Prevalence and Spatial Patterns of Major Limb Loss in the Acholi Sub-Region of Uganda
Prevalence and Spatial Patterns of Major Limb Loss in the Acholi Sub-Region of Uganda
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DOI：
10.3390/prosthesis4030030
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发表时间：
2022-09-01
期刊：
影响因子：
3.4
通讯作者：
Nirmalan, Mahesh
中科院分区：
文献类型：
--
作者：
Huck, Jonathan J.;Atim, Pamela;Nirmalan, Mahesh
在乌干达北方，有广泛报道但知之甚少的主要肢体丧失，这在很大程度上是由长期内战造成的。获得康复服务的机会极其有限，不知道有多少人严重截肢，也不知道有多少人获得了医疗或康复服务。这项研究是对乌干达北方阿乔利次区域残疾和主要肢体丧失的第一次流行率研究，也是对主要肢体丧失病例空间模式的一次新评价。我们保守估计有c。10，117人在阿乔利（c。0.5%的人口）需要长期康复服务，以及c. 150，512名其他残疾人（c.占人口的8.2%）。我们还表明，主要肢体丧失的人分布在整个地区（而不是聚集在特定的位置），不成比例的男性，老年人，教育程度低于一般人群。这项研究表明，在供应和服务提供模式的康复服务，为那些在研究领域的主要肢体损失明显不足，并提供了急需的洞察力的挑战，必须解决一个有效的系统到位。
There is a widely reported yet poorly understood preponderance of major limb loss in Northern Uganda, caused in large part by prolonged civil war. Access to rehabilitation services is extremely limited, and there is no understanding of how many people have major limb loss, nor how many have had access to medical or rehabilitative services. This research represents the first prevalence study of disability and major limb loss in the Acholi sub-region of Northern Uganda, as well as a novel evaluation of spatial patterns in cases of major limb loss. We conservatively estimate that there are c. 10,117 people with major limb loss in Acholi (c. 0.5% of the population) who require long-term rehabilitation services, as well as c. 150,512 people with other disabilities (c. 8.2% of the population). We also demonstrate that people with major limb loss are spread throughout the region (as opposed to clustered in specific locations) and are disproportionately male, older, and less well educated than the general population. This research demonstrates a clear inadequacy in both the supply and service delivery models of rehabilitation services for those with major limb loss in the study area and provides much-needed insight into the challenges that must be addressed for an effective system to be put in place.