Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

Hanche-Olsen, Terje Peder; Alemu, Lulseged; Viste, Asgaut; Wisborg, Torben; Hansen, Kari Schrøder

doi:10.1007/s00268-012-1659-0

Cited by 42 publications

(43 citation statements)

References 41 publications

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“…Traumatic injuries pose a significant and increasing challenge to healthcare systems worldwide. 1 According to the World Health Organisation (WHO), traumatic injuries are one of the main causes of mortality in the world, with 90% of the injuries estimated to occur in low-and middle-income countries. 2 A large number of traumatic injuries are orthopaedic in n ature.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana

et al. 2018

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Background: Traumatic injuries pose a significant and increasing challenge to healthcare systems worldwide. One major type of traumatic injury is the traumatic orthopaedic injury, whose epidemiology is unknown in Botswana. The aim of the study, therefore, was to evaluate the age, sex, type, and determinants of traumatic orthopaedic injuries for inpatients at Princess Marina Hospital from August 2014 to January 2015. Methods: We performed a descriptive study by retrospectively collecting data on age, sex, date of admission, date of injury, date of discharge, radiological investigation, and injury types and determinants from medical records of patients admitted to orthopaedic wards. Results: The median age of patients with traumatic orthopaedic injuries was 33.5 years (n=372). Males were more frequently injured than females, with a sex ratio of 7:3. Fractures were the most common type of traumatic orthopaedic injury (413 injuries, 75.5%). The most common injury determinants were falls (145 patients/39.0%), road traffic accidents (95 patients/25.5%), and assaults (57 patients/15.3%). Conclusions: Young adult males were the group most affected by traumatic orthopaedic injuries. Fractures were the most common type of traumatic orthopaedic injuries, with falls being the most common injury determinant. These findings may guide efforts to improve healthcare delivery and public health policy.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana

et al. 2018

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“…A 2012 study on trauma care capacity in Botswana, a critical sector of the healthcare system for RTCs, found that hospitals have been developing physical resources and clinical expertise for trauma care, but trauma team organization, training activities, and plans for trauma care were absent. 23 This indicates that essential trauma care guidelines need to be applied to improve trauma care capabilities essential for care of those in RTCs. 23 …”

Section: Discussionmentioning

confidence: 99%

Economic development and road traffic fatalities in two neighbouring African nations

Wiebe

Ray

Maswabi

et al. 2016

African Journal of Emergency Medicine

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IntroductionThe rapid growth of Botswana’s economy since independence in 1966 has brought more tarred roads and vehicles, accompanied by an escalating road crash fatality rate. We tested the hypothesis that motor vehicle crash fatality increases resulted from, rather than just corresponded with, annual gross domestic product (GDP) increases. Data from Zambia, adjacent to Botswana, were used for comparison.MethodsAnnual social and economic indicators and motor vehicle crash fatality rates in Botswana and Zambia were accessed from 1960 to 2012 and analysed using vector autoregressive analysis and Granger causality tests.ResultsIn Botswana, annual changes in per capita GDP predicted annual changes in motor vehicle crash fatality rates (p = 0.042). The opposite was not observed; annual changes in motor vehicle crash fatality rates did not predict annual GDP changes. These findings suggest that GDP growth in a given year caused additional road traffic fatalities in Botswana and that, on average, every billion dollar increase in GDP produced an increase in the rate of road traffic fatalities. In Zambia, annual GDP changes predicted annual fatality rate changes three years later (p = 0.029), but annual changes in road crash fatality rates also predicted annual increases in per capita GDP (p = 0.026) three years later, suggesting a correlation between trends, but not a causal effect of GDP.ConclusionRoad crash fatalities increased in recent decades in both Zambia and Botswana. But the rapid economic development in Botswana over this time period appears to have driven proportionate road traffic fatality increases. There are opportunities for newly emerging economies such as Zambia, Angola, and others to learn from the Botswana experience. Evidence-based investments in road safety interventions should be concomitant with economic development.

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“…[17][18][19][20][21] The need to improve trauma care for RTIs in LMICs is widely recognized, but limited progress has been made thus far. [22,23] One limitation of this cross-sectional analysis is that it focused on hospitals located near the main north-south highway in Malawi.…”

Section: Discussionmentioning

confidence: 99%

Improving hospital-based trauma care for road traffic injuries in Malawi

Chokotho

Mulwafu

Singini

et al. 2017

World Journal of Emergency Medicine

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Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

Abstract: Background Trauma represents a significant and increasing challenge to health care

Cited by 42 publications

References 41 publications

Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana

Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana

Economic development and road traffic fatalities in two neighbouring African nations

Improving hospital-based trauma care for road traffic injuries in Malawi

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