ABSTRACT
Background: Road traffic injuries (RTI) are on increase in developing countries. Health care facilities are poorly equipped to provide the needed services. Objective: Determine access and quality of care for RTI casualties in Kenya. Design: Cross-sectional survey Setting: 53 large and medium size private; faith-based and public hospitals. Participants: In-patient road traffic crash casualties and health personnel in the selected hospitals were interviewed on availability of emergency care and resources. Onsite verification of status was undertaken. Results: Out of 310 RTI casualties interviewed; 72.3; 15.6and 12.2were in public; faith-based and private hospitals; respectively. Peak age of the injured was 15-49 years. First aid was availed to 16.0of casualties. Unknown persons transported 76.5of the injured. Police and ambulance vehicles transported 6.1and 1.4; respectively. 51.9reached health facilities within 30 minutes of crash and medical care provided to 66.2within one hour. 40.8of recipient facilities were adequately prepared for RTI emergencies. Conclusions: Most RTI casualties were young and from poor backgrounds. Training of motorists and general public in first aid should be considered in RTI control initiatives. Availability of basic trauma care medical supplies in public health facilities was highly deficient
Subject(s)
Accidents, Traffic/statistics & numerical data , Emergency Service, Hospital/organization & administration , Health Services Accessibility , Hospitalization/economics , Kenya , Quality of Health Care , Wounds and Injuries/therapyABSTRACT
Les auteurs rapportent les resultats d'une etude sur les indications d'hospitalisations en cardiologie et le cout de leur prise en charge. Les pathologies les plus souvent responsables de l'admission sont les valvulopathies 31 pour cent; l'HTA 29 pour cent et les hyposystolies indeterminees 27 pour cent. L'ischemie coronaire a le cout le plus eleve