Article Text

Download PDFPDF

4B.003 Resources for acute paediatric injury care in Maputo central hospital, Mozambique
  1. Vanda Nilza Sidonio Amado1,
  2. Maria Tereza Couto2,
  3. Lee Alan Wallis3,
  4. Lucie Laflamme1
  1. 1Karolinska Institutet, Department of Global Public Health, Stockholm, Sweden
  2. 2Mozambique Medical Council, Maputo, Mozambique
  3. 3University of Cape Town, Cape Town, South Africa


Background Injuries are the leading cause of death among children aged 1 to 19 years. To improve paediatric injury care in the hospital setting and set priorities, assessing emergency services capacity is an essential step.

Methods An on-site investigation took place at Maputo Central Hospital (MCH), the largest hospital of the country. It was performed by a team led by a senior clinician, applying WHO Emergency Unit Assessment Tool, that encompasses aspects pertaining to e.g. facility metrics, infrastructure, essential equipment, human resources and clinical services. Five staff members from the paediatric emergency unit were interviewed. Interviews and observation of premises took in total 6 hours.

Results The assessment revealed a number of limitations in all covered areas, including among others the absence of a triage area, resuscitation trauma room, isolation room (e.g. for burns patients), and CT scan. Considering the caseload (35276 cases/children per year), there were too few clinicians (nurses and surgeons) with sufficient training. As well unavailability of guidelines, protocols for trauma care, infection preventions and control, a systematic process for collecting patient data and inexistent security protocol to protect staff, patients and infrastructure from violence. By contrast, the availability of drug and equipment was generally good.

Conclusion At MCH, paediatric emergency care faces worrying challenges that jeopardize good outcomes. As it is very likely that similar challenges arise in most other hospitals from the country, an action plan to redress the situation is much needed

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.