Kenya Medical Research Institute, Busia, Kenya.
Pan Afr Med J. 2024 Mar 4;47:101. doi: 10.11604/pamj.2024.47.101.40829. eCollection 2024.
motorcycles continue to be a popular mode of transport in Kenya. However, the related injuries cause significant morbidity and mortality and remain to be a major and neglected public health issue. This raised the crucial need for hospital preparedness in managing morbidities and in reducing mortalities. This formed the basis of this paper which aims to document the challenges and opportunities in the healthcare system in handling motorcycle accidents in a Kenyan border town in Busia County.
we drew data from an exploratory qualitative study that was carried out in 2021. All six referral hospitals purposively included in the study. The study targeted a total of 25 top level facility managers as key informants on the facility level opportunities and challenges in handling motorcycle accidents. Descriptive data were analyzed using SPSS version 20.
the hospitals were not well prepared to handle motorcycle accidents. The major challenges were understaffing in critical care services; inadequate/lack of equipment to handle motorcycle injuries; inadequate/lack of infrastructure i.e. surgical wards, emergency rooms, inadequate space, functional theatre; lack/inadequate supplies; overstretched referral services arising from the hinge burden of motorcycle accidents in the area; inadequate specialized personnel to provide trauma/care services; mishandling of cases at the site of accident; inability of victims to pay related bills; inappropriate identification of victims at the facility; lack/inadequate on-job training. Some opportunities that currently exist include health system interventions which are not limited to employment of more professionals, improvement of infrastructure, provision of equipment and increase of budgetary allocation.
the study reveals vast challenges that are faced by hospitals in managing patients. This calls for the government to step in and capitalize on the proposed opportunities by the health managers to be able to manage morbidities and bring down mortalities due to motorcycle accidents.
摩托车在肯尼亚仍是一种受欢迎的交通工具。然而，相关伤害导致了较高的发病率和死亡率，仍然是一个主要且被忽视的公共卫生问题。这就迫切需要医院做好准备，以处理相关疾病并降低死亡率。这就是本文的基础，旨在记录肯尼亚布西亚县边境城镇的医疗体系在处理摩托车事故方面面临的挑战和机遇。
我们从 2021 年进行的一项探索性定性研究中提取数据。所有六家指定转诊医院都被纳入了这项研究。研究的目标是总共 25 名高层医疗机构管理人员作为主要信息来源，了解医疗机构在处理摩托车事故方面的机遇和挑战。使用 SPSS 版本 20 对描述性数据进行分析。
医院在处理摩托车事故方面准备不足。主要挑战包括重症监护服务人员不足；处理摩托车事故所需的设备不足/缺乏；基础设施不足/缺乏，如外科病房、急诊室、空间不足、功能齐全的手术室；供应品不足/缺乏；该地区摩托车事故的负担过重导致转诊服务紧张；缺乏专门的创伤/护理人员提供服务；事故现场的病例处理不当；受害者无力支付相关费用；在医院设施中对受害者身份识别不当；在职培训不足/缺乏。目前存在的一些机遇包括不限于增加专业人员的卫生系统干预措施、改善基础设施、提供设备和增加预算拨款。
研究揭示了医院在管理患者方面面临的巨大挑战。这就要求政府介入并利用卫生管理人员提出的机遇，以便能够处理摩托车事故导致的疾病，并降低死亡率。
