期刊
INTERNATIONAL HEALTH
卷 6, 期 1, 页码 70-73出版社
OXFORD UNIV PRESS
DOI: 10.1093/inthealth/iht035
关键词
Conflict; Hospital outcomes; Operational research; Somalia
资金
- Department for International Development (UK)
- Medecins Sans Frontieres (Luxembourg)
We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes. This was a retrospective analysis of hospital data for 2011. Of 8584 admitted patients, the largest numbers were for lower respiratory tract infections (LRTI) (2114; 25), normal deliveries (1355; 16) and diarrhoeal diseases (715; 8). The highest contributors to mortality were gunshot wounds in surgery (18/30; 60), LRTIs in internal medicine (6/32; 19) and malnutrition in paediatrics (30/81; 37). Adverse hospital exit outcomes (deaths and absconded) were well within thresholds set by Mdecins Sans Frontires. With a support package, satisfactory standards of care were met for hospital care in Somalia.
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