Organization

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Isabeau A Walker, Apunyo D Obua, Falan Mouton, Steven Ttendo & Iain H Wilson

Volume 88, Number 12, December 2010, 897-906

Table 3. Surgical procedures performed in 29 hospitals performing major surgery in 14 districts of south-western Uganda, 1 August 2007 to 31 July 2008a

Parameter Surgical procedures
Children aged ≤ 14 years
All ages
No. Median Median range No. Median Median range
Hospital designation
Health Centres IV (n = 4) 137 31.5 27–47 1 034 209 120–496
Government district hospital (n = 8) 1 407 98.0 3–383 12 107 844 160–1152
Government referral hospital b (n = 3) 969 324.0 261–338 5 330 1716 946–2668
NGO/mission hospital (n = 12) 3 039 213.5 3–731 22 455 1585 92–6430
Private hospital (n = 1) 19 187
Totalc 5571 41 113
Overall surgical rate (no. per 100 000 population) 180 652
Estimated surgical rate (no. per 100 000 population)
In poor expenditure countries, mean (SE)1 295 (53)
In low-expenditure countries, mean (SE)1 2 255 (342)
In middle-expenditure countries, mean (SE)1 4 248 (524)
In high-expenditure countries, mean (SE)1 11 110 (1 300)

NGO, nongovernmental organization; SE, standard error.

a The 2007 population estimates for the 14 regions of south-western Uganda were 6 305 000 for all ages and 3 089 000 for children aged ≤ 14 years. Surgical activity is reported from the 29 hospitals in the region where major surgery was undertaken.

b Data from 1 August 2007 to 22 January 2008 only were obtained from the Kabale regional referral hospital; the weekly surgical rate for that period was calculated and extrapolated to obtain the annual surgical rate for this hospital.

c Mean estimated surgical rates from reference 1. Expenditure rates are adjusted to 2004 United States dollars (US$). Countries (including Uganda) were ranked by per capita total expenditure on health as follows: poor: US$ 100 or less; low: US$ 101–400; middle: US$ 401–1000; high: > US$ 1000.

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