Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020
Objectives: This wound section of the PREvalence Study on Surgical COnditions (PRESSCO) determines the incidence and prevalence of wounds and burns in Sierra Leone. It further describes access to wound care and wound-related healthcare-seeking behaviour. Methods: Between October 2019 and March 2020,...
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Elsevier
2025-01-01
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| author | Jonathan H. Vas Nunes Alex J. van Duinen Daniel Boateng Amidu J. Tommy Osman Sankoh Martin P. Grobusch Håkon A. Bolkan |
| author_facet | Jonathan H. Vas Nunes Alex J. van Duinen Daniel Boateng Amidu J. Tommy Osman Sankoh Martin P. Grobusch Håkon A. Bolkan |
| author_sort | Jonathan H. Vas Nunes |
| collection | DOAJ |
| description | Objectives: This wound section of the PREvalence Study on Surgical COnditions (PRESSCO) determines the incidence and prevalence of wounds and burns in Sierra Leone. It further describes access to wound care and wound-related healthcare-seeking behaviour. Methods: Between October 2019 and March 2020, a nationwide cross-sectional household survey was performed. The survey was based on Surgeons OverSeas Assessment of Surgical Need (SOSAS). Additional questions relating to wounds and burns were added. Following randomization, 25 households in 75 clusters were sampled. Severe wounds were clinically examined. Results: Of the 3600 individuals included, 143 had developed 151 wounds, including burns (15.2 %) during the year preceding the interview (incidence 4.2 %). A total of 77 people had 83 wounds and burns at the time of the survey (prevalence 2.3 %), of which 23 were severe (prevalence 0.6 %). Burn incidence and prevalence were 0.6 % and 0.1 %, respectively. Most wounds were on extremities (73.5 %), often resulting from cuts (32.8 %), falls (22.4 %), or road traffic accidents (RTA; 16.4 %). Risk factors for developing a wound were male sex (p = 0.004), older age (p = 0.037) and smoking (p = 0.001). Severe wounds had a median duration of 18 months. For 70.2 % of wounds, care at a health facility was sought. Only 49.9 % of households reported financial capacity to visit a secondary health facility. For 56 (37.1 %) of wounds, the desired care was not obtainable. An estimated 44,000 (95 % CI 29,760–67,410) people in Sierra Leone suffer from a severe wound. An estimated 11,000 (95 % CI 6,416–18,268) annual deaths occur due to wounds, predominantly due to RTA's (66.7 %) and accidental injuries (20.0 %). Conclusions: Wounds and burns account for an extensive burden on the health and economics of the individual, the household, and the Sierra Leonean society. For over one-third of wounds, the desired surgical care was not obtainable. |
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| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-0e83e0e18f4d44f688798d1b857d60042025-01-17T04:49:38ZengElsevierHeliyon2405-84402025-01-01111e38693Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020Jonathan H. Vas Nunes0Alex J. van Duinen1Daniel Boateng2Amidu J. Tommy3Osman Sankoh4Martin P. Grobusch5Håkon A. Bolkan6Department of Surgery, Amsterdam University Medical Centres, location AMC, Amsterdam, the Netherlands; Global Surgery Amsterdam, Amsterdam, the Netherlands; Masanga Medical Research Unit, Masanga, Sierra Leone; Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centres, location AMC, Amsterdam Infection and Immunity, Amsterdam Public Health, Amsterdam, the Netherlands; Department of Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands; Corresponding author. Resident General Surgery. Medical Doctor in Global Health & Tropical Medicine. Department of Surgery, Amsterdam University Medical Center, location AMC. Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.Masanga Medical Research Unit, Masanga, Sierra Leone; Clinic of Surgery, St. Olavs Hospital HF, Trondheim University Hospital, Trondheim, Norway; CapaCare, Norway, the Netherlands, Sierra Leone; Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Surgical Department, ELWA Hospital, Monrovia, LiberiaDepartment of Global Public Health & Bioethics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands; Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaMasanga Medical Research Unit, Masanga, Sierra Leone; CapaCare, Norway, the Netherlands, Sierra LeoneDeputy Vice Chancellor (Adm), University of Management and Technology (UNIMTECH), Kissy Dockyard, Freetown, Sierra Leone; Honorary Professor, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Visiting Scientist, Heidelberg Institute of Global Health, University of Heidelberg Medical School, Heidelberg, Germany; Adjunct Professor, Njala University, School of Community Health Sciences, Bo Campus, Bo, Sierra Leone; Member, International Advisory Board, The Lancet Global Health, Sierra LeoneMasanga Medical Research Unit, Masanga, Sierra Leone; Centre of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centres, location AMC, University of Amsterdam, Amsterdam, the Netherlands; Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales en Lambaréné (CERMEL), Lambaréné, Gabon; Institute of Infectious Diseases and Molecular Medicine (IDM), University of Cape Town, Cape Town, South AfricaMasanga Medical Research Unit, Masanga, Sierra Leone; Clinic of Surgery, St. Olavs Hospital HF, Trondheim University Hospital, Trondheim, Norway; CapaCare, Norway, the Netherlands, Sierra Leone; Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayObjectives: This wound section of the PREvalence Study on Surgical COnditions (PRESSCO) determines the incidence and prevalence of wounds and burns in Sierra Leone. It further describes access to wound care and wound-related healthcare-seeking behaviour. Methods: Between October 2019 and March 2020, a nationwide cross-sectional household survey was performed. The survey was based on Surgeons OverSeas Assessment of Surgical Need (SOSAS). Additional questions relating to wounds and burns were added. Following randomization, 25 households in 75 clusters were sampled. Severe wounds were clinically examined. Results: Of the 3600 individuals included, 143 had developed 151 wounds, including burns (15.2 %) during the year preceding the interview (incidence 4.2 %). A total of 77 people had 83 wounds and burns at the time of the survey (prevalence 2.3 %), of which 23 were severe (prevalence 0.6 %). Burn incidence and prevalence were 0.6 % and 0.1 %, respectively. Most wounds were on extremities (73.5 %), often resulting from cuts (32.8 %), falls (22.4 %), or road traffic accidents (RTA; 16.4 %). Risk factors for developing a wound were male sex (p = 0.004), older age (p = 0.037) and smoking (p = 0.001). Severe wounds had a median duration of 18 months. For 70.2 % of wounds, care at a health facility was sought. Only 49.9 % of households reported financial capacity to visit a secondary health facility. For 56 (37.1 %) of wounds, the desired care was not obtainable. An estimated 44,000 (95 % CI 29,760–67,410) people in Sierra Leone suffer from a severe wound. An estimated 11,000 (95 % CI 6,416–18,268) annual deaths occur due to wounds, predominantly due to RTA's (66.7 %) and accidental injuries (20.0 %). Conclusions: Wounds and burns account for an extensive burden on the health and economics of the individual, the household, and the Sierra Leonean society. For over one-third of wounds, the desired surgical care was not obtainable.http://www.sciencedirect.com/science/article/pii/S240584402414724XSierra LeoneWounds and injuriesBurnsHealth care surveysAccidentsTraffic |
| spellingShingle | Jonathan H. Vas Nunes Alex J. van Duinen Daniel Boateng Amidu J. Tommy Osman Sankoh Martin P. Grobusch Håkon A. Bolkan Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 Heliyon Sierra Leone Wounds and injuries Burns Health care surveys Accidents Traffic |
| title | Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 |
| title_full | Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 |
| title_fullStr | Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 |
| title_full_unstemmed | Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 |
| title_short | Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020 |
| title_sort | incidence and prevalence of traumatic and non traumatic wounds and burns and access to wound care in sierra leone data from a nationwide household survey pressco 2020 |
| topic | Sierra Leone Wounds and injuries Burns Health care surveys Accidents Traffic |
| url | http://www.sciencedirect.com/science/article/pii/S240584402414724X |
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