Stafford Renae E, Morrison Catherine A, Godfrey Godwin, Mahalu William
Catholic University of Health and Allied Sciences, Wurzburg Road, Mwanza, Tanzania; Sengerema Designated District Hospital, Sengerema, Tanzania; Touch Foundation, Mwanza, Tanzania.
Catholic University of Health and Allied Sciences, Wurzburg Road, Mwanza, Tanzania; Sengerema Designated District Hospital, Sengerema, Tanzania; Touch Foundation, Mwanza, Tanzania.
Glob Heart. 2014 Sep;9(3):319-23. doi: 10.1016/j.gheart.2014.08.005. Epub 2014 Oct 31.
The practice of intensive care unit (ICU) care in Sub-Saharan Africa is challenging and can have a significant impact on the lives of people in the region. Sub-Saharan Africa bears a disproportionate global burden of disease compared with the rest of the world. Inadequate emergency care services and transportation infrastructure; long lead times to hospital admission, evaluation, treatment and transfer to ICU; inadequate ICU and hospital infrastructure and, unreliable consumable and medical equipment supply chains all present significant challenges to the provision of ICU care in Sub-Saharan Africa. These challenges, coupled with an inadequate supply of trained healthcare workers and biomedical technicians and a lack of formal ICU-related research in Sub-Saharan Africa, would seem to be insurmountable. However, ICU care is being provided in district and regional hospitals throughout the region. We describe some of the challenges to the provision of emergency services and critical care in Tanzania.
在撒哈拉以南非洲地区，重症监护病房（ICU）护理工作极具挑战性，且会对该地区民众的生活产生重大影响。与世界其他地区相比，撒哈拉以南非洲地区承担着不成比例的全球疾病负担。急诊护理服务和交通基础设施不足；从入院、评估、治疗到转入重症监护病房的等待时间过长；重症监护病房和医院基础设施不完善，以及消耗品和医疗设备供应链不可靠，所有这些都给撒哈拉以南非洲地区提供重症监护病房护理带来了重大挑战。这些挑战，再加上训练有素的医护人员和生物医学技术人员供应不足，以及撒哈拉以南非洲地区缺乏与重症监护病房相关的正规研究，似乎难以克服。然而，该地区各地的区级和地区医院都在提供重症监护病房护理服务。我们描述了坦桑尼亚在提供急诊服务和重症护理方面面临的一些挑战。
