Patience Atumanya1, Cornelius Sendagire2, Agnes Wabule2, John Mukisa3, Lameck Ssemogerere2, Arthur Kwizera2, Peter K Agaba4. 1. Department of Anaesthesia, Makerere University, College of Health Sciences, P.O Box 7062, Kampala, Uganda. Electronic address: atumanyap@gmail.com. 2. Department of Anaesthesia, Makerere University, College of Health Sciences, P.O Box 7062, Kampala, Uganda. 3. Department of Clinical epidemiology, Makerere University, College of Health Sciences, P.O Box 7062, Kampala, Uganda. 4. Department of Anaesthesia, Makerere University, College of Health Sciences, P.O Box 7062, Kampala, Uganda. Electronic address: pagaba@chs.mak.ac.ug.
Abstract
PURPOSE: To describe the organizational characteristics of functional ICUs in Uganda. METHODS: A descriptive survey of 12 ICUs in Uganda; ICU organisation, structure, staffing, and support facilities. A functional ICU was defined as one that admitted critically ill patients and had the ability to provide mechanical ventilation. ICUs were selected based on information of their existence. Direct structured interviews were carried out with the ICU directors. RESULTS: Of the fourteen ICUs reviewed, 12 were functional, and a majority were located in the central region. There were 55 ICU beds making up a ratio of 1.3 ICU beds per million population. The ICU beds comprised 1.5 % of the total bed capacity of studied hospitals. Most of the ICUs [11] were mixed (paediatric-adults), anaesthesia-led (nine) and five operated in a closed model. There were 171 ICU nurses, of whom 13 had formal training in critical care nursing. The majority of the ICUs had a nurse to patient ratio ≥ 1.2; nine during the day and seven at night. CONCLUSIONS: This study shows limited accessibility to critical care services in Uganda. With a high variability in the ICU operational characteristics, there is a need for standardization of ICU care in the country.
PURPOSE: To describe the organizational characteristics of functional ICUs in Uganda. METHODS: A descriptive survey of 12 ICUs in Uganda; ICU organisation, structure, staffing, and support facilities. A functional ICU was defined as one that admitted critically ill patients and had the ability to provide mechanical ventilation. ICUs were selected based on information of their existence. Direct structured interviews were carried out with the ICU directors. RESULTS: Of the fourteen ICUs reviewed, 12 were functional, and a majority were located in the central region. There were 55 ICU beds making up a ratio of 1.3 ICU beds per million population. The ICU beds comprised 1.5 % of the total bed capacity of studied hospitals. Most of the ICUs [11] were mixed (paediatric-adults), anaesthesia-led (nine) and five operated in a closed model. There were 171 ICU nurses, of whom 13 had formal training in critical care nursing. The majority of the ICUs had a nurse to patient ratio ≥ 1.2; nine during the day and seven at night. CONCLUSIONS: This study shows limited accessibility to critical care services in Uganda. With a high variability in the ICU operational characteristics, there is a need for standardization of ICU care in the country.
Authors: Celine Perier; Emmanuel Nasinghe; Isabelle Charles; Leoson Junior Ssetaba; Vida Ahyong; Derek Bangs; P Robert Beatty; Nadine Czudnochowski; Amy Diallo; Eli Dugan; Jacqueline M Fabius; Hildy Fong Baker; Jackson Gardner; Stephen Isaacs; Birungi Joanah; Katrina Kalantar; David Kateete; Matt Knight; Maria Krasilnikov; Nevan J Krogan; Chaz Langelier; Eric Lee; Lucy M Li; Daniel Licht; Katie Lien; Zilose Lyons; Gerald Mboowa; Ivan Mwebaza; Savannah Mwesigwa; Geraldine Nalwadda; Robert Nichols; Maria Elena Penaranda; Sarah Petnic; Maira Phelps; Stephen J Popper; Michael Rape; Arthur Reingold; Richard Robbins; Oren S Rosenberg; David F Savage; Samuel Schildhauer; Matthew L Settles; Ivan Sserwadda; Sarah Stanley; Cristina M Tato; Alexandra Tsitsiklis; Erik Van Dis; Manu Vanaerschot; Joanna Vinden; Jeffery S Cox; Moses L Joloba; Julia Schaletzky Journal: Glob Health Action Date: 2022-12-31 Impact factor: 2.996
Authors: Arthur Kwizera; David P Kateete; Ronald Ssenyonga; Lydia Nakiyingi; Jane Nakibuuka; Christine Namata; Arthur Mwanje; Emmy Okello; Daphne Kabatoro; Noah Kiwanuka; Robert C Bollinger; James Tumwine; Charlotte Summers Journal: Ann Am Thorac Soc Date: 2022-04
Authors: Brandon A Knettel; Christine T Knettel; Francis Sakita; Justin G Myers; Theresia Edward; Linda Minja; Blandina T Mmbaga; João Ricardo Nickenig Vissoci; Catherine Staton Journal: Injury Date: 2022-03-25 Impact factor: 2.687
Authors: Junnette Arlette Mbengono Metogo; Joel Noutakdie Tochie; Paul Owono Etoundi; Roddy Stephan Bengono Bengono; Raymond Ndikontar; Jacqueline Ze Minkande Journal: Pan Afr Med J Date: 2020-12-11
Authors: Robert Kaba Alhassan; Jerry John Nutor; Aaron Asibi Abuosi; Agani Afaya; Solomon Salia Mohammed; Maxwel Ayindenaba Dalaba; Mustapha Immurana; Alfred Kwesi Manyeh; Desmond Klu; Matilda Aberese-Ako; Phidelia Theresa Doegah; Evelyn Acquah; Edward Nketiah-Amponsah; John Tampouri; Samuel Kaba Akoriyea; Paul Amuna; Evelyn Kokor Ansah; Margaret Gyapong; Seth Owusu-Agyei; John Owusu Gyapong Journal: SAGE Open Med Date: 2021-02-11