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DHS-8-PGSSC-OOP-Template
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The questions we propose are a product of the Lancet Commission on Global Surgery (LCoGS), a body of work spanning three years involving 25 commissioners and a diverse group of academic, governmental and civil society collaborators from 110 countries. Of the six indicators proposed by the LCoGS, four were published in the World Development Indicators by the World Bank and all six are included in the World Health Organization's Global Reference List of 100 Core Health Indicators. Nevertheless, there currently are no mechanisms in place to collect the data required for these indicators, creating a critical gap in knowledge for surgical care strengthening.
The new indicators in this proposal span four existing DHS modules. For clarity, they are listed in the table below. Of particular interest are the questions on out-of-pocket expenditure and household expenditure to enable the calculation of financial risk protection for all medical interventions captured by the DHS (both surgical and medical), a core component of Sustainable Development Goal 3.8. The remaining questions were taken from a successful pilot DHS survey in Zambia. In the development of this application, we have been fortunate to count on a number of international partners to provide expert review and the indicators proposed are a culmination of these consensus building discussions. Please refer to Appendix A for a full list of international stakeholders who support this application.
Proposed Indicators:
1. Risk of impoverishing and catastrophic expenditure
Data Utility:
1. World Bank: World Development Indicators]]>PGSSC2019-03-04T22:09:59-00:00Re: DHS-8-PGSSC-OOP-Template
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taylorwurdeman2019-03-15T00:04:45-00:00Re: DHS-8-PGSSC-OOP-Template
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17074&th=7840#msg_17074
Specifically, the issue of financial risk protection is critical for all of healthcare, but it has been identified as a major barrier to access to surgical care in LMICs. The granular level of the household survey is the best (only?) way to learn specific information about how people are affected financially by their surgical needs. There have been very laudable modeling efforts aimed at determining how financial risk protection, or the lack thereof, affects people in LMICs, but the inclusion of the questions submitted here for consideration would be the first major method to obtain these data globally.
]]>Scott Corlew2019-03-15T14:41:05-00:00Re: DHS-8-PGSSC-OOP-Template
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(including livestock) to pay for this hospitalization?". I know space is limited, but perhaps as a submission for follow up question?]]>Cstrader12019-03-15T15:28:30-00:00Re: DHS-8-PGSSC-OOP-Template
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vsanthirapala2019-03-15T17:55:02-00:00Re: DHS-8-PGSSC-OOP-Template
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Kudos to the team!!]]>djumbam2019-03-15T18:20:34-00:00Re: DHS-8-PGSSC-OOP-Template
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ptruche2019-03-15T19:03:11-00:00Re: DHS-8-PGSSC-OOP-Template
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JohnMeara2019-03-15T19:05:19-00:00Re: DHS-8-PGSSC-OOP-Template
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anm1562019-03-15T19:21:55-00:00Re: DHS-8-PGSSC-OOP-Template
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AlexPetersMD2019-03-15T19:24:55-00:00Re: DHS-8-PGSSC-OOP-Template
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Vicente Gracias2019-03-15T19:27:35-00:00Re: DHS-8-PGSSC-OOP-Template
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17175&th=7840#msg_17175
The proportion of patients who incur impoverishing expenditure for surgery is 58%, 55% or so of those costs are catastrophic.. means families are completely ruined.
This data is very limited, and our understanding of these horrible situations is so incomplete. If we could collect this kind of data on a systematic basis and in organized manner we would have the concrete arguments to direct investments into surgical care recognizing how vitally important it is to the socio-economic viability of people, families, communities, and nations - and yes our world.
Out of pocket health expenditures for surgical care is an absolute imperative for data collection- please, strongly urge USAID to consider inclusion in the DHS.