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Challenges of injury prevention and care in Northern Uganda

Challenges of injury prevention and care in Northern Uganda. MR MARTIN OGWANG FCS(ECSA) St. Mary’s Hospital, Lacor. Introduction. Injury burden High Developing countries Worsened by insurgencies Expensive To manage Economic Burden (individual - country)

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Challenges of injury prevention and care in Northern Uganda

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  1. Challenges of injury prevention and care in Northern Uganda MR MARTIN OGWANG FCS(ECSA) St. Mary’s Hospital, Lacor

  2. Introduction • Injury burden • High Developing countries • Worsened by insurgencies • Expensive • To manage • Economic Burden (individual - country) • Competing demand by other services is a threat to injury prevention and care. • Low Awareness

  3. Disease Burden,Gulu District N. Uganda

  4. Admission Lacor Hospital 1992- 2002

  5. Cause, Sex of injured Patients, Lacor

  6. Challenges in prevention and care • General • Trauma care is under funded • Competing demand is a threat • infectious diseases(AIDS, Malaria, TB) • Childhood diseases(Preventable) • Maternal conditions (Obstetric care) • Expensive • Awareness low among stake holders • Policy Makers • Public • Health professionals

  7. Challenges • Specific • Traffic • Public Education & Persuasion • Public, Policy makers, Law enforcers • Advocacy • Legal regulation of behavior • Passengers, Pedestrians, cyclists,driver • Road. • Vehicle / cycles - Road worthiness • Misuse

  8. Challenges • Falls • Mostly from fruit trees • Affects mainly children • Reach epidemic proportion in may • Adults / Parents improper guide to the children • Civil Insurrection • Lack of Peaceful resolution of disagreement • Cycle of violence afflicting the country

  9. Challenges in care • Trauma care system not in place • pre hospital care, in hospital care ,transfer system, rehabilitation. • Communication- Poor • Accessibility to functional health facility, Poor • Facility, equipment and Materials Lacking • Human resource • inadequate • needs training / refresher courses

  10. Way Forward • Public Awareness and education • Targeting preventable cause of injuries • Environment Modification • Law and Policy aimed at preventing injuries • Trauma care system should be put in place • Training for various stake holders • Operational research

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