write report on hospitals and other facilities
Answers
Answer:
Explanation:
The WHO project “Emergency and Essential Surgical Care” aims to strengthen
training of health care personnel at primary health care facilities in emergency and
essential surgical skills and linked equipment. WHO developed an Integrated
Management for emergency and Essential Surgical Care (IMEESC) tools, based on the
WHO manual Surgical Care at the District Hospital. This tool will empower them, to
manage life threatening injuries from road traffic accidents, burns, falls, drowning,
domestic violence, disasters, pregnancy related complications and techniques for
prevention of HIV transmission in all surgical procedures.
Field visits were made by a team comprising of WHO staff, country office and HQ
with key health providers. Discussions were held with the staff of the health facilities
(regional, district hospitals and health centres) in Addis Ababa, Awassa, and Dilla in
South Nation Nationalities & Peoples Region (SNNPR). The main problems identified
were lack of specialists (surgeons, obstetrics, anaesthetists), inadequate training to perform
emergency surgical procedures safely for trauma, pregnancy related complications and
anaesthesia, lack of basic emergency
equipment linked to the emergency surgical
procedures, inadequate training in use,
maintenance and procurement of basic
emergency equipment and lack of standard
protocols.
WHO meetings were held on "Integrated
Management of Emergency and Essential
Surgical Care (IMEESC)" in collaboration
with the MoH and SNNPR State Health
Bureau, with key focal points of the currently
existing health officers training programmes,
at Debub University Referral Hospital, Awassa, Yirgalem, and Dilla, supported by
Tropical Health Education Trust (THET), U.K. Another multidisciplinary meeting was
held with dean and directors of Health Science University, health centres, and trainers of
health officers, quality assurance and public health, of Awassa region.
Regional Health Bureau will work in collaboration with the Health Science University
to advise in the modification of training curriculum for health officers. WHO training
materials will be incorporated in the existing THET basic emergency skills training
course. Discussions with focal persons in Ministry of Health addressed the need of
strengthening training of medical, nursing students, technicians and clinical officers.
MoH are in the process of training health officers in emergency obstetric care, which
includes emergency surgical procedures and anaesthesia and planning to post at least 2
health officers at health centres.
Recommendations were made for preparation of a project proposal in collaboration
with partners and MoH with teaching hospitals for strengthening capacities in training of
health personnel in life saving emergency and basic surgical procedures and equipment in
the identified 6 provinces. Prior to the health officers training, a training of trainers
coordinated by WHO would be beneficial. Collaboration is envisaged with other partners
such as SIDA, UNICEF, UNFPA, Japan, World Bank, GTZ, for a coordinated
comprehensive approach to reduce the high maternal mortality in Ethiopia.