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An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania
Thesis (MMed)--Stellenbosch University, 2013.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613736597979136 |
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| access_status_str | Open Access |
| author | Mbaya, Khalid Rajabu |
| author2 | Wallis, Lee A. |
| author_browse | Mbaya, Khalid Rajabu Wallis, Lee A. |
| author_facet | Wallis, Lee A. Mbaya, Khalid Rajabu |
| author_sort | Mbaya, Khalid Rajabu |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2013. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/102536 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:40:53.123Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/102536 An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania Mbaya, Khalid Rajabu Wallis, Lee A. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Emergency Medicine. Emergency medicine -- Practice -- Tanzania Public hospitals -- Tanzania UCTD Thesis (MMed)--Stellenbosch University, 2013. ENGLISH SUMMARY : Aim: The aim of the study was to document the burden of disease presenting to Tanzania mainland public district and regional hospitals’ acute intake areas, to describe the range of early diagnostic and procedural interventions performed on acutely ill patients, and to identify the disposition of these patients. Method: We undertook a cross-sectional, prospective study which described the clinical presentation, investigations, procedures and diagnoses of patients presented to public district and regional hospitals in Tanzania. A consecutive convenience sample of patients presenting during the working hours site visit to each hospital were included for those hospitals only open during the day. For hospitals which open for 24 hours, a 12 hour day time visiting period was selected. Results: District hospitals saw 60% of patients, designated district hospitals 16% and regional hospitals 24%. There was no 24 hours functioning acute intake area with a dedicated doctor for such areas in 70% of regional hospitals, 88% of designated district hospitals and 98% of district hospitals. The gender distribution of male to female was 1:1.3. Infants and geriatric patients accounted for 38%, adolescences and adults 50%, children of school age 12%; average work load was 50 patients per day shift. Medical-Surgical cases were 92% of cases, and the rest were trauma. The three most common complaints were fever, cough and abdominal pains. MVA was the leading cause of trauma. Blood test, X-ray, urinalysis, and stool analysis were the most common investigations. Wound care, fracture reduction, Incision and drainage were the commonest procedures performed. Malaria, respiratory infections and genito-urinary diseases were the leading causes of morbidity. 23% of cases ended up admitted for workup, treatment and senior doctor’s consultation, with only 1% of patients referred to higher level hospitals. Conclusion: The study revealed that almost no public hospitals had any form of emergency care system in place; most emergency patients are seen undifferentiated in OPDs. Infectious diseases and trauma are the leading cause of morbidity; investigations and treatments are based specifically on treating the cause, with no consideration on treating the complications of these diseases. Urgent work is required to establish hospital-based emergency care systems in Tanzania. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2017-12-11T09:07:27Z 2017-12-11T09:07:27Z 2013-03 Thesis http://hdl.handle.net/10019.1/102536 en_ZA Stellenbosch University x, 25 pages ; illustrations, includes annexures application/pdf application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Emergency medicine -- Practice -- Tanzania Public hospitals -- Tanzania UCTD Mbaya, Khalid Rajabu An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title | An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title_full | An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title_fullStr | An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title_full_unstemmed | An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title_short | An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania |
| title_sort | analysis of the clinical practice of emergency medicine in public district and regional hospitals in tanzania |
| topic | Emergency medicine -- Practice -- Tanzania Public hospitals -- Tanzania UCTD |
| url | http://hdl.handle.net/10019.1/102536 |
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