Mulwafu Wakisa, Chokotho Linda, Mkandawire Nyengo, Pandit Hemant, Deckelbaum Dan L, Lavy Chris, Jacobsen Kathryn H
Department of Surgery, College of Medicine, University of Malawi, Blantyre, Malawi.
Beit CURE International Hospital, Blantyre, Malawi.
Malawi Med J. 2017 Jun;29(2):198-202. doi: 10.4314/mmj.v29i2.23.
Injuries are a global public health concern because most are preventable yet they continue to be a major cause of death and disability, especially among children, adolescents, and young adults. This enormous loss of human potential has numerous negative social and economic consequences. Malawi has no formal system of prehospital trauma care, and there is limited access to hospital-based trauma care, orthopaedic surgery, and rehabilitation. While some hospitals and research teams have established local trauma registries and quantified the burden of injuries in parts of Malawi, there is no national injury surveillance database compiling the data needed in order to develop and implement evidence-based prevention initiatives and guidelines to improve the quality of clinical care. Studies in other low- and middle-income countries (LMICs) have demonstrated cost-effective methods for enhancing prehospital, in-hospital, and post-discharge care of trauma patients. We encourage health sectors leaders from across Malawi to take action to improve trauma care and reduce the burden from injury in this country.
伤害是一个全球公共卫生问题，因为大多数伤害是可以预防的，但它们仍然是死亡和残疾的主要原因，尤其是在儿童、青少年和年轻人中。这种巨大的人类潜力损失产生了许多负面的社会和经济后果。马拉维没有正式的院前创伤护理系统，获得医院创伤护理、骨科手术和康复的机会有限。虽然一些医院和研究团队已经建立了当地创伤登记处，并对马拉维部分地区的伤害负担进行了量化，但没有国家伤害监测数据库来收集制定和实施循证预防举措及指南所需的数据，以提高临床护理质量。其他低收入和中等收入国家（LMICs）的研究已经证明了提高创伤患者院前、院内和出院后护理的成本效益方法。我们鼓励马拉维各地的卫生部门领导人采取行动，改善创伤护理，减轻该国的伤害负担。
