Social and financial barriers may contribute to a "hidden mortality" in Uganda for children with congenital anomalies

Study of 198 Ugandans reveals severe social and financial barriers preventing families from seeking surgical care for children with congenital anomalies, with 28% of families advised to let affected children die. Extreme poverty (<$13/month) significantly predicts family abandonment and care avoidance, suggesting substantial hidden mortality among infants who never reach healthcare facilities.