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Musculoskeletal trauma services in Uganda.
- Source :
-
Clinical orthopaedics and related research [Clin Orthop Relat Res] 2008 Oct; Vol. 466 (10), pp. 2317-22. Date of Electronic Publication: 2008 Jul 16. - Publication Year :
- 2008
-
Abstract
- Approximately 2000 lives are lost in Uganda annually through road traffic accidents. In Kampala, they account for 39% of all injuries, primarily in males aged 16-44 years. They are a result of rapid motorization and urbanization in a country with a poor economy. Uganda's population is an estimated 28 million with a growth rate of 3.4% per year. Motorcycles and omnibuses, the main taxi vehicles, are the primary contributors to the accidents. Poor roads and drivers compound the situation. Twenty-three orthopaedic surgeons (one for every 1,300,000 people) provide specialist services that are available only at three regional hospitals and the National Referral Hospital in Kampala. The majority of musculoskeletal injuries are managed nonoperatively by 200 orthopaedic officers distributed at the district, regional and national referral hospitals. Because of the poor economy, 9% of the national budget is allocated to the health sector. Patients with musculoskeletal injuries in Uganda frequently fail to receive immediate care due to inadequate resources and most are treated by traditional bonesetters. Neglected injuries typically result in poor outcomes. Possible solutions include a public health approach for prevention of road traffic injuries, training of adequate human resources, and infrastructure development.
- Subjects :
- Education, Medical
Health Care Costs
Health Care Rationing
Health Services Accessibility
Health Services Research
Healthcare Disparities
Humans
National Health Programs
Program Development
Uganda epidemiology
Wounds and Injuries economics
Wounds and Injuries mortality
Accidents, Traffic economics
Accidents, Traffic mortality
Accidents, Traffic prevention & control
Delivery of Health Care economics
Delivery of Health Care organization & administration
Delivery of Health Care statistics & numerical data
Developing Countries economics
Developing Countries statistics & numerical data
Emergency Medical Services economics
Emergency Medical Services organization & administration
Emergency Medical Services statistics & numerical data
Musculoskeletal System injuries
Orthopedic Procedures economics
Orthopedic Procedures education
Orthopedic Procedures statistics & numerical data
Outcome and Process Assessment, Health Care economics
Outcome and Process Assessment, Health Care organization & administration
Outcome and Process Assessment, Health Care statistics & numerical data
Wounds and Injuries therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1528-1132
- Volume :
- 466
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Clinical orthopaedics and related research
- Publication Type :
- Academic Journal
- Accession number :
- 18629599
- Full Text :
- https://doi.org/10.1007/s11999-008-0369-2