Femoral neck fracture occurring after an epileptic seizure is a rare and under-diagnosed injury. The majority of the reported cases in literature are old patients with osteoporosis. Younger patients present several risk factors of osteopenia and the treatment remains controversial. We present an outcome of a 23 years old patient with unilateral femoral neck fracture occurring during an epileptic seizure and we discuss the associated multiple risk factors of osteopenia and osteonecrosis of the hip. The patient was brought to the emergency department of Teaching Hospital of Kamenge (CHUK) complaining of pain in his left hip that had been progressing for one month after an epileptic seizure. There is a history of HIV infection since birth and epileptic seizures with ongoing treatments for both diseases. Despite the high risk of avascular necrosis, the treatment choice has been influenced by the patient's age and a conservative surgery by internal fixation with Dynamic Hip Screw has been made. Unfortunately, this treatment early resulted in osteonecrosis of the hip since HIV infection itself and the highly active anti-retroviral therapy increase its risk.

our final model indicates significant associations between EM-NCD availability and geographic region, health facility type, managing authority, and range of HIV services. Adjusting for other variables such as facility type and amenities, private for-profit facilities' number of EM-NCD is 124% higher on average than public facilities (p<.001). General hospitals and referral health centers had 80.5% (p¼.017) and 110% (p¼.006) higher EM-NCD counts than the lowest level facilities, respectively. Facilities in the Northern and Eastern regions have significantly lower EM-NCD counts than those in the capital region (p¼0.015 and p¼0.003, respectively.) Offering HIV care and support services was associated with 35% lower average EM-NCD counts (p ¼ 0.006), though offering HIV counseling and testing was associated with 57% higher counts of EM-NCD (p¼0.048).Interpretation: By conducting the first Poisson analysis using SARA data, we have identified multiple disparities in the availability of EM-NCD in Uganda. Our findings can be used by health system planners and policymakers to guide the distribution of limited resources. While the primary purpose of SARA is to assess and monitor health services readiness rather than produce data for statistical analyses, we show that it can also be an important resource for answering more complex research and policy questions. Source of Funding: None.Abstract #: 2.052_HHR