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MEDICAL-SURGICAL ACTIVITIES IN THE REGIONAL HOSPITAL OF BAFOUSSAM (HRB) (CAMEROON). K KOUROUMA Pharmacien-Biologiste PraticienHospitalouniversitaire SPE Congress , November 2017. GENERAL PRESENTATION OF THE ESTABLISHMENT. 3rd Category Hospital created around 1953
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MEDICAL-SURGICAL ACTIVITIES IN THE REGIONAL HOSPITAL OF BAFOUSSAM (HRB) (CAMEROON) K KOUROUMA Pharmacien-Biologiste PraticienHospitalouniversitaire SPE Congress, November 2017
GENERAL PRESENTATION OF THE ESTABLISHMENT • 3rd Category Hospital created around 1953 • Hospital serves as a referral center for 20 district and allied hospitals in the Western Region MAIN MISSIONS OF THE HOSPITAL • Health care access Initial training and- personal continuing • Research to improve health system performance
ORGANIZATION AND FUNCTIONING Hospital is organized into departments, services and units • Department of Surgery and Related Specialties • General Surgery Service • Ophthalmology • Service Odontostomatology • Department ENT service Anesthesia and Resuscitation Service (Anesthesia and Resuscitation Units)
Department of Diagnosis and Treatment • Support Regional Medical Imaging Center (CRIMO) • Scanner Unit Ultrasound Unit Standard • Radiography Unit • Pharmacy and Drug Service • Laboratory Service Blood Bank Unit and Blood Transfusion • Biomedical Analysis Unit
2. Department of Gyneco-Obstetrics and Public Health 3. Department of Medicine 4. Department of Pediatrics
Emergency and Consultation Services • Unit Morgue • External Consultation Unit • Unit of Forensic Medicine • Department of Hygiene / Sanitation and Maintenance
Bodies • The Quality and Risk Management Strategic Committee • Quality and risk management coordination The various committees (CLIN, CLUD etc.) Administration • The direction General • Surveillance The Commissary • Accounting, Computer Cell
Bodies The Quality and Risk Management Strategic Committee Quality and risk management coordination The various committees (CLIN, CLUD etc.) 9. Administration The direction General Surveillance The Commissary The Régie des recettes Accounting, Computer Cell
PERSONNEL 2015-2016 • Medical-health = 37 • Doctors = 24 • Nurses = 149 • Morguier = 1 • Pharmacists = 3 • Administrative staff = 24
CAPACITIES IN BEDS BY SERVICE • Medicine A = 33 • Medicine B = 50 • General Paediatrics = 29 • Neonatology = 47 • Surgery + Ophthalmos = 62 • Gyno-Obstetric = 33 • Diabetology = 10 • Resuscitation = 12 • Emergencies = 17 • Standings = 5 • Total = 298 and 15 defective
Activities of the public health unit SITUATION IN 2015 • Number of CPN1 completed = 1234 • Number of CPN4 completed = 706 • Number of women screened for HIV / AIDS = 1223 • % of HIV-positive women = 2 • Number of HIV-positive women who gave birth at maternity = 152 • Number of NNE (HIV-positive mothers) under ARV = 168 • Number Total delivery = 2070
CLINICAL PERFORMANCE Specialized consultations in 2015 • Gyneco-obstetrics = 3001 • Medical Specialties = 5301 • Pediatrics = 3820 • General Surgery = 1968 • Odontostomatology = 1363 • General medicine = 6,661 • CTA (HIV / AIDS) = 1117 CPN = 3446 • Monthly average = 3611
Hospitalization Total 2015 = 7923 Total 2016 = 8589 • Monthly average = 716 • % Change in 2015-2016 = 7.8 Surgery = 944 with a monthly average of 79 • Cumulative days of hospitalization = 15571 DMS = 16 TOM = 83.2% Trauma = 44.3%
SURGICAL INTERVENTIONS 2015-2016 Total = 3588 • Traumatological = 10.9% • Urological = 58.5% • Ophthalmologic = 18.7% • Gyneco-obstetrics = -2.5% • Overall surgical activity increased by 6.7%
LABORATORY ACTIVITIES Blood Bank • Blood donors tested = 2443 • HIV + = 42 • HBsAg + = 103 • AcHCV + = 22 • VDRL / TPHA + = 21 • Transfusion = 1982 • Blood Grouping ABO / Rh = 5173 • Coombs test = 72
Evolution of activities 2015-2016 % • Serology = 15.3 • Hematology = -129.1 • Biochemistry = -6.9 • Virology / CD4 = -4 • Bacteriology = 2.4 • Parasitology = -16.5 • Public Health Unit Lab = -20,3 • Overall lab activities decrease = -10.1