HOSPITAL CAPACITY FOR AMBULANCE SYSTEM 11 April 2005 Dr. Catherine Nansamba Research Associate Injury Control Center - U

HOSPITAL CAPACITY FOR AMBULANCE SYSTEM 11 April 2005 Dr. Catherine Nansamba Research Associate Injury Control Center - Uganda

Inception • Request to carry out the study • ICC-U response • Assessment of relevance of study to ICC-U • Acceptance to take up study • Development of study • Objective • Strategy • Work plan

The Study • Target hospitals • Approach (Questionnaire) • Activities • Inputs (financial and non-financial) • Time frame • Results • Data • Analysis • Information

Summary of the results • Eight health facilities were studied Public = 2 Private non-profit = 4 Private for-profit = 2 • Health facility size ranged from 8 to 1500 in-patient beds. • Number of emergency personnel ranged from 2 to 59 • 50% had dedicated resuscitation rooms.

50% had chest tubes and airway equipment. • Three (37.5%) had emergency units. • Seven (87.5%) had an ambulance in good condition. • 50% could offer ambulance services when called by telephone. • 50% had emergency personnel without specialized training.

Deduction • Insufficient emergency services • No capacity to manage prevailing patient load • No capacity to handle increased patient load from an Ambulance Service Recommendations • The ambulance service plan therefore would only be effective in the event of health service capacity increases commensurate with the expected patient load.

HIGHLIGHTS OF THE INJURY SURVEILLANCE PROGRAMME • Concept • Approach • Sentinel sites • Role players • Duration • Challenges • Recommendations

HOSPITAL CAPACITY FOR AMBULANCE SYSTEM 11 April 2005 Dr. Catherine Nansamba Research Associate Injury Control Center - U